"We prefer to bother the administration, even if we have nothing against them, that annoy the patients," claims Marie-Astrid, doctor of the University Hospital of Caen, at the microphone of Europe 1. The sling continues in hospitals . And some doctors are experimenting with a new form of struggle: the coding strike. In other words, stop transmitting to the Health Insurance data on the acts they perform to squeeze any refund, and thus type the administration to the portfolio. Launched in Parisian hospitals, this strike extends to other cities such as Marseille, Clermont-Ferrand and Caen.
"Kick in the anthill"
Leaving the operating room, Marie-Astrid did not inform the health insurance of the intervention: management can not be reimbursed. A pressure medium that targets the pricing to the activity. "It's like kicking the anthill for the message to go in. Tapping the wallet a bit can make the hospital system move the bureaucrats who have the power," she says.
The method divides. "We accelerate our sinking," says a doctor from a hospital in Paris. "Less coding is less budget." In this other hospital, 60% of the funding depends on this transmission. With the strike, the director estimates the losses at around 200,000 euros per day. "So it has a direct impact on the organization of the hospital, on the continuation of the care, it will be difficult to rectify later." Still, by attacking the financing of hospitals, strikers do not necessarily find an adversary in their administration. Common demands on the government sometimes make them allies.