Agnès Buzyn unveiled on Monday a first salvo of measures to "improve the situation" of emergency services "overheating", while waiting for a second series of announcements next week. They consist of "direct admission" for the elderly and "video-assistance" in all Samu. "We need to find a basic solution, not just to treat the symptom, this fever felt at the level of emergency activity," she said during a visit to the University Hospital of Poitiers.
A form of "bonus" in hospitals
For nearly six months, an unprecedented strike has spread to nearly half of the public-sector emergency services - 233 according to the Inter-Urgences collective which is at the origin, 195 according to the Ministry of Health . Traveling to an institution that has "been inventive" to "lift a little tension", Agnès Buzyn announced a battery of "measures that work, which are consensual (and) raised from the ground" as part of the mission entrusted in June to the chief of the Samu de Paris, Pierre Carli, and the deputy (LREM) of Charente Thomas Mesnier.
To "minimize the passage of the elderly" to emergencies, it intends to generalize "channels of direct admission", promising "a financial incentive, a form of bonus to hospitals that (they) will implement" . The minister also wants to develop "a video-assistance between the Ehpad and Samu", to avoid hospitalizations in case of "benign pathologies".
New acts for paramedics
It also intends to rely on the liberal doctors: the Samu will be allowed to send an ambulance to a city office or a health home, where can be made a consultation and some medical exams without advance of costs, so that patients There is the same advantage as going to emergencies.
Emergency paramedics will also have the right to "do things they can not do today," such as "prescribe x-ray (or) suture", which will allow them to receive a "premium". cooperation "of 80 euros net per month. In the longer term, the new profession of advanced practice nurse, with expanded skills, will be extended to the specialty "emergencies", with first trainings starting in autumn 2020, and first caregivers graduating in 2022.