Skip to main content

France - Patient Centered Healthcare


I saw a husband and wife yesterday who have duel citizenship...the USA and France. They travel to Paris and the French countryside several times a year (and he has that beautiful French accent!) My mouth was hanging open when I heard about health care in France. Here's what made me perk up:
  • His sister, who is age 70 but quite healthy, has the usual hypertension and difficulty seeing. Since being hospitalized with pneumonia, she gets a home visit TWICE A DAY from a visiting nurse to take blood pressure and load her pills into the container and make sure she is OK. Apparently the nurse and she chat, drink coffee and read the paper together!
  • My patient went to the pharmacy with a rash. The pharmacist said "Oh that is shingles...go to this doctor" (located next door). Doctor agreed and gave RX for treatment. No appointment needed. Cost $18 Eu.
  • No appointment needed to see your doctor. Just walk in. Very little wait and cost is $18Eu or $15Eu if you have an appointment. This is the cost for a visitor. It might be free for a local resident.
  • Can't make it to the doctor? He/she will make a home visit for about $30Eu.
I had other patients waiting so I couldn't get more info. When I asked "How do they pay for it", I was told that high income people are taxed extremely and there is not such a large range of income as in the U.S. Most people are "middle class" and happy with their lifestyle. They don't work nearly as hard as we do. The baseline (minimum) vacation is 4 weeks/year.

This is not meant as an economic analysis...just another way of looking at how health care is delivered in a patient-centric way. Oh, by the way...their outcomes are also better than ours.

Comments

Anonymous said…
Yes. I had a similar high quality, low-cost walk-in clinic experience in the UK. This is what can happen when the patient is the customer rather than a diagnostic code and when the system is focused on health and not reimburse-ability.
I am also Franglais :) and yes I was raised with the Doctor coming to the house and if time permitted he would stay for lunch or dinner. I had a prostate surgery in 2002 , I received a call from a medical professor in Paris telling me that they had a new treatment for my problem and that I could come over and be hospitalized and taken care of for nothing ...That is what paying taxes pays for in France.It is not perfect but try and take it away from the french and you will see another revolution .
Anonymous said…
You will see the same thing with Michael Moore's movie Sicko that was out in theaters last winter. I think everyone should watch it. The whole of Europe has some pretty impressive healthcare compared to the U.S., not to say they don't have their problems and I am not so sure that I would say one is by far better than the other. As you mentioned - it is different. However the items that you mentioned are seemingly better.
Viva le France!!!

europe sounds better and better every day.
flin said…
How Smoking Affects Growth
Smoking has several problematic effects to a person – whether he is a first-hand smoker or a second-hand smoker. It is also believed to be a pricey vice, not only because you have to buy the cigar or cigarettes, but because you have to buy some medication when the consequences of smoking are weighing you down.
We know that smoking causes many health problems such as lung cancer and mouth problems. But apart from that, smoking also inhibits a person’s capability to grow. This is because smoking drastically affects the whole body, reducing the glands ability to produce hormones which are needed for growth. People who have started smoking at an early age have a much reduced chance of growing taller. Visit here for details http://www.growth-flex.com/ .
If you are a short person aiming to grow a few more inches, you should stop smoking if you have that vice. If you don’t smoke, then start moving away from people who do. This doesn’t mean you shouldn’t interact with them, it simply means you shouldn’t be around when they smoke, so you won’t become a second hand smoker. A second hand smoker is a person who inhales cigarette smoke that has been blown off by somebody else.
Aside from quitting the deadly habit, you should start working on having a balanced and healthy lifestyle. Maintain a regular and healthy diet, regular exercise and a full eight hours of sleep everyday. Couple these activities with Growth Flex V Pro System, a growth booster that contains active ingredients that aid your glands in the production of growth hormones. Go to http://www.growth-flex.com/ .
------------------------------
flintoff

Popular posts from this blog

scintillating scotoma

image from myaspiebrain Nothing like experiencing a medical condition first-hand to really help a doctor understand it from the patient's point of view.  After all these years, I had my first (and hopefully last) scintillating scotoma while sitting on the couch playing "words with friends" on my ipad and watching TV.  A scotoma is a partial loss of vision in a normal visual field.  Scintillate is flashing, sparkles.  Put them together and you have moving, flashing sparkles with a blind spot in your eyes. This visual aura was first described in the 19th century  by a Dr. Hubert Airy who had migraine headaches.  The visual sparks and flashes are in a zig-zag pattern and they can precede a migraine headache or occur without any pain.   The scotoma affects both eyes and closing one or the other does not make it go away.  Sometimes the term "ocular migraine" or "retinal migraine"  are used to describe this phenomenon but these involve only one eye, not

Do Doctors Make Too Much Money?

An article in the New York Times says the reason health care costs are so high in the United States is because doctors are paid too much. I saw that and my eyes bugged out. I just came home from a meeting with physicians and hospital administrators and the entire meeting was spent discussing the financial challenges physicians face in keeping their doors open to see patients. The goal of this meeting was to keep health services in that community so patients will have someone to care for them. Not a person in the room would agree that the doctors earn too much. Physicians paid too much? Lets break that down. A doctor spends a minimum of 11 years in education and training after the age of 18. Many are in training for 15 or more years. They are living on student loans and contributing zero to their family's income until the residency years. At that time they earn less than minimum wage if you factor in the 80-100 hour workweek. When a doctor emerges from training (and believe

Spots on the Scrotum

The answer to yesterday's Image Challenge was #2 - Fordyce's angiokeratomas. Like many unusual medical names, the condition was first described by John Addison Fordyce in 1896. These tiny blood vessels (capillaries) are under the superficial dermis and can be found on both men and women in the scrotum and vulva area.  They are painless and appear in the 2nd and third decade and may continue to appear as the person ages. Fordyce's angiokeratomas should not be confused with warts, herpes or other conditions.  They are completely benign and require no treatment. There are a number of chat rooms on-line where men are concerned about these lesions and want them removed by laser.  That can be an expensive and time consuming treatment and there is no guarantee that they will not recur.   The best treatment is awareness and acceptance that every body is varied and Fordyce angiokeratoma is just another appearance. Thanks everyone for your guesses and great diagnostic a