To address the exceedances of fees and to address the poor distribution of doctors specialists liberals on the territory, the measures taken in recent years by the public authorities ” have had only very modest, not out of proportion with the importance of the issues “
This is the observation that stands with severity the Court of auditors in its annual report on the social Security published on Wednesday 20 September.
A tangible sign of this failure, according to her : while the number of specialists in liberal has increased since more than ten years, from 53 767 in 2005 to 61 503 in 2016, ” the territorial inequalities and financial access to health care tend to worsen “. This degradation, already denounced with force by the consumer association UFC – que choisir in June 2016, is in part explained by the exceedances of fees ” to more frequent, higher and concentrated on certain territories “. In ten years, the proportion of the number of specialists that are installed in sector 2, that is to say, licensed to practice in exceedances of fees, has increased from 39. 2% of the total specialists to the liberals in 2006 to 44.
3 % in 2015. ” Without conclusive results “For a few specialties, the cost overruns are almost become the norm, with 84 per cent of gynaecologists in practice, 69 % of ophthalmologists.
. . In several departments, in these two specialties,” the weak and sometimes almost non-existent supply of sector 1 (the tariff ” Safely “) is of a nature that would compromise access to health care for financial reasons “. The policy implemented by the public authorities to limit the phenomenon does not convince the Court, which judges the effects ” very limited “.
To fulfill a campaign promise of François Hollande, the Caisse nationale d’assurance maladie (CNAM) had laboriously put in place during 2012, the agreement for access to care (CASE). The doctors. . . .