For the Minister of Health François Braun, “we must reform our entire health system”.
During Jean-François Lemoine’s new political program titled “
Why doctor – The 41 measures to save the emergency services this summer, proposed by your flash mission, were validated on July 1 by the Prime Minister, Elisabeth Borne. What comes out of this work?
Will there be enough money to finance these measures?
The stakes are such that I believe that seeing our recommendations through financial means is a mistake. Rather, you have to see them by asking yourself: “if we don’t do it, what will happen this summer?”
Can we speak of “an emergency crisis”?
Since the start of this show and in the media, we only talk about “the emergency crisis”. However, it is not just “the emergency crisis”, because these services are only the tip of the iceberg, where all the problems upstream and downstream are concentrated. What needs to be done is to reform the entire health system!
“Reforming the entire health system”, isn’t that mission impossible?
No, it’s not an impossible mission. The Covid-19 health crisis has shown us many things. Already, she taught us that when we started working together, when we broke down the silos, we were capable of doing extraordinary things. But at the end of the crisis, we unfortunately fell back into the same stupidities as before. This point greatly discourages people who work in hospitals, because they have seen that they could work differently and easily, without constraint (and that is no longer possible today, editor’s note).
What do you mean by “reforming the entire health system”?
Two points are important. The first is that we stop conceiving of Health solely through the prism of care, because it is also about prevention, screening and follow-up treatment.
The other important point is that since the 1950s, our healthcare system has been built solely on the supply – we don’t stop talking about “the supply of care”. However, the supply of care creates competition, whatever the sector, including in hospitals, where we also talk about “market shares”, which scratches my ears. We need to start with a system that finally focuses on the health needs of patients, and that is more focused on quality.
What to do in the emergency room, which receives a lot of patients who should not be there?
To us, the caregivers, this system seems simple to us, because we are in it. But people do not find it, because it is a complicated organization for the French. When their chest hurts or their head hurts, they don’t know who to call. So they need a guide, or software on their phone, that tells them what to do in what situation.
Regulation is also essential, not to prevent people from coming, of course, but to put them on the best course of care. For this, we have general practitioners, the SAMU and the SAS, which is in the process of being developed.
