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maude
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with the new French system of registering with a GP,does this mean a personal doctor or the practice/cabinet?What happens if the registered doctor is on a day off or holiday,or if one doctor in the practise is more sympatheic for personal problems,i.e. problems of an intimate nature where possibly a lady doctor would be preferable for the lady patients.Sounds like yet more admin-lets hope it doesnt deteriorate into another pecking order of practise managers,and receptionist "bouncers" as we had in our last UK practise.We could only make appointments within the week ahead-if there was a vacant slot.If no slot for the coming 7days,we had to run the gauntlet of phoning again the next day and so on until a slot was available.This obviously jammed the switchboard but no one noticed this -but the story goes on and on.C,est la vie-back to the red!Maude
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I received my form from the CPAM last week, along with a comprehensive leaflet describing exactly how to go about it. You choose your doctor. If he/she is part of a practice, and is not available, you can see one of the other partners with no trouble, counts as the same thing. It's only whan you want to go somewhere completely different that your reimburesement will be at a lower level. If you are taken ill on holiday and can show that you are registered with Dr X, this also counts as the 'same person' and will not affect repayments. Children under 16 do not have to choose and there are no forms to fill in for them. Also, you do not need to make an appointment to see the doctor just to get the form stamped, you have until July to do this so anytime between now and then, on your next visit for example, will be fine. Seemed remarkably clear to me, very unFrench!!
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Our doctor is just one lady working on her own, no partners, no receptionist, no practice nurses etc. That's not at all uncommon in France. When she goes on holiday or is ill, another doctor takes over - either a locum or somebody from another nearby practice. The paperwork has the regular doctor's details on it, prescriptions etc are just signed by the replacement. This will carry over to the new system as far as we know. If we just need a repeat prescription, the local pharmacy will sort it out, we just get the paperwork from the doctor when she returns.
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Hello Maude,

There are all sorts of ramifications that will result from these reforms - good and bad. For example, you refer to initimate feminine problems. Although one of the purposes of the reforms is to try and channel all treatment through your registered doctor ("médicin traitant") rather than going to a specialist direct, nothing in France is as simple as that. You will still be able to go to a specialist direct or another "généraliste" but it will cost more and the reimbursement from CPAM will be less. Needless to say there will be exceptions to this and one of these will be a direct consulation to a gynaecologist where existing tarifs and reimbursements will remain unaltered. However I would advise that the tarif for most, but not all, specialist consultations is presently 23 or 25 Euros but this is due to to rise to 27 Euros on 1 July 2005 and to 28 Euros on 1 January 2006.

Regards

Peter Owen

[email protected]

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