{"id":391,"date":"2014-04-05T11:25:45","date_gmt":"2014-04-05T09:25:45","guid":{"rendered":"https:\/\/wasipope.cyon.site\/2014\/04\/05\/aktuelle-vorstosse\/"},"modified":"2024-03-26T10:57:39","modified_gmt":"2024-03-26T09:57:39","slug":"interventions-parlementaires","status":"publish","type":"post","link":"https:\/\/ig-seltene-krankheiten.ch\/fr\/2014\/04\/05\/interventions-parlementaires\/","title":{"rendered":"Interventions parlementaires"},"content":{"rendered":"<div id='layer_slider_1'  class='avia-layerslider main_color avia-shadow  avia-builder-el-0  el_before_av_submenu  avia-builder-el-first  container_wrap fullsize'  style='height: 236px; max-width: 1280px; margin: 0 auto;'  ><\/div>\n<div class='clear'><\/div><div id='sub_menu1'  class='av-submenu-container av-7iqp-c303ac7d9c65ba19eb2a8c0bf317f918 header_color av-switch-768  avia-builder-el-1  el_after_av_layerslider  el_before_av_two_third  av-sticky-submenu submenu-not-first container_wrap fullsize' style='z-index:301' 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class=\"avia-bullet\"><\/span><span class=\"avia-menu-text\">D\u00e9fis<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li role=\"menuitem\" id=\"menu-item-39\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-top-level menu-item-top-level-4\"><a href=\"https:\/\/ig-seltene-krankheiten.ch\/parlamentarische-vorstoesse\/\" itemprop=\"url\" tabindex=\"0\"><span class=\"avia-bullet\"><\/span><span class=\"avia-menu-text\">Interventions parlementaires<\/span><span class=\"avia-menu-fx\"><span class=\"avia-arrow-wrap\"><span class=\"avia-arrow\"><\/span><\/span><\/span><\/a><\/li>\n<li role=\"menuitem\" id=\"menu-item-38\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-top-level menu-item-top-level-5\"><a href=\"https:\/\/ig-seltene-krankheiten.ch\/news\/\" itemprop=\"url\" tabindex=\"0\"><span class=\"avia-bullet\"><\/span><span class=\"avia-menu-text\">Actualit\u00e9s<\/span><span class=\"avia-menu-fx\"><span class=\"avia-arrow-wrap\"><span class=\"avia-arrow\"><\/span><\/span><\/span><\/a><\/li>\n<\/ul><\/div><\/div><div class='sticky_placeholder'><\/div><div id='after_submenu_1'  class='main_color av_default_container_wrap container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-391'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-6dzr-2da157fbbdf68d71b63f961e0b687a91 av_two_third  avia-builder-el-2  el_after_av_submenu  el_before_av_one_third  avia-builder-el-first  first flex_column_div  '     ><section  class='av_textblock_section av-lu2dwwa0-7d8be0a7a3511a01c6682a09b7578452 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><h1>Interventions parlementaires<\/h1>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-lu2dycm8-7e2db860dd6144e7decdf7bd53da0898 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p class=\"intro\">4.3180 Interpellation Humbel Ruth:<br \/>\nArt. 71a et 71b OAMal. Lourdes cons\u00e9quences pour les patients<\/p>\n<p>Texte d\u00e9pos\u00e9<br \/>\nRapportant dans un communiqu\u00e9 du 28 f\u00e9vrier 2014 les r\u00e9sultats d&rsquo;une \u00e9valuation externe de la mise en oeuvre des art. 71a et 71b de l&rsquo;ordonnance sur l&rsquo;assurance-maladie (OAMal), l&rsquo;Office f\u00e9d\u00e9ral de la sant\u00e9 publique (OFSP) estime que ces dispositions ont apport\u00e9 des am\u00e9liorations. C&rsquo;est pourtant loin d&rsquo;\u00eatre le cas, comme le montre l&rsquo;exemple suivant. Apr\u00e8s avoir pos\u00e9 son diagnostic et analys\u00e9 les donn\u00e9es cliniques, un oncologue de l&rsquo;h\u00f4pital cantonal d&rsquo;Aarau est arriv\u00e9 \u00e0 la conclusion qu&rsquo;un patient devait \u00eatre trait\u00e9 avec un anticanc\u00e9reux figurant sur la liste des sp\u00e9cialit\u00e9s, en combinaison avec un agent chimioth\u00e9rapeutique figurant \u00e9galement sur cette liste. La combinaison de ces deux m\u00e9dicaments n&rsquo;\u00e9tant cependant pas couverte par la liste des sp\u00e9cialit\u00e9s, le remboursement de la th\u00e9rapie \u00e9tait r\u00e9gi par les art. 71a et 71b OAMal. Apr\u00e8s un long \u00e9change de courriers, la caisse-maladie concern\u00e9e a d\u00e9cid\u00e9 de ne prendre en charge que la moiti\u00e9 des co\u00fbts de la th\u00e9rapie alors m\u00eame que le traitement donnait de bons r\u00e9sultats et qu&rsquo;il \u00e9tait moins cher qu&rsquo;une autre combinaison de m\u00e9dicaments que la caisse aurait \u00e9t\u00e9 tenue de rembourser ou qu&rsquo;un traitement en milieu hospitalier. C&rsquo;est finalement l&rsquo;h\u00f4pital cantonal d&rsquo;Aarau qui a d\u00fb payer la diff\u00e9rence pour ne pas accabler davantage un patient luttant contre un cancer avanc\u00e9. Appel\u00e9e \u00e0 se prononcer sur la prise en charge de la m\u00eame combinaison de m\u00e9dicaments, une autre caisse-maladie a d\u00e9cid\u00e9 dans les deux jours d&rsquo;assumer la totalit\u00e9 des co\u00fbts. Consult\u00e9, l&rsquo;OFSP a confirm\u00e9 que les assureurs \u00e9taient libre de prendre en charge les co\u00fbts des m\u00e9dicaments sur la base des art. 71a et 71b OAMal et s&rsquo;est content\u00e9 d&rsquo;indiquer les voies de recours. Cet exemple montre bien que les contre-indications d\u00e9coulant de la combinaison de m\u00e9dicaments et les modifications de la posologie visant \u00e0 ce que le traitement soit mieux support\u00e9 peuvent avoir pour cons\u00e9quence qu&rsquo;un m\u00e9dicament ne soit plus rembours\u00e9 sur la base de la liste des sp\u00e9cialit\u00e9s, mais sur la base des art. 71a et 71b OAMal, ce qui donne \u00e0 l&rsquo;assureur la libert\u00e9 de rembourser ou non le traitement.<\/p>\n<p>Je prie d\u00e8s lors le Conseil f\u00e9d\u00e9ral de r\u00e9pondre aux questions suivantes:<\/p>\n<ol>\n<li class=\"intro\">Que pense-t-il du fait qu&rsquo;un patient se voit simplement indiquer les possibilit\u00e9s de recours lorsqu&rsquo;il entend s&rsquo;opposer \u00e0 la d\u00e9cision d&rsquo;une caisse-maladie de ne pas prendre en charge ou de ne prendre que partiellement en charge un traitement efficace?<\/li>\n<li class=\"intro\">Est-il dispos\u00e9 \u00e0 instituer au sein de l&rsquo;OFSP ou \u00e0 l&rsquo;ext\u00e9rieur de l&rsquo;administration un service auquel les parties concern\u00e9es (patients, organisations de patients, m\u00e9decins, h\u00f4pitaux, industrie pharmaceutique) pourraient annoncer les cas r\u00e9gis par les art. 71a et 71b OAMal ?<\/li>\n<\/ol>\n<div class=\"links\">\n<p><a href=\"http:\/\/www.parlament.ch\/f\/suche\/Pages\/geschaefte.aspx?gesch_id=20143180\" target=\"_blank\" rel=\"noopener\">&gt; 14.3180 Ip. Humbel Art. 71a et 71b OAMal. Lourdes cons\u00e9quences pour les patients (parlement.ch)<\/a><\/p>\n<\/div>\n<div class=\"links\"><\/div>\n<\/div><\/section><\/p><\/div><div  class='flex_column av-ar9-1a4d5bb6d47a5ed4abf22860e7d05501 av_one_third  avia-builder-el-5  el_after_av_two_third  avia-builder-el-last  flex_column_div  '     ><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-391","post","type-post","status-publish","format-standard","hentry","category-non-classifiee"],"_links":{"self":[{"href":"https:\/\/ig-seltene-krankheiten.ch\/fr\/wp-json\/wp\/v2\/posts\/391","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ig-seltene-krankheiten.ch\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ig-seltene-krankheiten.ch\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ig-seltene-krankheiten.ch\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ig-seltene-krankheiten.ch\/fr\/wp-json\/wp\/v2\/comments?post=391"}],"version-history":[{"count":2,"href":"https:\/\/ig-seltene-krankheiten.ch\/fr\/wp-json\/wp\/v2\/posts\/391\/revisions"}],"predecessor-version":[{"id":393,"href":"https:\/\/ig-seltene-krankheiten.ch\/fr\/wp-json\/wp\/v2\/posts\/391\/revisions\/393"}],"wp:attachment":[{"href":"https:\/\/ig-seltene-krankheiten.ch\/fr\/wp-json\/wp\/v2\/media?parent=391"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ig-seltene-krankheiten.ch\/fr\/wp-json\/wp\/v2\/categories?post=391"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ig-seltene-krankheiten.ch\/fr\/wp-json\/wp\/v2\/tags?post=391"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}