21.09.2007 alpnidf eu afd against discrimination idf europe – 22nd september 2007 afd against...
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21.09.2007 ALPN IDF EU AFD against discrimination
IDF Europe – 22nd September 2007
AFD against discrimination in France
AL PHAM, AFD Executive Director
21.09.2007 ALPN IDF EU AFD against discrimination
Why do patients need protection in France?
Patient Linving with Diabetes: • well treated, also with the support of
AFD since 1938• but with reduced social life because:• Legal restrictions for access to certain
sports, professionnal activities and insurance
• Particularly negative image of diabetes
21.09.2007 ALPN IDF EU AFD against discrimination
AFD’s responses
1. 1989: loan insurance at “juste prix”2. 1997: AllôDiabète®, call centre for all
francophone PLD, for advice and support on daily life and social services
3. 2001: AFD’s first legal action - a success!
21.09.2007 ALPN IDF EU AFD against discrimination
The turning point
1. In 2001, government reformed health system to limit patient’s choice for hospitalisation and reimbursement
2. Arguing the contradiction beetwen this reform and the general principle of french health system, AFD filed 31 proceedings
3. 30 with succes: patients were reimbursed !
21.09.2007 ALPN IDF EU AFD against discrimination
Outcome: creation of a legal service
2002, AFD:• Opens call centre for legal problems• Puts in place a legal advisor, • Creates privileged relationship with a
law firm • Sets up its Legal Committee• Covers certain legal expenses
21.09.2007 ALPN IDF EU AFD against discrimination
Results …
2002 / 2006: about 400 files treated1. 60% employment problems, 40%
penal actions2. 75% mediated by legal advisor /
25% sent to our law firm
21.09.2007 ALPN IDF EU AFD against discrimination
… results
Files treated by law firm1. 50% taken to court (1/3 ongoing, 1/3
won, 1/3 lost)2. 50%: settled out of court, some of
them only for lawyer’s advice
21.09.2007 ALPN IDF EU AFD against discrimination
At the end of 2006, AFD decided to confirm
its legal protection program
21.09.2007 ALPN IDF EU AFD against discrimination
Positive returns
• Legal knowledge of medical problems• Free expertise for our members• The vast majority resolved agreeably• Active participation of our 127 local
associations • Unique system in France
21.09.2007 ALPN IDF EU AFD against discrimination
Since 2007: some improvements in process
AFD:• Contracts with user to engage the
patient until the end of the action• Mediates actions to make legal
process more effective• Promotes its legal protection
towards patients
21.09.2007 ALPN IDF EU AFD against discrimination
2007: a few figures
• 73 Keuros/year for legal Protection• 40 Keuros/year for legal media plan• 300 media quotes• Every 2 years: publishing a social and
legal guide for patients• 2 employees• 127 local contacts for patients assistance • 1 call centre, 1 web site
21.09.2007 ALPN IDF EU AFD against discrimination
... just a summary of AFD’s actions against discrimination .