Since this Monday morning 8 am and until tomorrow, Tuesday September 28 8 pm, the association SOS Médecins Toulouse is on strike. She no longer provides calls, consultations and home visits. The strike movement is national for the revaluation and defense of home visits.
A 36-hour strike started on Monday morning at the SOS Médecins Toulouse association. Telephone switchboard, consultations, visits, all activity is canceled to warn of the risk of the home visit disappearing. The protest began this summer when the Health Insurance had signed an amendment to the medical agreement providing for the upgrading of the so-called long and complex home visit for patients over 80 years old (€ 70 once per quarter per patient ). Excluded from this revaluation, SOS Médecins then alerted the supervisors, the elected officials, until a letter addressed to the President of the Republic, Emmanuel Macron. For these doctors, whose activity is inseparable from the home visit, the risk of seeing it disappear is great.
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“Obviously, the home visit constituting the DNA of SOS Médecins but our approach is not categorical, we are mobilizing so that the health organization in all the territories does not lead to the disappearance of this visit. revaluation of long visits does not match the reality of needs. It is also necessary to take charge of all unscheduled care for patients who should and cannot move or who are decompensating from their chronic illness. unscheduled care, patients who have nothing to do with it will be brought to the emergency room, ”explains Dr Cyrille Chaugne, president of SOS Médecins Toulouse.
His association has 23 doctors and 12 employees for an activity of 70,000 calls received in 2020 and 54,000 procedures, 48% of which are home visits. “During the week and during the day, the visits are not the essence of our activity but they must exist. We believe that for a good quality of care, we need the consultation tripod, teleconsultation and visit. But for the home visit remains attractive for doctors, it must be upgraded.The difference in compensation between a visit and a consultation is not large enough for a visit on average a quarter per hour to compensate for four to six consultations in an hour. mutates with the development of unscheduled treatment practices that do not solve the problem of people unable to move around, ”adds Dr Cyrille Chaugne.