The union of young doctors installed has decided not to boycott teletransmission and not to join in the fight of other doctors against the generalized third-party payment.
After their week of strike at Christmas, the unions of liberal doctors are still also raised against the Health Law of Marisol Touraine. At the beginning of 2015, they continued their mobilization with a total administrative strike. “We are going to flood the sickness insurance funds with papers,” recently explained Jean-Paul Ortiz, president of the CSMF (1), the main union of liberal doctors. Everything that we usually send online – work accidents, prior agreements, medical reports… – will be sent by mail, ”he added.
In addition, the Confederation has invited doctors to shun the Carte Vitale of their patients, who will have to return their care sheet to the Health Insurance to be reimbursed. The latter has already warned: significant delays in reimbursements are to be expected.
Faced with these modes of action, some doctors are beginning to show their disapproval. They fully intend to make their dissonant voice heard this Monday during their meeting with Marisol Touraine.
Doctors in favor of generalized third-party payment
This is the case, for example, of practitioners of Autonomous Group of General Practitioners, Young Installers and Replacements (2) who have decided not to boycott teletransmission, and not to join the slogan launched by the senior medical unions.
Asked by Why actor, Dr Charline Boissy, spokesperson for ReAGJIR confides: “We have not followed the strike movement or the end of teletransmission because we are not opposed to the generalization of third-party payment. “And to add:” we refuse to take the patients hostage, but also to penalize the replacements often contracted to work during the holidays of the installed doctors. “
But before generalizing third-party payment, the ReAGJIR union nevertheless sets its conditions: single point of contact, guaranteed remuneration in 5 days, presentation of a Vitale card with up-to-date rights, and non-accountability to franchise doctors.
“If these conditions are met, generalized third-party payment can be a solution for better access to care. I remind you that one in three French people gave up or postponed treatment in 2013 for financial reasons (7th Health Barometer of Europ Assistance / CSA) ”, insists Dr Charline Boissy.
For a diversification of remuneration
Moreover, unlike the main general practitioner union, MG France, which fights for the general medical consultation to increase to € 25 (like specialists), the young doctors of ReAGJIR plead for “a diversification of remuneration which corresponds more to the exercise of our profession ”, thinks Dr Charline Boissy. She concludes that today “some consultations last up to 45 minutes. This is the case for elderly patients with several pathologies. “
A law of with imperfections
However, these young doctors are not completely satisfied. In a Press release recently, they wrote that “The bill is flawed. It forgets primary care and contains a certain number of elements that deserve the necessary adjustments to guarantee everyone (patients and health professionals) the establishment of efficient primary care. “They added:” The measures proposed, promoting access to care, must on the one hand guarantee a homogeneous implementation in the territory. On the other hand, they must guarantee an organization facilitating the exercise of health professionals and must not be constraints. ”
On this last point, the young practitioners of ReAGJIR are, in fact, skeptical of the Territorial Public Health Service (STSP), which, according to the liberal unions, “aims to suppress the freedom of installation of liberal doctors. “
Psychiatrists for the territorial public health service
A point of view that does not share the “Collective for a psychiatry of progress” (3), which calls on the actors of care to read “differently” the law presented by Marisol Touraine.
For this Collective, “the regional health agencies do not have the means to impose courses on doctors within the framework of the territorial public health service, defined in article 12. If this provision has the slightest meaning, c It is insofar as it would encourage the actors in the field to talk to each other, to get along, to organize themselves. “
Ultimately, these doctors even see in the development of these courses an opportunity to better recognize the place of each, hospital and liberal, users and helpers, social and medico-social. “Either the territorial public health service will be set up by the actors in the field, and according to their wishes, or it will remain a dead letter”, they conclude.
(1) Confederation of French Medical Syndicates
(2) Intersyndicale which has more than 500 replacement and installed doctors (up to 5 years after their installation)
(3) Think thank you on the health system created in 2013
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