In this series of interviews on “The Day After”, Dr. Jean-François Lemoine discusses with his guests the lessons that the world of health can learn from the coronavirus crisis. Today, Dr. Jacques Battistoni, boss of the MG France union, delivers his convictions on the place of coordinated exercise around liberal doctors as a remedy for medical deserts.
Dr. Jacques Battistoni is a man in the field. Not only does the new president of the MG France union, himself a general practitioner, embark on a tour of France with his colleagues as soon as he is elected to bring up their needs and their ideas, but he is above all the one who defends step by step the role of these practitioners in the establishment of territorial organizations to solve the difficulties of access to care.
“It is above all a Ségur from the hospital!”
“We must structure city care, give a boost to the establishment of CPTS (Territorial Professional Health Communities)!”, He proclaims to the health authorities. Without having too many illusions about the scope of this message within the framework of a “Ségur” of health which would be, according to him, “especially a Ségur of the hospital which does not grant a real interest to the liberal doctors “. And to add, ironically, that “one can doubt that the hospital is the good organizer of city medicine!”.
The health crisis has also reinforced his convictions in this area: “If we had had more CPTS, we would have been better equipped to participate in the regulation and care of Covid patients”, assures Jacques Battistoni who places the installation of these structures as an absolute priority to facilitate access to care and provide a solution to medical deserts. For him the liberal doctor must not only retain his freedom to settle down and undertake, but he must also become a manager: “His role is to lead a team around him!”.
Its priorities: the CPTS and the healthcare access service
The other fight of the boss of MG France, it is the installation of the service of access to the care, the famous SAS, which appears to him as the best solution to regulate the problems of the overload of the urgencies at the hospital in to meet the needs of patients at all times in the event of the attending physician’s absence or unavailability. But here again, he believes that this requires giving the profession the means for this ambition. “The implementation of this service is 300 million euros, he estimates, half to set up a telephone number and a regulation system, the other half to promote the action. doctors who would accept more consultations”.
In his interview with Dr. Jean-François Lemoine, Dr. Jacques Battistoni seems prudent in discussing a possible revaluation of the consultation fee. But with this presentation of the service of access to care, this subject ends up appearing. The trade unionist president of MG France could not remain silent on a point which necessarily fueled many of his exchanges during his field campaign!