Medical demographics and fee overruns are of increasing concern to users of the health system, according to the 2012 annual report of the Health info rights line of the Ciss.
In France, medical demography and excess fees are among the subjects of increasing concern to users of the health system! This is what the 2012 annual report of the Health info rights line published a few days ago by the Interassociative Collective on Health (Ciss), a structure which brings together 39 associations working in the field of health.
Questions relating to medical demographics jumped 175%
This report is based on the 7,500 requests processed by legal counselors in 2012 from the Health info rights line. The three main themes remain the same. These are the rights of users of the health system (34.9% of requests), access to and coverage of care (13.8%), and replacement income (work stoppage and disability, 11.9%).
Among these figures, some sub-themes have seen strong increases compared to the previous report, for example medical demography with medical deserts (+ 175%) and fee overruns (+ 50%) .
An increase which can be explained by the increase, this year, of the overruns of many specialties. According to the UFC-Que Choisir, ophthalomologists, gynecologists and pediatricians have increased their fee overruns by 1.7% for a year with inflation yet at 0.9%. The average overrun requested in pediatrics has exploded, going from € 17 to € 18.20 in one year, an increase of 7%.
But to put the increase in these requests into perspective, it should be noted that these questions remain minor among those that users ask themselves, they represent respectively 0.4% and 2.2% of the subjects discussed with the Ciss lawyers.
Medical liability remains the number 1 reason for solicitation
Questions regarding the medical liability of physicians remain largely at the top of this ranking. This year, it represents 37.8% of requests. The subject is, however, down significantly compared to the previous year (-39.4%). To explain this drop, Ciss explains that, “this drop is the direct consequence of the drop in demands on the Mediator. ”
Because in this context, the motivations expressed by the appellants most often fall within the framework of compensation proceedings, but not exclusively. The testimonies also show significant difficulties related to information on the costs of care and their coverage. We mention situations where the information on tariffs was not delivered or was poorly completed, or cases where no prior written information was not provided for overruns exceeding 70 euros, contrary to what is provided for in a decree of 2008.
Ciss calls for a reduction in fee overruns
On September 24, the Ciss welcomed the three axes of the national health strategy (SNS) presented the day before by the Minister of Health, while considering that “their realization requires powerful changes. “On the rights of patients for example, the Collective estimated that” the generalization of third-party payment in primary medicine will only be effective if it is preceded by a real organization of complementary health, which cannot be limited. to employees only. The Ciss also wants this measure to be accompanied by a reduction in fee overruns.
Contacted by why actor on the possible technical obstacles existing for the generalization of third-party payment, the president of Ciss, Claude Rambaud, notes that this device has been set up in hospitals, pharmacies and health centers and that “it is the doctors who are lagging behind. “
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