The GBO denounces the position of mutuals on the increase in the moderator ticket and calls for an urgent investment in general medicine. Its vice-president, Dr Anne Gillet, alerts the risk of disengagement of generalists in the face of an increasingly under-funded care system.
The recent positions of mutuals, in particular on the question of the moderator ticket and the financing of general medicine, strongly challenge many generalists. In the GBO, Dr Anne Gillet, vice-president of the GBO, cannot accept them: “It is absolutely necessary that our public authorities and mutuals recognize that general medicine must be reinforced. We are in shortage. We face an increase in the necessary care. The population who needs care also increases, in particular with chronic diseases. ”
She cannot accept the reasoning of mutuals: “Faced with this major challenge, it is necessary to invest to increase the quality of care and wonder where one can save without handicap this quality. This is the primordial question, which however is never asked in a global way. ”
Put the means in the right place
The urgency, without puns, is to put general medicine at the center of the patient’s care: “Why not put more money in general medicine?” The authorities take the problem upside down: the financing of emergency rooms leads to encourage them to accept cases of general medicine which do not need expensive examinations, while they are in difficulty to receive serenely the complex cases. Why is there still no sorting before the emergency room? There, you can quickly save useful for patients, health care and caregivers. Obviously, it requires a global vision and not in silo. It should still be realized that there is a guard post in Brussels which closed because, among other things, the emergency room did not delegate the cases of general medicine, when a collaboration would have been efficient in terms of human and financial cost. It is unacceptable. “
Generalists save money to the health care system
For her, the same question concerns phonoconsultation: “In this file, the surpassing we are talking about is completely fictitious. It must be remembered, especially since the visits fell. Savings were therefore made. ”
She also denounces the question of guard: “General practitioners on duty are forced to work for 30-40 euros per hour. What is the profession Today who would accept to work for 30-40 euros of the hour on weekends and night? The general practitioners will finally refuse to make these guards. There will therefore be a drop in accessibility to care. ”
The question of accessibility to care is central: “Today, generalists are mobilizing with a global vision of public health, and therefore, indeed, the GBO would like general medicine to be as accessible as possible. But let’s talk about all accessibility: financial, geographic, cultural … The general practitioners have always unloaded the most precarious patients in the moderator ticket. Our current approach concerning an indexing of the moderator ticket is a constrained and forced approach to preserve other accessibility. It is also necessary that the exercise of the care profession is “accessible to providers”, which is no longer the case today. It is time for mutuals and public authorities to understand it. ”
The general practitioners plan to mobilize in the coming weeks to be heard better.
