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HEALTH

France to set up military hospital as coronavirus death toll continues to rise

As the coronavirus death toll in France rose to 372 - with more than 100 deaths in the last 24 hours - France has announced the creation of a military hospital in the worst affected area.

France to set up military hospital as coronavirus death toll continues to rise
Hospitals in the worst affected areas are struggling to cope. Photo: AFP

The town of Mulhouse in the Haut-Rhin département in eastern France is to get a military hospital as local medical services struggle to cope with the number of cases.

The development was announced in the evening briefing from Director General of Health Jérome Salomon.

He confirmed that the death toll in France now stands at 372, with 108 deaths in the last 24 hours.

The total number of confirmed cases in France since the outbreak began is 10,995, although France is now only testing people who fall into certain groups.

On Thursday night, there were 4,761 people in hospital, 1,122 in intensive care. Half the people in intensive care are younger than 60.

READ ALSO Coronavirus testing in France – how does it work and who gets tested?

Salomon said that the number of cases is now doubling every four days and the virus is now spreading “rapidly and intensely.”

He echoed pleas from political leaders for people to respect the lockdown measures, saying the message was: “Stay at home, stay at home, stay at home.”

France has been on lockdown since Tuesday, with everyone ordered to stay at home and only venture out on essential errands.

However there has been widespread flouting of the measures, with 4,000 fines issued in the first full day.

READ ALSO France's coronavirus lockdown – what are the rules?

France's Interior Minister Christophe Castaner bluntly said those people breaking the rules were “idiots”.

He told Europe 1 radio: “There are people who think they are modern-day heroes by breaking the rules while they are in fact idiots.

Genevieve Chene, who heads France's public health agency, said two to four weeks of confinement are needed for the outbreak to be adequately contained.

“It is likely that it is indeed necessary to extend (the containment measures) in order for the braking to be sufficient,” Chene said.

The timing will depend largely on how closely people conform with the confinement measures, she said, adding that France's peak was likely to be around the middle or end of May.

The current lockdown lasts until the end of March, but the government has always made it clear that it would be extended if necessary.

 

 

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HEALTH

The different ways you can make a doctor’s appointment in France

Booking a medical appointment in France can be time-consuming – especially if you are new to the country and are looking for an English-speaking doctor.

The different ways you can make a doctor's appointment in France

You do not need a carte vitale to book a doctor’s appointment in France – anyone who needs medical help while in the country is entitled to it, but you may not be entitled to any reimbursement if you are not part of the social security system.

Booking a GP’s appointment can be as simple as phoning up your friendly neighbourhood GP, or using an online service such as Doctolib. 

It helps a lot, if you have a médecin traitant – an attending GP, who adds you (and your family, if they can) to their list of patients. 

READ ALSO Explained: How to register with a doctor in France

It is not always easy to find one. Some parts of the country are short of GPs, which means doctors’ lists can fill up very quickly. But it is important that anyone who lives in France is registered with a named GP, especially if they have a carte vitale.

As well as being the main point of contact between patients and the medical profession in all its guises, it is financially responsible to be registered with a GP in France.

Reimbursement on consultations is typically 70 percent through the French healthcare system, but just 30 percent for anyone without a declared doctor. Meanwhile, top-up mutuelle health insurance companies usually require you to declare a médecin traitant and if you don’t, you may not be able to receive reimbursements on certain treatments.

Bear in mind, it is your responsibility to register with a local médecin traitant. But, even after you have done so, you can still make an appointment with any doctor, anywhere in France, and arrange specialist treatment, if you need it. 

READ ALSO 5 things to know about visiting a doctor in France

How do you go about making a GP appointment in France?

There are several options.

Some health centres – more often in larger towns and cities – operate a walk-in policy. But expect waits to be lengthy. Do not, however, assume that your GP operates a system like this.

You can phone for an appointment. This is another very common method. Your GP will have their own system for making appointments – which may even include something that looks, to the uninitiated, very much like a casual walk-in policy. 

Some may have an assistant to deal with booking appointments and other administration. Others may deal with appointments themselves, and may – for example – operate some sort of triage system based on voice messages from patients. 

What about online booking systems?

And many practitioners are now attached to websites, such as Doctolib. As of 2023, about half of all GP appointments in France were made using Doctolib.

READ ALSO How to use: French medical website Doctolib

Be aware that other online booking systems are available. Doctolib is one of the best known, but your GP may be attached to another system, like the health ministry approved site ‘LeMedecin.Fr’.

This website also has a feature where you can take an immediate online consultation with whatever doctor is available at that moment. By clicking ‘Consultez en vidéo maintenant’ you will be connected to the next doctor who is free. This option may involve an additional charge between €5-10 on top of the price of the consultation, and you will be expected to pay when booking.

If you have any trouble with either of these websites, you can go through the list of registered generalists per département on the ‘Ameli’ website. If you use this option, you will need to call the doctor to see if they are open or available for appointments.

In terms of wait times, online systems have helped to significantly reduce the delay between booking and getting an appointment.

According to a 2023 study by Doctolib, about half of all GP appointments were available within three days from the time of booking on their platform.

Similarly, you can use online platforms to check the medical professional’s qualifications and languages spoken, as well as filter based on the doctor’s English abilities. However, this should be taken with a grain of salt because not every medical professional with English listed on their Doctolib page speaks fluent English. 

An increasing number of doctorsoffer video consultations, known as télémédecine in France. This allows professionals – particularly those in more rural areas – to diagnose less serious conditions remotely. This type of consultation is usually only available from those medical practices that are attached to online booking systems. 

Some pharmacies have also begun offering walk-in télémedicine consults, using ‘Medadom’ machines. More information here.

What about specialists?

In France, you book your own consultations with specialists, even if you are referred by a doctor (your GP may offer a recommendation, but won’t always). The good news is that many specialists do use online booking services. Those that do not usually have assistants to take care of the appointments.

READ ALSO: Urgent care: How to get non-emergency medical treatment in France

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