Hospital emergencies: soon to be an experiment in patient reorientation

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The

reorientation package

aims to reduce the burden on emergency services by encouraging hospitals to refer patients deemed not to be urgent or whose disease does not fall within the scope of immediate care to liberal medicine.

Planned by the Social Security budget for 2019, this procedure will be tested from 1^er April 2020 in some 30 hospitals, for two years from the first patient's care.

Decided by a senior doctor (assistant head of clinic or hospital practitioner), the reorientation can be carried out to a city practitioner or a medical home, by agreement with the health facility. It will result for the patient in an appointment (date, time and place) compatible with his state of health, synthesized in the form of a

reorientation note

. However, it may be refused by the patient.

Emergency services will be paid for by a €60 by act of reorientation (which will replace for each patient concerned all other elements of remuneration of the hospital).

City doctors will not be allowed to charge an emergency surcharge in addition to the consultation.

The patient will not have to pay the rest.

The lessons learned from this experiment will feed into the preparation of the emergency services financing reform, which will enter into force in 2021.