Respect the free choice of the patient
The signatories of the convention consider that choice liberty of the patient must be preserved. She must be it notably to all the steps of the gait of coordination, including in the care case being the object of a protocol. The care journey coordinated is a proposed option to any patient, based on the confidence that it grants to his doctor in the length.
The free choice of the treating doctor prevails, as the possibility of some to change at any moment. The free choice exists equally for the affable specialists, if need be, to intervene in the coordinated journey. The patient can resort to, without previous prescription of his treating doctor, to certain specialties and in certain circumstances. The patient can choose a doctor specialist as treating doctor. At last, the patient can consult a doctor that is not his treating doctor, or towards which his treating doctor did not orient it, outside of any journey of coordinated cares.
The partners are involved themselves to preserve a liberal medicine and to not to promote a cash register medicine.
Assure a future perspective to the liberal doctors
In first place and considering the will to organize the system of the primary and secondary cares the signatory parties suit to recognize the role of every participant of the journey of coordinated cares, and to promote its functions – while taking account of the evolutions of the initial formation so as to give to the young generations a legibility on their professional future.
Traverses cares and coordination
The law of reformation of the disease insurance of August 13 2004 establishes a new resting device on the choice by every assured one or having right of 16 years or more of a treating doctor, around of which the conventional partners will set up traverses it coordinated cares.
In this journey of coordinated cares, the patient is incited to consult in first intention his treating doctor that will counsel it according to his position and will orient it, as of need and with his agreement, towards another general practitioner: the corresponding doctor, that it freely chooses. The patient can equally, while remaining in the journey, consult directly, for certain of the acts that they carry out, doctors raising certain said specialties to specific access.
In any case, the general practitioner is involved himself, to comparable medical billing software position, to assure delays of take charge of identical medical between patient, that these consult it in free access or that they are integrated in a coordinated device. The treating doctor is involved himself to inform any corresponding doctor of the delays of take charge of compatible with the state of the electronic health records of the patient.
Besides, the consultation cases in urgency or when the assured is on the move, that is to say removed from his habitual residence, are considered as specific positions. The urgency is defined as a non foreseen more than eight position hours beforehand for an affection, or the suspicion of an affection, putting in game the life of the patient, or the integrity of his organism, and inducing the quick mobilization of the doctor.
Notwithstanding the care journey, the prolongation of stops of work, in accordance with the item L. 162-4-4 code of the social security, must be prescribed by the doctor prescripteur of the initial stop or by the treating doctor, safe impossibility duly justified by the assured.
The parties suit that the body of the disposals of the presents convention relating to the honorary ones will be applicable as of 1st July 2005, with the exception of the disposals for which ones another dates is specified.
The conventional partners suit equally to seize the loaded commission of the lists in order to put in accordance the nomenclature with the disposals of the presents convention.
The treating doctor
The treating doctors coordinate themselves with the professional others and services participating in the cares of their patients. Their interventions contribute to the continuity as well as to the quality of the cares and brought services to the population.
By their function of counsel and of orientation, the treating doctors participate actively to the good usage of the system of cares by their patients with the concern to deliver cares of quality to the group, to mastered costs.
Their proximity relation with their patients the situates equally to the heart of the development of the prevention in health records. The signatory parties are involved themselves to reinforce their role in this domain notably while developing the dimension “public health” in the formation offer continues conventional and while favoring the participation of the treating doctors to the prevention programs.
The missions of the treating doctor
- to assure the first level of recourse to the cares;
- to orient the patient in the journey of coordinated cares and inform any corresponding doctor of the delays of take charge of compatible with the state of health of the patient;
- to assure the prevention cares (screening, sanitary education, etc.) and contribute to the promotion of health;
- to contribute to the protocolisation of the long-term cares, in consultation with the intervening others; the compilation of the protocol is done by the treating doctor (nonspecialized or specialist) in liaison or according to the suggestion of the or corresponding doctors participating in the taken in charge of the patient;
- to favor the coordination by the the news synthesis transmitted by the different intervening one and the integration of this synthesis in the DMP;
- To bring to the patient all information allowing assuring an access permanence to the cares to the hours of closing of the office.
Choice methods of the treating doctor
The treating doctor can be nonspecialized doctor or specialist.
Every assured one of 16 years or does more address to his cash register an entitled printed copy “choice Declaration of the treating doctor”, completed with the general practitioner that it chose. The doctor means his agreement while cosigning the aforementioned printed copy. The conciliatory one cash register of affiliation of the patient can be seized by the latter when this one does not reach to accomplish this gait.
The assured can change at any moment treating doctor.
Special methods
Regarding replacement:
When the treating doctor is unavailable, the one that assures his replacement is considered as treating doctor for the assured.
Regarding exercise in group:
In case of unavailability of the treating doctor, his replacement can be assured by a participating doctor to the group office.