THE ROLE OF THE FRENCH MEDICAL COUNCIL IN ADDRESSING THE SOCIAL - PowerPoint PPT Presentation

GLOBAL SYMPOSIUM LONDON MARCH 24TH THE ROLE OF THE FRENCH MEDICAL COUNCIL IN ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH Dr. Patrick BOUET CNOM President

CNOM ’ S MISSIONS

DEONTOLOGICAL OBLIGATION Article 12 (article R.4127-12 of the Health Public Code ) French Code of Medical Ethics A doctor must contribute to efforts undertaken by the competent authorities to protect and promote public health. He must participate in public health surveillance campaigns CNOM participates and supports public authorities’action

DEONTOLOGICAL OBLIGATION Article 7 (article R.4127-7 of the Public Health Code ) French Code of Medical Ethics A doctor must listen to, examine, advise or treat all patients with equal care and attention, regardless of their origins, their customs, their family situation, their ethnic group, nationality or religion, their handicap, their state of health, their reputation or his personal feelings towards them. He must provide assistance to them in all circumstances. He must at all times show an appropriate and caring attitude to the person he is examining. A Doctor can’t discriminate a patient on the basis of his incomes

FRENCH APPROACH

HEALHCARE ACCESS LEGALLY GARANTEED • Article R4127-2 du CSP « Le médecin, au service de l'individu et de la santé publique, exerce sa mission dans le respect de la vie humaine, de la personne et de sa dignité. » The doctor is at the service of each person and of public health Article L380-1 du Code de la Sécurité sociale • « Toute personne résidant en France métropolitaine ou dans un département d'outre-mer de façon stable et régulière relève du régime général lorsqu'elle n'a droit à aucun autre titre aux prestations en nature d'un régime d'assurance maladie et maternité. » Each person living in France can benefit from public healthcare insurance

FUNDAMENTAL PRINCIPLE OF UNIVERSAL HEALTH CARE ACCESS BUT NOT FOR ALL PATIENTS

SOCIAL DETERMINANTS OF HEALTH Doctors fully aware of how the patients are confused • Periods of instability • Precarious working conditions • Financial Crisis • Renouncement to Healthcare

NEW PUBLIC HEALTH LAW IN FRANCE Generalisation of third party payer will allow a better access to healthcare? = free healthcare

THE ROLE OF THE DOCTOR

ESSENTIAL ROLE OF THE DOCTOR • Medicine Patient Curative -> Préventive • Health Promotion Responsability of the Doctor Society Family

EXAMPLES OF PREVENTION

DOCTOR AT THE HEART OF SCREENING TESTS Adult: Free screening test for Breast cancer and Colorectal cancer

PREVENTION CAMPAIGNS Young : free consultations for dental care and prevention against alcohol

NEED FOR A COMMON VACCINATION POLICY • Diseases have no borders • In France like in Europe, there is a reduced vaccination coverage • New Public Health Law in France: vaccination would only be a recommendation Concern of the CNOM

CNOM’S IMPLICATION FOR DOCTOR’S PROFESSION

CNOM AND SECURITY OF ITS MEMBERS http:/ / www.conseil-national.medecin.fr/article/ l-observatoire-pour-la-securite-des-medecins-924

VIOLENCE AGAINST DOCTORS • Difficult access to primary healthcare in sensitives areas • 75% of the case are the result of the 3 « R » rule refusals, delays, reproach • Since 2010, increase of complaints CNOM tackles the security issue for its members. Organisation of campaign of awareness.

MENTAL MANIPULATION

ILLICIT PRACTICES CNOM together with Miviludes help Doctors to detect any deviant practices and to empowered them in their support • Concern about this growing phenomenon • A lot of non conventional practices and « care » provided by non Doctors CNOM fights against these practices

WEBSITE, NEWSLETTER CNOM ’ S MISSION OF INFORMATION

DOCTOR: A CHANGING AND DEMANDING PROFESSION “ The doctor of the 12 th century could claim to know all of of the medical umanities. He knew even trim beards. One of the 13 th sciences, arts and hum century could claim to know all of medicine in its entirety. Those of 1950 could know a branch of medicine, and those of 1980 claim not to know everything but a single chapter branch.” Leopold Senghor

To conclude • Human life includes all its environments: family, social, cultural, professional, economic and ecologic ones • Good or bad health, quality of life are also key indicators of this environment M oral European call for Health a care of the patient which includes his Physic environment Health Quality of life

THANK YOU FOR YOUR ATTENTION www.conseil-national.medecin.fr @ordre_medecins @CNOM_Europe