{"id":6975,"date":"2025-11-14T09:46:44","date_gmt":"2025-11-14T09:46:44","guid":{"rendered":"https:\/\/hygie31.com\/?p=6975"},"modified":"2025-11-14T09:46:47","modified_gmt":"2025-11-14T09:46:47","slug":"tribune-pharmacies-les-economies-budgetaires-qui-coutent-plus-quelles-ne-rapportent","status":"publish","type":"post","link":"https:\/\/hygie31.com\/en\/tribune-pharmacies-les-economies-budgetaires-qui-coutent-plus-quelles-ne-rapportent\/","title":{"rendered":"La Tribune - Pharmacies: budget savings that cost more than they bring in"},"content":{"rendered":"<p><em>By Herv\u00e9 Jouves, President of Hygie31<\/em><\/p>\n\n\n\n<p>The 2026 PLFSS (projet de loi de financement de la s\u00e9curit\u00e9 sociale, or Social Security Financing Bill) is promising savings. But is likely to end up costing more. By seeking to reduce city spending, the government is weakening the frontline of the health system \u2013 the very part that prevents the most expensive hospital costs.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Short-term savings, long-term deficits<\/h2>\n\n\n\n<p>The measures to cap discounts, reduce pharmacy margins, and tighten the ONDAM (Objectif national de d\u00e9penses d\u2019assurance maladie, or National Health Expenditure Projections) in cities are part of a sweeping approach: making quick savings without considering the delayed effects. However, these budgetary \u201cadjustments\u201d are counterproductive: they weaken local health services and therefore the ability to prevent disease.<\/p>\n\n\n\n<p>The projected savings of \u20ac7 billion look attractive on paper, but they are fanciful. Every pharmacy closure, every delay in care, or every patient giving up on treatment (which affects one in three French people) contributes to the hospital deficit. Projections suggest that 13,000 additional hospital admissions would result from a lack of early intervention. Every euro \"saved\" on pharmacy bills ultimately costs the hospital several hundred euros.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Figures that speak for themselves<\/h2>\n\n\n\n<p class=\"translation-block\">Vaccination in pharmacies provides evidence of this. In France, pharmacists now carry out more than 50% of flu vaccinations. This central role not only helps meet the vaccination coverage target set by health authorities, but also generates nearly \u20ac200 million in annual savings for the National Health Insurance Fund.\nIt's no surprise: getting a flu vaccination in a pharmacy costs \u20ac7.50, compared to the usual \u20ac30 when done elsewhere. Every day, independent pharmacies demonstrate their role as one of the most efficient health access points: efficient, accessible, and cost-effective for both patients and the community.<\/p>\n\n\n\n<p class=\"translation-block\">The same applies to therapeutic persistence: the silent emergency that costs lives.\nImproving treatment adherence is not a minor issue; it is an immediate lever to relieve hospital congestion and reduce costs. In severe respiratory disease, nearly 40% of patients in France discontinue treatment within three years; mortality follows the same pattern. In some regions, this stage is reached as early as 12 months. Every instance of non-adherence is an avoidable complication, an additional emergency, and an unnecessarily occupied bed.<\/p>\n\n\n\n<p>The independent pharmacy is our best ally: reminders, medication reviews, proactive follow-up, and coordination with the prescriber. If the dropout rate is so high when the prognosis is life-threatening, what about diabetes, cholesterol, asthma, and high blood pressure?<\/p>\n\n\n\n<p>Let's make compliance a key operational priority and reward these actions at their true value! This means fewer interruptions, fewer hospitalisations, and lower costs \u2013 ultimately, more lives protected.\nA medical prescription interrupted today means a hospital bed occupied tomorrow.<br>Une ordonnance interrompue aujourd\u2019hui, c\u2019est un lit d\u2019h\u00f4pital occup\u00e9 demain.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">OSyS : field evidence<\/h2>\n\n\n\n<p>The OSyS (Orientation dans le Syst\u00e8me de Soins, or Health systems guidance) trial perfectly illustrates the increased responsibility given to pharmacists. This system, approved by the Department of Health, enables pharmacies to treat minor ailments (simple wounds, burns, cystitis, conjunctivitis, sore throats, etc.) using secure decision trees and in consultation with doctors. Result: fewer visits to the emergency room, savings in medical time and a reduction in avoidable costs. Deployed in Brittany, Centre-Val de Loire, Occitanie and Corsica, OSyS is set to be rolled out nationwide by 2026. It is a concrete model of territorial efficiency, without creating new expenditure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pharmacies as a profitable investment<\/h2>\n\n\n\n<p>Pharmacies are not an expense: they are a productive asset for public health. Every day, pharmacists prevent complications, adjust treatments and prevent hospitalisations. The research is clear: every \u20ac1 invested in a pharmacy generates up to \u20ac10 in savings for the community.<br>With its extensive network and expertise, the pharmacy system is already a well-established infrastructure. Underfunding it weakens the only network capable of maintaining equal access to healthcare.<br>Une r\u00e9forme simple : r\u00e9mun\u00e9rer la performance sanitaire<br>A simple reform: reward healthcare performance\nRather than reducing margins, let's reward results. Let us establish a performance-based payment model based on public health indicators: vaccination rates, screenings performed, treatment compliance. This funding model would encourage positive behaviour and sustain missions that are already economically profitable<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The real budgetary choice: prevent or cure?<\/h2>\n\n\n\n<p class=\"translation-block\">The 2026 PLFSS risks taxing patients today and hospitals tomorrow. This is a misguided approach, a display economy that will only exacerbate future deficits. Funding prevention in pharmacies means protecting our fellow citizens and preserving our healthcare system.\nThe debate is no longer about how much the pharmacy costs, but how much it saves. One euro well spent at the pharmacy counter is always better than ten spent in the emergency room.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Key figures<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong>+\u20ac200 million: <\/strong>estimated annual savings if vaccination were fully transferred to pharmacists.<\/li>\n\n\n\n<li><strong>1 \u20ac = 10 \u20ac<\/strong> invested in pharmacies generates up to \u20ac10 in savings for the community.<\/li>\n\n\n\n<li><strong>40 % <\/strong>of patients with severe respiratory conditions suspend their treatment within a year of starting it.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Par Herv\u00e9 Jouves, pr\u00e9sident de Hygie31 Le PLFSS 2026 promet des \u00e9conomies. Il risque surtout d\u2019en co\u00fbter davantage. En cherchant \u00e0 r\u00e9duire les d\u00e9penses de ville, le gouvernement fragilise la premi\u00e8re ligne du syst\u00e8me de sant\u00e9 \u2014 celle qui permet justement d\u2019\u00e9viter les co\u00fbts hospitaliers les plus lourds. Des \u00e9conomies de court terme, des d\u00e9ficits [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":6976,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-6975","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tribune - Pharmacies : les \u00e9conomies budg\u00e9taires qui co\u00fbtent plus qu\u2019elles ne rapportent - Hygie31<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hygie31.com\/en\/tribune-pharmacies-les-economies-budgetaires-qui-coutent-plus-quelles-ne-rapportent\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tribune - Pharmacies : les \u00e9conomies budg\u00e9taires qui co\u00fbtent plus qu\u2019elles ne rapportent - Hygie31\" \/>\n<meta property=\"og:description\" content=\"Par Herv\u00e9 Jouves, pr\u00e9sident de Hygie31 Le PLFSS 2026 promet des \u00e9conomies. 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