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HEALTH

Number of coronavirus patients in intensive care in France falls for first time

The number of coronavirus patients in intensive care in France has fallen for the first time since the epidemic began, the country's health director has announced.

Number of coronavirus patients in intensive care in France falls for first time
Hospitals are still under extreme pressure, but the situation is beginning to ease. Photo: AFP

Director General of Health Jérôme Salomon said in the past 24 hours there were 82 fewer coronavirus patients in intensive care than the previous day – the first time that a fall in the overall number has been observed.

In the last 24 hours 424 people died, bringing the total number of deaths in hospitals and care homes to 12,210.

In total there were 7,066 coronavirus patients in intensive care on Thursday with 369 new admissions in the last 24 hours.

But factoring in the number of patients who left intensive care during the same period, the overall number requiring the highest level of care fell for the first time since the epidemic began, a statistic that Salomon described as “very important”.

“We are gradually putting the brakes on the epidemic,” he said, but added that “if we can hope for a plateau (in the epidemic) it is a very high plateau and we must remain extremely cautious”.

France's Director General of Health Jérôme Salomon. Photo: AFP

He has repeatedly flagged the intensive care data as being crucial, as it offers the most accurate prediction possible for the progress of the epidemic and whether it was reaching a peak.

It is also the figure that medical chiefs have been watching anxiously – at the start of the outbreak France had just 5,000 intensive care beds for the whole country. This was hastily expanded to 9,000 but there were fears that even this would not be enough.

Overall there are 30,767 coronavirus patients in French hospitals, 3,000 admitted over the last 24 hours.

While he flagged up the importance of the drop in intensive care patients, Salomon cautioned that the situation remained very serious.

He said: “We are faced with an exceptional situation that will continue over the long term. All together, we must stand together against the epidemic and respect the lockdown.”

The French government has already announced that the lockdown will be extended beyond April 15th, and president Emmanuel Macron will address the nation on TV on Monday, talking about the lockdown extension and possible future move to ease the restrictions.

The Scientific Council that advises the government has published the three conditions that it says must be met before the government can even begin to ease the country's strict lockdown conditions.

READ ALSO The three conditions that must be met before France can lift its coronavirus lockdown

Thursday's data from public health body Santé Publique France shows that 8,044 people have died in hospital from coronavirus and at least 4,166 people have died in care homes, although not all data from care homes has yet been collated, bringing the total to 12,210.

The hospital deaths for the last 24 hours are – at 424 – a fall from 541 on Wednesday and 607 on Tuesday.

France has only recently begun including deaths from care homes in its official statistics while countries including Spain, Italy and the UK still only count hospital deaths in their official statistics.

Salomon added that in total 23,000 people have recovered from the virus, with a further 2,000 people being discharged from hospital in the past 24 hours.

READ ALSO Yes, France's coronavirus death toll is grim, but here's why there is cause for optimism

 

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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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