Pharaonic expenses
The union reveals striking figures: “350 million euros per year, or more than 1.5 billion euros since 2019”. A massive investment that deserves analysis:
– 624 CPTS contracts signed as of September 30, 2024
– 121 million euros of Interprofessional Conventional Agreement (ACI) paid
– Average cost per CPTS: 63,331 euros
– Cost per inhabitant: 0.82 euros
A sprawling bureaucracy
For the union, the CPTS adds a level of administration deemed counterproductive:
– « Superposition de commissions » adding complexity
– Administrative processes that distract professionals from their care mission
– A “fragmentation of responsibilities” which paralyzes action
The study highlights glaring territorial disparities: in Paris, 16 CPTS for a total cost of 7.6 million euros, in the Rhône, 28 CPTS with a cost of 1.15 million euros.
Memberships deemed confidential
– 21% of liberal doctors
– 14% of nurses
– 7% of physiotherapists
– 5% of pharmacists
For the union, these figures call into question the real representativeness of these structures.
Activities considered expensive
The union points to expenses deemed futile: galas, cocktails, sports outings, while the health system is cruelly lacking in resources.
Some CPTS show derisory results: 26 patients having signed a treating physician contract in one year for a CPTS of size 1, 9 patients for a CPTS of size 3. (CPTS are classified according to the number of inhabitants in the area Size 1: less than 40,000 inhabitants. Size 2: between 40,000 and 80,000 inhabitants. 000 inhabitants.)
A hidden political project
The UFMLS sees a broader project:
– Dismantle liberal medicine
– Replace fee-for-service payment with packages
– Impose a “treating team” rather than a treating doctor
https://www.whatsupdoc-lemag.fr/article/cpts-le-nouveau-machin-la-mode-qui-sauvera-la-medecine-liberale
The projection at 1,000 CPTS would represent an investment close to 2 billion euros over 5 years. What the union calls “a blank check, with no real return on investment” and therefore calls for an end to these organizations, judging them “superfluous and expensive”.
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