Large sections of the health system are still waiting for their “Segur”

Olivier Véran is keen on it: it is a “Ségur of health” and not “of the hospital” which ended last summer. However, the upgrades and organizational reforms announced in July did not affect the entire sector. Many players in the health system are still waiting for measures. The Minister of Health has also made promises to some of them: conventional negotiations for caregivers working in the city; a “Public health Ségur” in the field of prevention and epidemiology and a “Overseas Segur” in order to adapt measures to the overseas departments and territories.

However, the process is likely to be disappointed, because the priority of the government is, as announced by Emmanuel Macron in March, to make the public hospital more attractive, via a “massive plan”. Some hospital staff have not benefited from the upgrades, which have however swept wide. This is particularly the case of doctors employed by private non-profit hospitals or cancer centers, who have not obtained the revaluation of the exclusive public service allowance received by practitioners in the public sector. “Our doctors participate in the public service”, recalls Marie-Sophie Desaulle, president of Fehap, which represents the private non-profit; “Be careful not to push everyone into the commercial sector under the pretext of solving the problem of attracting the public sector”, she criticizes.

Convention negotiations postponed

As for city care, liberal health professionals have agreed to wait, but they are starting to find the time long. For them, reforms go through conventional negotiation. They have significant financial expectations: to perpetuate the remuneration of coordinated care teams, to create a mission to respond to an epidemic crisis, to review the rules of the game of remote care and remote monitoring. Doctors are also waiting for a revaluation of the act that the government does not want to grant them.

Negotiations with doctors, which could have been concluded at the end of 2020, had to be postponed until the spring, after the professional elections. The care access service will still be tested in 2021 in 22 territories, following the vote of the Rist law, with a single call number for unscheduled care and paid on-call services.

The great absentee of this end of the year is undoubtedly the theme that most concerned the French in 2020: public health. The lack of foresight of the State in the face of the health disaster, the lack of masks, tests, coordination, highlighted the country’s shortcomings in this medical field. And this even though the Organization for Economic Co-operation and Development (OECD) has pointed out for several years France’s negligence in the face of “risk factors”, and that successive health ministers have only the word ” prevention ”to the mouth.

To carry out its “Public health segur”, the Ministry of Health promises a cycle of debates in the second half of 2021, “In an open and collaborative process”.

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