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THE ROLE OF THE FRENCH MEDICAL COUNCIL IN ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH
GLOBAL SYMPOSIUM LONDON MARCH 24TH
- Dr. Patrick BOUET
THE ROLE OF THE FRENCH MEDICAL COUNCIL IN ADDRESSING THE SOCIAL - - PowerPoint PPT Presentation
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
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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
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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
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FRENCH APPROACH
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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
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FUNDAMENTAL PRINCIPLE OF UNIVERSAL HEALTH CARE ACCESS BUT NOT FOR ALL PATIENTS
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SOCIAL DETERMINANTS OF HEALTH
Doctors fully aware of how the patients are confused
- Periods of instability
- Precarious working conditions
- Financial Crisis
- Renouncement to
Healthcare
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NEW PUBLIC HEALTH LAW IN FRANCE
Generalisation of third party payer will allow a better access to healthcare? = free healthcare
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THE ROLE OF THE DOCTOR
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ESSENTIAL ROLE OF THE DOCTOR
Responsability
- f the Doctor
Patient Family Society
- Medicine
Curative -> Préventive
- Health Promotion
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EXAMPLES OF PREVENTION
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DOCTOR AT THE HEART OF SCREENING TESTS
Adult: Free screening test for Breast cancer and Colorectal cancer
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PREVENTION CAMPAIGNS
Young : free consultations for dental care and prevention against alcohol
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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
- nly be a recommendation
Concern of the CNOM
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CNOM’S IMPLICATION FOR DOCTOR’S PROFESSION
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CNOM AND SECURITY OF ITS MEMBERS
http:/ / www.conseil-national.medecin.fr/article/ l-observatoire-pour-la-securite-des-medecins-924
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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.
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MENTAL MANIPULATION
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ILLICIT PRACTICES
- Concern about this growing phenomenon
- A lot of non conventional practices and « care »
provided by non Doctors CNOM fights against these practices
CNOM together with Miviludes help Doctors to detect any deviant practices and to empowered them in their support
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CNOM’ S MISSION OF INFORMATION
WEBSITE, NEWSLETTER
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DOCTOR: A CHANGING AND DEMANDING PROFESSION
“The doctor of the 12th
century could claim to know all of
- f the medical
sciences, arts and hum
- umanities. He knew even trim beards. One of the 13th
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
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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
European call for a care of the patient which includes his environment
Quality of life Physic Health M oral Health
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