The project of the “Law of Health”, which aims to improve access to care and simplify the patient pathway, will be presented this Wednesday by the Council of ministers by Agnès Buzyn, before being debated in Parliament as early as 19 march. The text of the five titles and 23 articles should be enacted before the summer. This bill is “a brick” in the plan “My health 2022”, and the other part of the reform should be “negotiated between the health professionals and those of the health Insurance,” says the Minister of Health.
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At the microphone of France Inter , Agnès Buzyn said this morning that the reforms on the training of doctors and the transformation of the hospitals in the vicinity will be the subject of orders, in order “to leave an additional three months to lead to a common project”, in particular, taking into account the proposals from the Large national debate. However, the minister was still obliged to point out that “what emerges in the great debate today point in exactly the direction that we take”.
hundreds Of hospitals to close, but without a maternity service
At the heart of the reform “My Health 2022”, the creation of “hospitals near me”, certified by the ministry, in order to redraw the map hospital in the country and respond to the problem of “medical deserts”. “We ensure that all French-based medicine, with the creation of 500 to 600 hospitals in close proximity to on the whole territory by 2022,” said Agnes Buzyn. The government encourages in particular the cooperation between hospital doctors and physicians to care for patients. These hospitals near submit, in addition to “the services of geriatrics, general practitioners, and rehabilitation and radiology,” but no offer or surgical services, or services for maternity patients.
on The side of the association of mayors of France (AMF), the project is criticized, and the elect are notably concerned about the lack of maternity. Since forty years in France, nearly two-thirds of maternity units in the country have closed. So much so, that a recent study revealed that 167 000 French women of childbearing age do not have a midwife or maternity in less than 45 minutes from their home. For Nicolas Sansu, maire PCF de Vierzon and in charge of the group “city and health” of the AMF, “it is an abuse of language to call hospital near what we would have called the clinic a few years ago”. It is found that this “metropolisation of health is a manifest error which will have political repercussions”. When questioned about the lack of delivery services, the minister explained that these hospitals would act as centres of perinatal care, to support women before and after delivery, adding that the services will deal with upstream transport systems and housing.
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in addition, the government will allocate an envelope of funding for the renovation of the establishments which suffer from maintenance, in particular to make them more attractive in the eyes of the doctors. Even if some hospitals in the vicinity will have to curtail activities to create others in order to be labeled as such by the department, the criteria are not yet fixed. These will be as specified by ordinances and should be decided on a case-by-case basis.
