the CPAM is experimenting with a new system to find a doctor for the 700,000 chronically ill people who do not have one

This week the 700,000 chronically ill people who have no attending physician will receive an email or letter from Health Insurance to offer them a solution. In Val-de-Marne, CPAM agents took their phones to call them. The Primary Fund of the department is experimenting with a device which will be generalized in the coming weeks throughout France to keep Emmanuel Macron’s promise to find a doctor for all these patients who suffer from a long-term condition by the end. of the year.

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Daisy and Esther make a string of phone calls from the offices of the Créteil Primary Health Insurance Fund. They target the 8,000 chronically ill patients in Val-de-Marne who have no attending physician and among them, those who have consulted the same practitioner three times during the year. “My doctor retired on December 15 so I looked for one until mid-March in the Paris region, but it was mission impossible”, says one of the patients called. And to add:As I travel a lot between 94 and 66, I looked for a doctor in this department on March 8th. First appointment available, hold on tight: August 1st…”

40% of doctors in Val-de-Marne are over 60 years old

“I will look in our file if I find a doctor available in your municipality”, answers Daisy. This file, of which the CPAM agent speaks, is worth gold. This is the list of doctors who have already been called and who agree to take on new patients. By consulting him, Daisy found someone for this lady.

Things get complicated, however, with the replacement of a retired doctor. “Currently, I receive the patients of my predecessor, but I refuse to take, except in cases of extreme necessity, any patient under contract doctor because I only have two arms, two legs and a head”explains the practitioner with a tired little laugh.

In the Val-de-Marne 40% of doctors are over 60 and will soon be retiring, so Daisy and her colleagues are looking for the rare pearl: doctors who have just set up and who agree to take on new patients.