France to revamp health care system

PARIS — French President Emmanuel Macron on Tuesday unveiled plans to make France’s health care system, considered one of the best in the world, more efficient and sustainable for the next 50 years.

Macron announced organizational changes at hospitals, in the recruitment of doctors, and a better use of digital technologies to provide health care to patients across the country, regardless of where they live.

France came out No. 1 in a World Health Organization report comparing 191 countries in 2000. But the health care system is struggling with increasing costs and lack of doctors in some rural region and poor neighborhoods.

One short-term measure consists in hiring 400 family doctors — paid by the state— in areas where there are too few physicians.

The current rule that sets quotas on the number of students in medicine, dentistry and pharmacy will be abolished in 2020.

Hospitals will be classified into in three categories: local health care, specialized care and ultra-specialized care — each focusing on its priorities, to optimize patient care.

Private doctors and other health care professionals will be required in the coming years to organize themselves into “communities” to be able to respond to daily emergency calls from 8 a.m. to 8 p.m. in their geographic areas — leaving hospitals for only the most serious cases.

The set of measures is estimated to cost $4 billion by 2022.

France’s health care system involves a state-funded health insurance that reimburses patients for most medical interventions and medicines prescribed by a doctor.

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