- Taking advantage of the reduced medical network of Hauts-de-France, doctors do not hesitate to increase their fees and refuse patients receiving social assistance.
- In the absence of a medical appointment, the inhabitants of Hauts-de-France engorge the emergencies, taken by storm.
- The region is experimenting with a new daycare system to overcome medical deserts and come to the aid of the poorest populations.
Disparities in terms of access to healthcare continue to widen between the different social strata of Hauts-de-France, especially in medical deserts.
At the request of the France Assos Santé network, made up of 75 associations in the health sector, the BVA polling institute conducted a survey of 800 people in the Hauts-de-France region. The results are alarming: refusal of auscultation of certain patients considered too indigent, worsening of the state of health in the event of lack of consultations, or even excessive abusive fees.
The poorest are also the least well cared for
The offer of medical care varies according to the income of the patients, according to this BVA survey: one third of the respondents benefiting from the complementary solidarity (formerly CMU-C and ACS), would have already been refused a medical appointment because of their situation.
Today, 43% of the inhabitants of Hauts-de-France attest to having postponed or postponed a medical appointment because of financial difficulties. Postponing a necessary consultation can lead to significant, even irreversible, physical or psychological consequences. Almost one in five residents of the Somme claims in particular to have had complications requiring emergency care after having suffered a postponement of care.
Suffering in particular from the full force of the massive arrival of this population, the emergencies are overwhelmed. In the absence of a medical appointment with their treating physicians, 20% of the Picardy population go there regularly, without going through a general practitioner or a specialist.
Increasing specialist fees
These medical specialists, like ophthalmologists or gynecologists, do not skimp on the excess of fees according to this study. This national observation would be exacerbated in Hauts-de-France and in particular in Oise. Seven out of ten inhabitants of this department declare having suffered an increase in their healthcare bills compared to the cost announced at the start.
The most underprivileged, all departments of the region combined, remain the over 50s, who suffer up to 80% of the excess fees of their specialists. This aging population is, however, the one that requires the most medical attention.
A new childcare system in Hauts-de-France
To compensate for the partial or total absence of doctors in deserted areas, where each medical office has an interminable waiting list, there is an experienced on-call system in the Hauts-de-France region, and soon supposed to be generalized to all France. This number allows you to contact a doctor at night and on weekends.
The BVA survey, however, reveals that six out of ten inhabitants of Hauts-de-France are still unaware of the existence of this service set up in September. The communication aspect is therefore not negligible according to France Assos Santé; a major challenge for the new Minister of Health, Olivier Véran.
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