Stopped February 3 2005 door approval of the national convention of the non specialized doctors and doctors specialists.
Electronic Health Records to the disease insurance, seen the code of the social security, the national Counsel on the order of the doctors consulted.
Item 1
Is approved the national convention of the non specialized doctors and doctors specialists as well as its annexes that there are joined, concluded January 12 2005 between, on one hand, the national Union of the cash registers of disease insurance and, on the other hand, the Union of the liberal doctors, the Confederacy of the medical billing software unions and the inter-union Alliance of the independent doctors.
Item 2
The general director of health (EHR) and the director of the social security to the ministry of solitaries, health and family are loaded, each in that the concerns, execution of the stopped present, that will be published to the official Newspaper.
Health and family, The Secretary of State to the disease insurance.
NATIONAL CONVENTION ORGANIZING THE REPORTS
BETWEEN THE LIBERAL DOCTORS AND THE DISEASE INSURANCE
In order to preserve the universal, obligatory and united character of the disease insurance to which one they are attached, the national Union of the cash registers of disease insurance and the representative unions of the liberal doctors hear to contribute, each for their party, to the quality of the cares and to the good usage of the resources that are consecrated him by the nation.
For this to do, the present text aims to improve the coordination of the cares, that is the pledge of the quality of the cares exempt. The will of its signatories is to preserve, indeed to improve, the access conditions to the cares of the assured social. Choice liberty of the patients must be able to express itself to all the steps of the gait that is proposed regarding a better coordination of the cares.
The parties are involved themselves together in the way of a provided one with health records care regulation of the expenditures of health, leaning on of the referential medical one scientifically validated. Conscious of the seriousness of the financial position of the disease insurance, their objective is to improve the efficiency of our system of cares. Their principle, to allow the doctors to care for better while spending better.
Improve the coordination and the quality of the cares
The law n° 2004-810 of August 13 2004 relating to the entrusted disease insurance to the conventional partners the organization of the followed medical of the patient, on the basis of his personal medical file, held and managed by the treating doctor that it chose. She loads them equally to define the methods of the accompaniment of the patient, throughout his journey in the care system, from the treating doctor that the orients towards of caring ones for others when his EHR system state requires it. From that time, the signatory parties of the present text agree to consider that the treating doctor has the possibility to to be most often a non specialized doctor. The objective of these two devices is to guarantee the quality of the cares, by an organization and a more coherent usage of the system of health, resultant of a MORE EXPLICIT structuralism of the cares of first one and of second intention.
The treating doctor becomes the specialist of the first recourse, leaning on a network of professionals of health, in city or to the hospital, that it knows to be able to consult on the different aspects of the taken charge of diagnostic or therapeutic of his patient. Its interventions, in particular the one of first intention, contribute in a manner determining to the continuity as well as to the quality of the cares and brought services to the population. The prevention and the therapeutic education find naturally places in the unique symposium. The repetition of redundant acts becomes the exception.
Because the improvement of the quality of the cares is associated with the coordination of the medical journey of the patient, the signatory parties define a coordinated device that is incentive for the patient as for its general practitioners.
Preserve and improve the access to the cares
For the registered doctors to tariffs disposables, the signatory parties guarantee this advisability of the tariffs throughout the journey of coordinated cares, when the patient has recourse to his treating doctor, but also when this one addresses it towards another general practitioner, usually a specialist. The registered doctors to different honorary see themselves proposed to choose the coordination, while exercising a part of their activity on the basis of tariffs disposables or mastered, in the framework of the journey of coordinated cares and in the conditions defined by the signatory parties.
In partnership with the representative unions of the medical profession, the disease insurance watches to the continuity, to the coordination and to the quality of the offered cares to the assured social, as well as to the homogeneous distribution of this offer. To this end, in complementarity with the statutory texts, the signatory parties wish to invest themselves in the work-site of the improvement of the distribution of medical demography on the body of the territory, by assistance granting to the installation in the zones under provided with health care, in order to guarantee the maintenance of an offer of cares of proximity facing the demographic evolutions to come.
While waiting for a conventional covenant relating to the permanence of the cares, the parties agree to consider that it suits to optimize the intervention of the liberal professionals the night, and notably to leave the local partners to organize the permanence of the outpatient cares in left second of night, in coherence with the body of the available resources at the local level, in order to guarantee their good usage.
To reply to the legal obligation, for the general practitioners, to follow a formation continues, the signatory parties hear to reinforce the means devoted to the conventional professional formation. To reply to the legal obligation be in line with itself an evaluation gait, they accompany equally, in the framework of the convention, the work-site of the evaluation of the professional practices. The improvement of the medical practice itself on these two devices. She will pass, in addition, by the development of the education to health and prevention in the medicine of first intention, in the framework of a political contractual one of formation, of evaluation as well as of definition of protocols of cares and of referential ones. She will register herself at last in an inter professional approach, driven with the signatory unions of the national conventions of the different professions of health.
