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Hospital. emergency department visits are down this summer

For the first time in ten years, emergency room visits fell by 5% to 6%, welcomes Francois Brown. Evidence that the measures taken by the health minister this summer, following a report he made shortly before his appointment when the system was on the brink of implosion, have worked. A generally positive assessment, confirmed by the General Inspectorate of Social Affairs (Igas) report published on Monday, even if certain measures need to be improved.

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Public opinion will hold that it is now necessary to call 15 before going to the emergency room, a regulatory measure that has made it possible to reduce unnecessary transitions. But for the increase of calls, a significant consequence should be the value of the medical regulatory assistant (MRA) profession.

Regarding downstream bed management, another emergency, a number of measures taken are moving in the right direction; . Two ways “pursue as a priority” and to “financial support”, judges the Igas. The use of home hospitalization (HAD) or post-hospital temporary accommodation (HTSH) should also be encouraged.

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Increasing night work in hospitals, a measure costing €744 million over a full year, has proven effective. “He participated in avoiding departuress:»confirms Igan, alarmed “highly probable demobilization of personnel”. if the measure were suspended. To relieve the hospital, the minister also mobilized private doctors and health centers, increasing the consultation for the management of unplanned care by 15 euros. If the remedy is considered positive, Igas notes “Risk of disorganization of the health care system that may arise from overdevelopment of urgent care centers to the detriment of primary care.” and warns against bypassing the attending physician. Doctors and health insurance will have to settle the situation within the framework of normal negotiations. Meanwhile, the measure is maintained.

On the other hand, according to Igas, it is not justified to continue to reimburse 100% of teleconsultations, while regular consultations are reimbursed at 70%. Outside the context of the pandemic, “Telemedicine must continue to develop within the framework of common law.”, the report states. Likewise, the opening of duty medical homes on Saturday mornings “Has not proven its usefulness” and may include “chilling effects” period of liberal activity. Promising results need to be confirmed.

SEE ALSO – Covid-19. should we worry about BQ version 1.1?

Source: Le Figaro

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