Is neurosurgical care deteriorating for patients in Luxembourg?

Recently, the nomenclature for neurosurgical procedures was changed so that intracranial procedures are only reimbursed in the CHL, and no longer in the HRS. The DP MPs Gilles Baum and Gusty Graas asked the minister responsible, among other things, whether this change would not lead to a deterioration in the care of patients and whether the minister was not prepared to have this change re-examined.

Question

« En date du 10 mai 2023, le Conseil médical des Hôpitaux Robert Schuman (HRS) a envoyé une lettre à Madame la Ministre de la Santé, Paulette Lenert, où il dénonce le procédé d’un changement de nomenclature des actes de neurochirurgie.

Plus précisément, ce changement réserve le remboursement de certains actes de neurochirurgie intracrânienne au seul Centre Hospitalier de Luxembourg (CHL). Et ce, bien que les HRS disposent depuis 25 ans d’une équipe de neurochirurgiens qui effectuent les mêmes traitements.

À ce sujet, nous aimerions poser les questions suivantes à Monsieur le Ministre de la Sécurité sociale :

  • Monsieur le Ministre, est-il au courant du changement de la nomenclature des actes de chirurgie mentionné ci-dessus ?
  • Monsieur le Ministre, n’est-il pas d’avis que ce changement représente une dégradation de la prise en charge neurochirurgicale des patients ?
  • Monsieur le Ministre, peut-il confirmer l’accusation du Conseil médical des HRS selon lequel l’AMMD fut délibérément mal informée en affirmant que tous les neurochirurgiens du pays ont donné leur accord au changement mentionné ?
  • Monsieur le Ministre, estime-t-il qu’il s’agit d’un conflit d’intérêt lorsque le directeur du CHL, en sa qualité de représentant de la FHL, soutient l’attribution d’un monopole de certains actes de neurochirurgie au CHL ? Dans la négative, pour quelles raisons ? Dans l’affirmative, comment monsieur le Ministre souhaite-t-il éviter une telle situation à l’avenir ?
  • Monsieur le Ministre, est-il disposé à entamer un réexamen du changement de la nomenclature des actes de neurochirurgies intracrânienne ? Dans la négative, pour quelles raisons ? »

Would you like this parliamentary question to be translated into English?

Share:

Facebook
Twitter
LinkedIn
Email
WhatsApp

More parliamentary questions

How many doctors work in the north of the country?

In the north of the country, citizens often have to travel long distances to get to a clinic or medical centre.
DP MPs André Bauler and Gilles Baum asked the Minister for Health, among other things, how many GPs and specialists work in the north of the country, what the age pyramid is for doctors and when a second medical centre might open in the north.

read more...

How many women are released from work during pregnancy?

Labour law stipulates that pregnant women may not take on certain tasks at work. The law therefore provides for an adjustment of the workplace or a transfer to another position. If neither is possible, the woman must be released from work.
DP MPs Corinne Cahen and Carole Hartmann wanted to know from the Minister of Health, among other things, how many women are exempted per sector, how often an employer has objected to a dispensation and on the basis of which specific criteria occupational physicians decide on a dispensation.

read more...

Should the LNS and private laboratories work closer together on biopsies?

The LNS, which has a monopoly in this area, has taken a number of measures to counteract the long waiting times for the evaluation of biopsies.
DP MPs Mandy Minella and Dr Gérard Schockmel have asked the Minister of Health what impact these measures have had on waiting times and whether greater cooperation with private laboratories should be considered in order to further reduce waiting times.

read more...

No more reimbursement for dermatoscopic photos?

As part of a dermatologist’s examination, photos can be taken of suspicious skin areas where there is a risk of skin cancer developing. DP MP Gusty Graas has now been informed that these photos will no longer be reimbursed by health insurance. In a parliamentary question to the Minister of Health, the liberal politician would like to know, among other things, why this decision was made and how many patients have been reimbursed for such photos taken by dermatologists in the last five years.

read more...