Marisol Touraine unveiled a 250 million plan to fight the shortage of doctors at the hospital. It promises bonuses to attract 3,000 young people to areas in tension.
The many retirements of hospital practitioners (PH) have greatly increased in recent years at public hospitals. As a result, vacant positions particularly affect certain territories and certain specialties. Faced with this observation, Marisol Touraine repeated this Monday that there was “urgency” to give new impetus to the hospital.
To achieve this, the Minister of Health announced a plan to promote medical attractiveness in hospitals, the cost of which between 2016 and 2019 is estimated for establishments at 250 million euros. This ambitious program, drawn up from recommendations of Senator Jacky Le Menn, can be summed up in 12 commitments to encourage the youngest in particular to embrace this career. They will be implemented from the start of 2016, with the deployment of the Health Law.
A commitment bonus for 3,000 practitioners
To promote commitment in the hospital medical career, the Minister first wants to support each young practitioner in their career choices. It will thus guarantee assistants and contractual practitioners, often younger, the same social rights (maternity, sickness, etc.) as the holders.
And Marisol Touraine does not stop there. The minister announced the creation of a commitment bonus to encourage 3,000 practitioners to practice, by 2018, in hospitals that lack medical professionals. “This bonus will be significant and attractive,” she promised in a speech.
These young people will also benefit from a career acceleration.
“After five years of practice, these same young practitioners will benefit from a two-year career bonus. Concretely, at the end of 5 years, they will have 7 years of seniority ”, continued the tenant of avenue Duquesne.
A bonus for practicing on several sites
In addition, Marisol Touraine also thought about the PH already in place. She insisted on her desire to retain the professionals who work in the hospital by promoting their involvement in regional medical projects. To do this, it has again announced the creation of a territorial exercise bonus intended to encourage exercise on several sites. This will allow 15,000 practitioners to diversify their missions.
Finally, the Ministry of Health announces that it will allow practitioners who have reached retirement age to continue their activity, on a voluntary basis and with the agreement of the establishment. They will therefore be able to extend their activity until the age of 70 and the combination of employment and retirement will be possible up to 72 years.
Sources of savings
These measures to attract new doctors are also accompanied by sources of savings. Among them, the cap on expenses incurred for interim missions at the hospital. The avowed goal is to better regulate mercenary practices. “These, in times of acute demographic tensions, prove to be extremely costly for establishments forced to resort to them and deleterious within medical communities”, writes the minister in her plan.
From extrapolations carried out on a region, Le Parisien estimated in the past that the bill for the interim for the thousand public hospitals would amount to 640 M €. And if the replacements were paid at the standard rate, the amount of savings would be between 480 and 510 M €. An amount greater than the € 435 million hospital deficit in 2012.
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