Measure n°9 - Plan Alzheimer 2008

Lettre d’information

Espace presse

Measures

01

Developing and diversifying respite structures
02

Consolidating rights and training for carers
03

Improving health monitoring for family carers
04

Quality labelling throughout the country for "single points of contact", the "Maisons pour l’Autonomie et l’Intégration des malades Alzheimer" (MAIA)
05

Establishing "coordinators" throughout the country
06

Reinforcing support at home, advocating services by trained staff
07

Improving support at home using new technologies
08

Preparing and implementing a system for giving the diagnosis and providing counselling
09

Experimenting new payment terms for health professionals
10

Creating an Alzheimer’s disease information card for each patient
11

Creating memory units in areas that are not covered
12

Creating "memory resource and research centres" in areas that are not covered
13

Reinforcing the very active memory units
14

Monitoring drug-related iatrogenic accidents
15

Improving correct use of drugs
16

Creating specific units for patients suffering from behavioural problems within EHPADs
17

Creating specialized units within health care rehabilitation and follow-up (SSR) departments for Alzheimer’s patients
18

Accommodation for young patients
19

Identifying a national reference centre for young Alzheimer’s patients
20

A specific career and skills development plan for Alzheimer’s disease
21

Creating a foundation for scientific cooperation to stimulate and coordinate scientific research
22

Developing clinical research of Alzheimer’s disease and improving evaluation of non-drug therapies
23

Doctoral and post-doctoral grants
24

New assistant surgeon and hospital teaching assistant positions
25

Research in human and social sciences
26

Support for research groups working on innovative approaches
27

Support for methodological research groups in human and social sciences
28

Creation of a body of research in automatic image processing
29

Studying large patient populations (cohorts) with long-term monitoring
30

High-speed genotyping
31

Exploiting the genome sequencing of the microcebe
32

Training in clinical epidemiology
33

Developing links between public research and industry
34

Setting up epidemiological surveillance and follow up
35

Setting up a telephone helpline and a website for information and local advice
36

Holding regional conferences to support the implementation of the plan
37

Studying disease knowledge and attitudes
38

Creating a space for ethical thought about Alzheimer’s disease
39

Launching a discussion about the legal status of Alzheimer’s patients in institutions
40

Organising regular meetings focusing on the autonomy of people suffering from Alzheimer’s disease
41

Informing patients and their families about trials implemented in France
42

Making the fight against Alzheimer’s disease a priority for the European Union during the French presidency
43

Publicizing and promoting research across Europe
44

Holding a European conference in autumn 2008
45

Studying opinion and attitude about Alzheimer’s disease and the impact of the plan among patients and carers

Accueil > 44 measures > Measure n°9

Measure n°9Version française

Experimenting new payment terms for health professionals

To improve the quality of multidisciplinary peripatetic care for patients suffering from chronic diseases, and particularly patients, suffering from Alzheimer’s disease.

Context and issues

The organisation of healthcare for patients suffering from Alzheimer’s disease must be based around the primary-care doctor.As soon as the diagnosis is given, he or she will provide the most appropriate healthcare, often multidisciplinary, liaising constantly with the MAIA contact person or coordinator.
In this context, we need to check whether the current double remuneration for independent health practitioners (fee for service and fixed payment for ALD long-term conditions) is suitable, particularly for work within multidisciplinary health centres.

Measure

Starting this year, experiments will be carried out to test new methods of remuneration for health professionals and funding for health centres and multidisciplinary health centres, either complementing or replacing fee for service.These tests will apply mainly to general practitioners, certain specialists and paramedical professionals. Priority will be given to group practices and health centres.
The tests may make simultaneous use of several systems such as fixed sums for each pathology, fee for service, incentives to reach individual targets or salaries

Actors

Lead supervision : Department of Social Security (Direction de la sécurité sociale, DSS)
Partners : the Hospitalisation And Care Organisation Department (Direction de l’hospitalisation et de l’organisation des soins, DHOS), the National Union of Health Insurance Funds (Union nationale des caisses d’assurance maladie, UNCAM), doctors’ unions, learned societies, the National Health Authority (Haute Autorité de Santé, HAS), consultants

Schedule

Funding

Evaluation

previous next