Prime Minister Edouard Philippe, on February 8, 2018 at the Elysee, in Paris
Funding, digital, training … Prime Minister Edouard Philippe and Health Minister Agnès Buzyn will unveil Tuesday their priorities for the „health system transformation“, the roadmap will be detailed by summer .
Missions, consultations, consultations, but not yet announcement. The government intends to launch in parallel „five structuring projects“ to trace before the end of spring „the main lines“ of a reform that will extend at least until the end of the five-year period, said a government source at the AFP.
The question of financing figures prominently on the list, with Emmanuel Macron’s promise of a „cap at 50%“ of hospital activity pricing (T2A) as a compass.
„We have reached the end of a system“ with this T2A that „pushes to an activity without quality“, estimated Ms. Buzyn in December.
Anxious not to „upset the equilibrium“, the executive will entrust this sensitive issue to a team of experts to propose several new funding models by the end of 2019.
Minister of Health Agnès Buzyn, on February 6, 2018 at the National Assembly, in Paris
Their work will also include so-called „city“ care (doctors and paramedical liberals) whose expenses will have to be better regulated.
One of the avenues envisaged is that „the quality and the relevance are more remunerated“, whereas the Minister of Health estimates that the „useless acts“ represent 30% of the expenses of the Health insurance.
In the immediate future, certain orientations of the previous government will be confirmed: hospital groupings will be „deepened“ and the „outpatient shift“ (care without hospitalization) will no longer be limited to surgery alone.
Another course maintained, the „digital shift“ must „accelerate“, supported by some 5 billion euros from the Big Investment Plan announced in October. The executive also integrates the widespread use of the shared medical record (DMP) and the rise of telemedicine.
In addition, the training of future health care workers will be reshaped, with a compulsory „health service“ starting in September 2018, then a reform of the first year of studies in health and the „numerus clausus“ (quota of students admitted in the second year ) via a law in 2019.