While the health sector is marked by a shortage of health professionals, Emmanuel Macron announced a series of measures during his greetings to caregivers on Friday January 6, in a hospital in Essonne. The Head of State acknowledged “the personal and collective exhaustion, this sometimes feeling of loss of meaning which has set in, the feeling basically of going from one crisis to another”.
- A reorganization of work in the hospital
Denouncing “hyper-rigidity” in the application of 35 hours and a system which “only works with overtime”, Emmanuel Macron promised a reorganization of work in the hospital “by June 1” in order to to retain caregivers who leave and make the sector more attractive.
- An increase in the number of medical assistants from 4,000 to 10,000
Created in 2018 to assist private doctors in order to allow them to receive more patients, there will be more medical assistants. “Today we have nearly 4,000 medical assistants who have already signed a contract, which is a real success. (…) We should reach 10,000 by the end of next year”, announced the head of state.
- The end of fee-for-service pricing
Emmanuel Macron also announced the pure and simple “exit” from the much criticized fee-for-service pricing in hospitals from the next Social Security budget, in favor of financing on “public health objectives”, negotiated ” at the scale of a territory”. “Many of the debates are tense around this famous activity-based pricing. (…) The mode of remuneration (…) takes badly into account the unscheduled care. It badly takes into account the most complex activities which will take time “, did he declare.
- Doctors for all patients with chronic disease
From the end of 2023, the 600,000 people with a chronic illness without a doctor will be offered one. In the absence of a “treating doctor”, they will have access to a “treating team” of caregivers from various disciplines.
Beyond the only chronic patients, the Minister of Health, François Braun, had already promised that, among the 6 million patients without a doctor, all those who wish would have one “by the end of the five-year period”.
