Nurses from the Asalée network in conflict with Health Insurance

Nurses from the Asalée network in conflict with Health Insurance

Une partie des infirmières et médecins du réseau Asalée. Midi Libre – F. A.

In training in Alès, caregivers from the Asalée network are demanding that the quality of care be maintained.

Created in 2004, the Asalée network (Liberal team health action) has, in Gard, 22 nurses who work in conjunction with 89 doctors.

Carers support patients who suffer from chronic illnesses such as diabetes, cardiovascular risks, asthma, sleep disorders, ensure screening for cognitive disorders, memory loss, or cancer screening.
The nurses of the Asalée association work in conjunction with doctors to improve primary care management as well as the prevention aspect.

The aim is to practice therapeutic education of the patient by raising awareness, for example, of healthy lifestyle. Through all this preventive education, caregivers observe a reduction in hospitalizations, complications or visits to the emergency room.

"Today, in the urban area, nearly 12 000 patients find themselves without a treating doctor, observe health professionals in training in Alès. And soon, with retirements, 6,000 more will lose their doctor. We have to find solutions. Doctors are in increasing demand, slaughter, and the decline in the quality of care are not the answers to meeting demand."

When questioned, the doctors concede: "We already don't have time to provide care, how can we do prevention  ?" That’s the whole point of the Asalée network. "Even if for the supervisory authorities, evaluating prevention in the long term is complicated."

Today, four or five nurses are waiting to settle in to cover the needs of 25 to 30 doctors. But the network is in serious financial difficulty. The National Health Insurance Fund (CNAM) delivers subsidies to the association through an agreement which ended in 2022. Negotiations have dragged on for months, but are due to resume at the beginning of April.

"We have started a standoff with the Cnam, we do not accept a certain number of restrictions such as control of the time spent with patients . Because it is this time that we devote to the patient that makes all the quality of care. The scope of interventions and control of diaries, to increase the number of appointments, are at the heart of the sticking points."

In the meantime, caregivers deplore delays in payment of salaries.

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