Coordinated First Aid Care in France: Understanding the Legal Framework and Implementation Modalities
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Coordinated first aid care, primary care team, territorial professional health community, multidisciplinary health house, health center, CDS, healthcare system, France, health professionals, coordinated practice, gradation of care, patient's journey, quality of care, safety of care, Public Health Code, general practitioners, health centers, healthcare establishments, medical-social establishments, chronic diseases, aging population, liberal medicine, law of January 26 2016, law of July 24 2019, HSPT Act, healthcare coordination, ambulatory sector, medical-social sector, hospital sector, first-line care, primary care medicine, coordinated exercise of care, health insurance, financial incentives, public health objectives, care collectives, territorial implementation, regulatory framework, healthcare professionals cooperation
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Abstract
Discover how France's healthcare system is evolving to meet growing demands through coordinated first aid care. Learn about the latest developments in the organization of health services, including Primary Care Teams, Territorial Professional Health Communities, and Multidisciplinary Health Houses. Understand the legal framework and regulatory changes driving improved access to care, better patient outcomes, and enhanced collaboration among healthcare professionals. Explore the various devices and coordination structures established by law to support coordinated care, and find out how these innovations are shaping the future of healthcare in France.
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[...] We can see the complexity of this implementation, which therefore requires support in engineering. III. The modalities of implementation of this coordinated exercise of first-line health care Finally, it seems interesting to study the modalities of implementation of the coordinated exercise of first-line care, focusing on the tools that allow these projects to succeed. A. The different forms of coordination that are possible In the article titled 'What coordination practices to accompany the transformation of urban care?' the question is raised about the different coordination options in the coordination of first-line care. [...]
[...] Health professional communities can operate in several municipalities. Finally, the Centre for Multidisciplinary Health are proximity structures, without accommodation. It brings together different health professionals. These professionals provide first and second-line care. They also practice prevention, diagnostic, and care activities. Regarding health centers specifically, the conditions for creation, management, and operation of health centers are specified in Articles L. 6323-1 to L. 6323-1-15 of the Public Health Code, Articles D. 6323-1 to D. 6323-12 of the Public Health Code, and the February decree relating to health centers. [...]
[...] (2022). After My Health 2022, still multiple challenges to overcome for primary care in France. The Tribunes of Health 33-45. https://doi.org/10.3917/seve1.071.0033 Season, J. (2021). The territorial organization of primary care under the test of COVID-19: the lessons of a health crisis. Law and City 11-23. https://doi.org/10.3917/dv.091.0011 Schweyer, F. & Battalion, R. (2024). Chapter 2. Primary Care. In: Michel Louazel ed., " Health Management: Management and Leadership of Health Organizations (pp. [...]
[...] There are also Multidisciplinary Health Houses, which group at least two general practitioners and one paramedical professional. The approach can be in the same way mono-site or multi-sites. Then, we have the Territorial Professional Communities of Health (CPTS). The ARS defines communities as being focused on a population-based approach. By this, the goal of these communities is to coordinate health actors around a health project. Here, the community project is more complex: it allows for the coordination of first and second-line care, the organization of multi-professional pathways, the potential implementation of prevention actions, as well as the management of serious public health crises. [...]
[...] What are the stakes of coordinated first aid care in France now? Coordinated first aid care Introduction For several years, France has been facing multiple challenges in organizing its healthcare system, resulting from demographic, sociological, and economic changes affecting both patients and healthcare professionals (development of chronic diseases, aging of the population, numerus clausus vs increasing demand for healthcare, inequalities related to the evolution of wishes for installation in liberal medicine . Successive governments have sought to develop cooperation between actors and institutions aimed at structuring the French healthcare system, relying on increasing contractualization and territorialization of public health (Moyal et al., 2022). [...]
