FMF weekly replace from 07-07-2024 – Federation of French Medical doctors

Associates,

I assumed my Weekly Replace on June twenty fifth could be the final one for the summer season, however the final week of June was wealthy in decrees, orders, and different authorized choices.

The one decrees with a concrete impact are these of June 24 concerning the entry system for psychologists. I do not know what to name it anymore, as a result of it has modified names in lower than a yr: Monpsy, My Psy Journey, My Psy Help, and now ” administration of help periods carried out by a psychologist”. It’s clearer however a bit longer to say or write. AN 1st order explaining the framework of the settlement with the psychologist, and above all eliminating the necessity for a referral by a health care provider. It’s as much as the affected person to find out if their pathology is a light to reasonable state of tension or despair, or if they’ve a extra critical sickness. We additionally word that the affected person should not be handled with an anti-depressant for greater than 6 months (beforehand it was for greater than 3 months). This may be defined by the truth that a affected person on an antidepressant for a very long time undoubtedly suffers from extreme despair, however alternatively it’s typically right now that he’s extra receptive to psychotherapy. However I deny it, I’m reasoning right here as a health care provider… The 2^th stop setting the value of the session which, sadly, is from 30 to 50 euros. Alternatively, there may be critical doubt in regards to the variety of periods supported: Ameli’s web site poster 12 periods, however the order refers back to the variety of periods indicated within the earlier textual content, which is 8 periods.

On the nursing facet, the order on the reference nurse printed on 27 June. Watch out, it’s not the order concerning the preferences of Superior Follow Nurses (IPA), which is much too lengthy regardless of sturdy strain from our nursing pals. No, that is nearly authorizing sufferers to appoint a referral nurse to the Fund. What’s the profit? There’s none. What’s the issue if he does not? Under no circumstances. Undoubtedly a textual content in anticipation of a brand new step that isn’t but identified…

And that very same day appeared a order on direct entry to physiotherapists throughout the framework of the CPTS agreements. However that is solely a check restricted to some areas, and the issue is that the checklist of those areas doesn’t seem within the textual content. So right here too order with out penalties.

Briefly, you perceive, everybody desires to have the ability to welcome sufferers with out a medical analysis. Surprisingly, solely medical doctors are moved by it. Whereas the primary victims are sufferers handled with out medical causes, and so they additionally mentioned professionals who don’t have the filter of medical transmission. Maybe they don’t perceive the hazards and issues that they themselves current. How can we inform them that if a health care provider wants 10 years of research, not as a result of he’s notably silly, however as a result of drugs is advanced and it’s tough to go from science to artwork?

I end with a resolution of the Council of State that can disappoint multiple: on June 26 he rejected the enchantment in opposition to the compensation of the DIPA to the Fund, with which the FMF had joined. Our two arguments had been that the principles of the “recreation” had been solely introduced on the finish of 2020 when it was essential to request the help from June 2020, and that the Fund took care of the packages sooner or later -in 2020 however not in revenue. 2019 which essentially diminished the distinction between the 2 years. The Council of State justified themselves by asserting from the start that the quantities paid had been non permanent and may very well be repaid, and that they didn’t anticipate revenue hold solely compensation for bills. All Funds will subsequently now be capable of declare repayments of DIPA for legally challenged medical doctors (for others, compensation has already been made).

I want you a superb summer season with good instances removed from these turpitudes.