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pages 29

\n

La CCAM technique est surtout utilisée par les autres spécialités médicales, les médecins généralistes réalisant peu d’actes techniques.

\n

 

\n

 

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"itemType": "attachment", "linkMode": "imported_url", "title": "Evaluation de la tarification des soins hospitaliers et des actes médicaux.pdf", "accessDate": "2013-08-23T15:45:36Z", "url": "http://www.igf.finances.gouv.fr/webdav/site/igf/shared/Nos_Rapports/documents/2012/2011-M-056-01.pdf", "note": "

dans la synthese :

\n
la CCAM, comme tarif cible, n’est utilisée et mise à jour que p
\n
onctuellement, car elle ne permet pas de lutter efficacement
\n
 contre les iniquités entre les spécialités, c’est‐à‐dire de tarifer l’acte à son juste‐coût.
\n
\n
dans le cas de la CCAM, l’outil est pertinent mais insuffisant 
\n
pour atteindre l’objectif 
\nd’équité inter‐spécialités qui lui a été fixé initialement
\n
page 5:\n

la CCAM donne aujourd’hui une information précise sur le type d’actes médicaux pratiqués en ville et sur la structure des coûts associés. La CCAM ne s’applique toutefois pas à certains actes techniques et aux consultations  (actes  cliniques)  (voir encadré 5 is ). Au total, elle couvre 93 % des actes techniques mais seulement 9 % des dépenses de soins de médecine de ville.

\n

 

\n

page10:

\n
Enfin, la CCAM n’a pas été correctement entretenue et mise à jour
\n
page 17:
\n
\n
Les divergences de revenus entre
\n
spécialités se sont accrues malgré
\n
la mise en place de la CCAM
\n
page 18:
\n
\n
Faut il mettre en place une CCAM clinique ?
\n
\n
\n
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article avant l'instauration de la ccam mettant en avant la necessité de celle ci  pour la cotation

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peu d'element au final

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page 43

\n

sutures de moins en moins realisées au cabinet mais 68.3% des sondés réalisent les sutures superficielles

\n

21.5% pour le splaies des muqueuses

\n

evacuation d'hematome fait par 80% des medecins

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page 6

\n

Au moins un acte technique a été effectué par le médecin sur le patient lors de 6 % des séances. Une fois sur deux, il s’agit d’un vaccin, une fois sur quatre d’une injection (graphique 3). Dans moins d’un cas sur dix, il peut s’agir de la pose ou l’ablation d’un fil de suture ou d’un plâtre (moins fréquent encore), d’un électrocardiogramme (ce qui nécessite un appareil spécifique au cabinet du médecin), d’un frottis, ou d’un prélèvement (prélèvement de gorge par exemple). Les médecins effectuent d’autant plus souvent un ou plusieurs actes que le patient examiné est jeune.

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parle de la ccam et les tests geriatrique

\n

13% des generalistes parle de manque dans la ccam

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chiffre de 6% de remuneration au forait pour les omnipraticiens

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en 2011 28% des MG connaissent la cotation pour l ecg...

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article avant la ccam

\n

classe les differents types de consultations en MG, 10 classe d'actes retrouvées

\n

interet avant la realisation de la ccam pour voir les attentes des medecins

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