The course of 2010 promises to be made hollow and bumpsNew forms of payment credit card InternetNeeds to be done quickly but the countdown is initiatedA very juicy system and obviously leads to swelling of the costsMonday the store Parisian Colette see redI feel no heat in the vacuum of the beyondBooks can be used in an internal competitionNot easy to fight Apple Google RIM and Samsungl June 2005 the trust refused to VillepinWe must keep their eyes open to the worldThis is a new element to support against doctors, after the investigation was conducted CISS (patients associations) late may: recipients of the coverage universal health (CMU), more than 4 million beneficiaries in France, are victims of denial of care and massive way. This is a clear finding of a study commissioned by the Fund of the CMU to the Irdes (Institute for research and documentation in health economics), which is made public today.
Investigators conducted by "testing". Actors were called hundreds of practitioners in Paris, posing for the beneficiaries of the CMU, to request an appointment. On 861 analysed responses, 25.5 of tested practitioners refuse patients because they are recipients of the CMU. It is the evidence, according to the study, "real difficulties in access to care in some medical specialties. Of course, the study is limited to Paris. But it is a city in which the beneficiaries of the CMU are many and which probably illustrates the situation in most of the major French cities.
"Economic logic".
The average of the refusal cache very heterogeneous results. They are much less common (9.2) for sector 1 generalists, who practise not exceeded for a fee. This figure is still high compared to what had been observed in a 2005 study in the Val-de-Marne (less than 2). It seems to "reflect a Parisian reality", note the Irdes. Refusal rates are much higher among general practitioners of sector 2 (33), which are fee free, gynaecologists (38), dentists (32), and ophthalmologists (28). They are significantly lower for radiologists (5). Even these figures are "rather underestimated", because they refer only to cases of refusal to clear, directly related to the status of beneficiary of the SWL of the patient. All the more ambiguous refusals (pas possible appointment before months) are not taken into account.
"A charitable connotation."
The reason for the refusal "The economic logic", most of the time. Physicians in sector 2 do not have the right to apply for exceedances of fees for the beneficiaries of the CMU and dentists are apply package capped for prostheses. Another explanation, "the difficulties of repayment would meet some physicians, enhanced difficulties if they do not have equipment that enables the reading of the map Vitale". When they accept to receive the patient, some doctors are well understand that the consultation "has a character of exception". "It is a way to circumvent the spirit of the law, consider the authors of the report. These professionals do not refuse to receive, but they do so in conditions that discourage the patient to return, including giving a charitable connotation to this consultation. "Others finally impose"specific conditions": for some days in least time slices (not at night, or Saturday).
The results of the study are even more alarming that conditions have evolved recently: implementation of the course of care, dental package rehabilitation and also increase "testings", "which could contribute to make the people who respond more wary. Professionals refusing CMU beneficiaries are that disciplinary sanctions of the order of physicians or dentists, but they are "little deterrent" clearly regrets the report.
