Based on a calculation of Health Insurance, the Minister of Health says that a general practitioner earns on average 31 euros per consultation. False for the doctors’ unions. Explanations.
Marisol Touraine has been saying for several days in the media that a general practitioner actually earns 31.40 euros per consultation and not 23 euros. One way to justify his refusal to see the consultation of general practitioners go from 23 euros to 25 euros (as for specialists). To explain this figure, the Minister of Health affirms that these doctors receive different lump sums and surcharges for each patient which are added to the price of the consultation. The government even claims that the remuneration of general practitioners has increased by 3.1% in 1 year. Why actor tries to disentangle the true from the false.
Various and varied packages
To assert this, the Minister of Health is based on recent calculations of the Health Insurance. In an internal document that why actor obtained, the Sécu speaks first of all of the existing increases directly linked to the consultation. These are MGEs (children 2 to 6 years old) which earn doctors 3 euros per consultation, and MNOs (children 0 to 2 years old) which add 5 euros to each patient.
Next to them, there are also other packages. Among them, the coordination increase (3 euros), the increase for consultation of a patient with cardiac insufficiency (23 euros), and the increase for the follow-up consultation for discharge from short-stay hospitalization of patients with high comorbidity (23 euros).
In addition, the increase for the elderly (over 80) saves general practitioners 5 euros more.
ROSP
Along with these flat rates, there are other remunerations received by general practitioners because of their status as attending physician. Health insurance cites, for example, the attending physician remuneration, the attending physician package, but above all the remuneration based on Public Health Objective (ROSP). General practitioners who signed up received, on average, 5,774 euros (+ 16% in one year) for 2013. All these remunerations combined mean that the cost of consulting a general practitioner reached on average 31, 49 euros per consultation in 2014.
Source: health insurance
Figures disputed by doctors’ unions
A calculation that the UNOF-CSMF union, the generalist branch of the CSMF, main union of liberal doctors, which asks that the amount of the consultation be raised immediately to 31 €, “with an abandonment of all the fixed prices and the remuneration for public health objective (ROSP). “
For his part, Dr Claude Leicher, president of MG France, the main general practitioner union, also categorically disputes these calculations: “Marisol Touraine adds up everything and anything, it doesn’t make much sense. These are apothecary stones. There are indeed some conventional advantages, but they are getting thinner and thinner. “
Finally, to further drive the point home, the UNOF-CSMF recalls that “the amount of remuneration of French general practitioners is one of the lowest in Europe and is unworthy in view of the missions they fulfill and their daily consultations. increasingly complex due to the aging of a population presenting more and more chronic pathologies. “This union concludes:” In 2015, the C is no longer at € 23 but at € 22, and soon with the impact of the cost of third-party payment at € 3.50 per act, the Consultation will actually be at 18, 50 €. “
Listen to Dr Claude Leicher, president of MG France: “ Marisol Touraine adds packages that not all doctors get. “
(1) National Union of French General Practitioners – Confederation of French Medical Syndicates
(2) “With a DPC reduced in 2015 to one action per year, this corresponds to a breach of the conventional contract and a devaluation of approximately one euro of the consultation” (source: UNOF-CSMF press release of 01/13/15)
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