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HEALTH

France lays out ‘test and trace’ process for suspected coronavirus cases

France's Director General of Health has laid out the latest stage in the country's strategy of testing and tracing anyone who may be infected with Covid-19.

The country's Director general of Health Jérôme Salomon on Tuesday evening laid out the next stage in France's strategy – contact testing and serological testing.

There are two types of testing used in the battle against coronavirus – the viral test which shows if a person is currently infected and the serological blood test which detects antibodies and shows if a person has previously been exposed to the virus.

Salomon announced that France will, from next week, begin rolling out serological tests in order to track the spread of the epidemic and determine who has had it, beginning with healthcare workers.

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

A shortage of testing capacity in France at the start of the outbreak meant that only people in high risk groups or those in hospital were tested – those who had milder symptoms and stayed at home are likely to have never appeared in official statistics.

Salomon also laid out the process for viral tests for people who may have the illness now or have been in contact with someone who has.

This is a three-step process.

1. Doctor – Anyone who believes they have symptoms should immediately contact their regular doctor who will prescribe a test if necessary. Testing will be done with a prescription only and the cost is reimbursed 100 percent under French state health insurance.

Salomon laid out an expanded list of symptoms which could be indicators of Covid-19.

They are;

  • Cough
  • Fever
  • Headache
  • Loss of taste or smell
  • Sore throat
  • Fatigue
  • Aching muscles or joints
  • Digestive problems
  • Difficulty breathing

If you have any of the symptoms you should wear a mask around other people while you wait for your test.

2. Testing – After a consultation with a doctor, which can be over the phone or an online consultation, a suspected Covid-19 case will be immediately referred to their nearest testing facility for a viral test, which is taken by a swab inserted into the nose.

There are 3,000 testing facilities throughout France and their details can be found online here.

The person will receive their test results within 24 hours and should stay at home and isolate themselves while waiting.

3. Contacts – People who test positive will then be contacted within 24 hours of the test result by either their doctor or an Assurance Maladie employee who will ask for a list of everyone they have had contact with in recent days including family members, friends, work colleagues.

Salomon stressed that this information would be kept confidential but it was extremely important that people give full details so all contacts can be tested.

All people on the contact list will then be contacted and asked to take a Covid-19 test at their nearest testing facility, ideally seven days after their last contact with the infected person. People who have been notified in this way do not need a prescription for a test.

If you live with a person who has tested positive you will need to self-isolate for 14 days, even if your test is negative, because of the incubation period.

Salomon said: “The risk of a resumption of the epidemic and the speed are only linked to our behaviour. 

“To be tested at the slightest doubt is to enable us to effectively identify those in our social circle who are at risk of contracting the virus.”

Holiday weekend

Ahead of the forthcoming holiday weekend with the public holiday of Ascension on Thursday, he also warned people to continue to respect the rules and the hygiene measures such as washing hands, physical distancing and limiting contact with vulnerable groups.

Those in vulnerable groups – which are people aged over 65 or those with risk factors such as obesity, diabetes, heart conditions, respiratory conditions including asthma or a suppressed immune system – should avoid contact as much as possible with others, work from home if possible, avoid public transport and not receive visits from family or friends.

He added that if people in those groups do have visitors they should avoid physical contact, particularly with children, wear a mask, wash their hands and clean all surfaces that visitors touch after they leave. 

 

 

 

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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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