Mar 15, 2023 16:13
1 yr ago
31 viewers *
French term

Maintien du dispositif

French to English Medical Medical (general) Biopsie protocolaire en vue d'une inclusion dans le protocole BOUQUET
Dear colleagues,

Any help with this would be appreciated.

Context:

Médecin traitant: Monsieur MAINTIEN DU DISPOSITIF MEDECIN TRAITANT - TOULOUSE

Destinataires:
DR MAINTIEN DU DISPOSITIF MEDECIN TRAI....31000 TOULOUSE

Thank you!

Discussion

Emmanuella Mar 15, 2023:
S'agirait-il d'une circulaire ?
Charles R. Mar 15, 2023:
Médecin traitant: Monsieur MAINTIEN DU DISPOSITIF Médecin traitant: Monsieur MAINTIEN DU DISPOSITIF MEDECIN TRAITANT => I'm struggling to make sense of it, even though I perfectly know what the dispositif du médecin traitant is...

Proposed translations

+1
59 mins
Selected

maintenance of "Preferred Doctor" scheme

https://www.irdes.fr/Publications/Qes/Qes124.pdf
Le dispositif du médecin traitant constitue l’un des éléments centraux de la réforme de l’Assurance maladie du 13 août 2004. Bien que non obligatoire, il est encouragé par des
incitations financières à partir de janvier 2006

and same text in English:
Implemented in January 2006
The “Preferred Doctor ” scheme is considered as a core element of the August 13th 2004 French Public Health Insurance reform. Even though not compulsory, it contains
several financial incentives directed toward patients.



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Note added at 1 hr (2023-03-15 17:14:56 GMT)
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https://www.irdes.fr/EspaceAnglais/Publications/WorkingPaper...

The preferred doctor scheme: A political reading of a French experiment of Gate-keeping.



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Note added at 1 hr (2023-03-15 17:20:02 GMT)
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or perhaps "primary doctor". It seems to refer to a system where patients are given financial incentives to register with a GP who then coordinates further care from specialists as needed rather than the patient approaching specialists directly.


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Note added at 1 hr (2023-03-15 17:21:34 GMT)
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or perhaps "primary doctor". It seems to refer to a system where patients are given financial incentives to register with a GP who then coordinates further care from specialists as needed rather than the patient approaching specialists directly.


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Note added at 1 hr (2023-03-15 17:22:02 GMT)
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https://www.sciencedirect.com/science/article/abs/pii/S01688...
In 2005, France implemented a gatekeeping reform designed to improve care coordination and to reduce utilization of specialists’ services. Under this policy, patients designate a médecin traitant, typically a general practitioner, who will be their first point of contact during an episode of care and who will provide referrals to specialists. A key element of the policy is that patients who self-refer to a specialist face higher cost sharing than if they received a referral from their médecin traitant.

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Note added at 3 hrs (2023-03-15 19:26:15 GMT)
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Finally this is a WHO publication:
https://apps.who.int/iris/handle/10665/333038

In 2004, this scheme was replaced by the “preferred doctor scheme”. Under this system, each patient is asked to choose a physician as his/her first point of contact with the health care system, except with respect to certain specialists (gynaecologists, obstetricians, ophthalmologists, psychiatrists, neuropsychiatrists and paediatricians). The system is backed by financial incentives that are mainly directed towards patients.
If a patient has not registered with a preferred doctor (usually a GP), has registered with a preferred doctor but nevertheless visits another GP or visits a specialist without a GP referral, the SHI rate of coverage drops from 70% to 30%.

Peer comment(s):

agree Marie-Pascale Wersinger
7 mins
Thanks!
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4 KudoZ points awarded for this answer. Comment: "Thank you!"
9 mins

Maintaining the attending/personal physician scheme


Présentation du dispositif du médecin traitant | ameli.fr
https://www.ameli.fr › facturation-remuneration › disp...
13
29 déc. 2020 — Le dispositif du médecin traitant prévoit une orientation préalable du patient par son médecin traitant pour toute consultation d'autres ...

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Note added at 10 minutes (2023-03-15 16:24:12 GMT)
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definition of personal physician by Medical dictionary
The Free Dictionary
https://medical-dictionary.thefreedictionary.com › ...
·
Traduire cette page
36
Under Gesy, all members of the public will contribute to the scheme and will have their personal physician. A personal physician then refers a patient to a ...
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21 hrs

Registration with a primary care provider (family physician (US)/GP (UK)) maintained

Anyone satisfying certain conditions, but more or less everyone, has a right to medical care in France, including primary care, but a patient can choose to name or appoint a specific practice / physician as his/her "medecin traitant" , or primary care provider of choice, and hence be registered with that practice/doctor. Note that I said "a" meaning that under this system you can keep having a "medecin traitant" but change practice/doctor.
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