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L'article 77 du code de déontologie médicale définit l'obligation déontologique des praticiens en matière de permanence des soins. Cette obligation constitue une des règles communes à tous les modes \"exercice de la profession\".
Le présent décret fixe donc le dispositif organisationnel de la permanence des soins, qui doit garantir un égal accès aux soins sur l'ensemble du territoire et d'organiser notamment cet accès en dehors des heures habituelles d'ouverture des cabinets médicaux. Ce dispositif organisationnel repose sur une sectorisation de chaque département, une permanence assurée par les médecins libéraux dans chaque secteur sur la base du volontariat, une régulation des appels afin de limiter le recours au médecin la nuit et les week-end.
La nouvelle rédaction des dispositions de l'article 77 du code de déontologie correspond donc au volet relatif à l'exercice des professionnels, corollaire du cadre organisationnel fixé par le décret pris en application de l'article L. 6325-l du code de la santé publique.
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\n
Le Premier ministre,
Sur le rapport du ministre de la santé, de la famille et des personnes handicapées,
Vu le code de la santé publique, notamment les articles L. 4127-1 et L. 6325-1 ;
Vu le décret n° 95-1000 du 6 septembre 1995 modifié portant code de déontologie médicale, notamment l'article 77 ;
Vu le décret n° 2003-880 du 15 septembre 2003 relatif aux modalités d'organisation de la permanence des soins et aux conditions de participation des médecins à cette permanence ;
Vu la délibération du Conseil national de l'ordre des médecins du 4 avril 2003 ;
Le Conseil d'Etat (section sociale) entendu,
Décrète :

" }, "SIGNATAIRES": { "CONTENU": "

Fait à Paris, le 15 septembre 2003.

Jean-Pierre Raffarin

Par le Premier ministre :

Le ministre de la santé, de la famille

et des personnes handicapées,

Jean-François Mattei

" } }, "JORFTEXT000000555170": { "SM": { "CONTENU": "LES DISPOSITIONS DU PRESENT CODE S'IMPOSENT AUX MEDECINS INSCRITS AU TABLEAU DE L'ORDRE,A TOUT MEDECIN EXECUTANT UN ACTE PROFESSIONNEL DANS LES CONDITIONS PREVUES A L'ART. L356-1 DU CODE DE LA SANTE PUBLIQUE OU PAR UNE CONVENTION INTERNATIONALE,AINSI QU'AUX ETUDIANTS EN MEDECINE EFFECTUANT UN REMPLACEMENT OU ASSISTANT UN MEDECIN DANS LE CAS PREVU A L'ART. 87 DU PRESENT CODE.
CONFORMEMENT A L'ART. L409 DU CODE DE LA SANTE PUBLIQUE,L'ORDRE DES MEDECINS EST CHARGE DE VEILLER AU RESPECT DE CES DISPOSITIONS.
LES INFRACTIONS A CES DISPOSITIONS RELEVENT DE LA JURIDICTION DISCIPLINAIRE DE L'ORDRE.
TITRE I (ART. 2 A 55): DEVOIRS GENERAUX DES MEDECINS.
ENSEMBLE DES DEVOIRS COMMUNS AUX MEDECINS QUEL QUE SOIT LEUR MODE D'EXERCICE,LIBERAL OU SALARIE,OU LEUR ACTIVITE,CURATIVE,DE PREVENTION,OU DE CONTROLE.Y SONT NOTAMMENT PRECISES LE DEVOIR DE RESPECT DE LA DIGNITE HUMAINE ET DE NON DISCRIMINATION DANS L'EXERCICE DE LA MEDECINE,AINSI QUE LA NECESSAIRE PARTICIPATION DU MEDECIN A DES ACTIONS DE PROTECTION DE LA SANTE ET DE FORMATION CONTINUE.SONT RAPPELES EGALEMENT LE DEVOIR DE RESPECT DU SECRET PROFESSIONNEL ET L'OBLIGATION DE NE PAS PRATIQUER LA MEDECINE COMME UN COMMERCE.
TITRE II (ART. 32 A 55): DEVOIRS ENVERS LES PATIENTS.
ENSEMBLE DE DEVOIRS QUE TOUT MEDECIN A ENVERS SES PATIENTS,NOTAMMENT,CELUI DE L'INFORMER DE SON ETAT ET DES SOINS QUI LUI SONT PRODIGUES,D'OBTENIR SON CONSENTEMENT DANS TOUS LES CAS,DE SOULAGER SES SOUFFRANCES ET DE LUI GARANTIR LA CONTINUITE DES SOINS.
TITRE III (ART. 56 A 68): RAPPORTS DES MEDECINS ENTRE EUX ET AVEC LES MEMBRES DES AUTRES PROFESSIONS DE SANTE.
CONDITIONS DANS LESQUELLES DOIVENT S'EFFECTUER LES CONSULTATIONS ET LA TRANSMISSION DES INFORMATIONS UTILES A LA CONTINUITE DES SOINS ET RAPPELLE LE PRINCIPE DU LIBRE CHOIX DU PATIENT.
TITRE IV (ART. 69 A 108): EXERCICE DE LA PROFESSION.
REGLES COMMUNES A TOUS LES MODES D'EXERCICE,
EXERCICE EN CLIENTELE PRIVEE,
EXERCICE SALARIE DE LA MEDECINE,
EXERCICE DE LA MEDECINE DE CONTROLE,
EXERCICE DE LA MEDECINE D'EXPERTISE.
TITRE V (ART. 109 A 114): DISPOSITIONS DIVERSES.
OBLIGATIONS DU MEDECIN VIS-A-VIS DE L'ORDRE DES MEDECINS ET POURSUITES AUXQUELLES IL S'EXPOSE EN CAS D'INFRACTIONS A LA DEONTOLOGIE.
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R4127-95 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006912975", "@num": "R4127-95", "#text": "Code de la santé publique - art. R4127-95 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006912976", "@num": "R4127-96", "#text": "Code de la santé publique - art. R4127-96 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006912977", "@num": "R4127-97", "#text": "Code de la santé publique - art. R4127-97 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006912978", "@num": "R4127-98", "#text": "Code de la santé publique - art. R4127-98 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006912979", "@num": "R4127-99", "#text": "Code de la santé publique - art. R4127-99 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006800406", "@num": "R5143-5-5", "#text": "Code de la santé publique - art. R5143-5-5 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006800405", "@num": "R5143-5-5", "#text": "Code de la santé publique - art. R5143-5-5 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "TITRE": "Décret n°95-1000 du 6 septembre 1995", "MCS_TXT": { "MC": [ "SANTE PUBLIQUE", "CODE DE DEONTOLOGIE MEDICALE", "MEDECIN", "ORDRE DES MEDECINS", "EXERCICE DE LA PROFESSION", "PROFESSION LIBERALE", "EXERCICE DE LA MEDECINE", "ACTE PROFESSIONNEL", "PATIENT", "SECRET MEDICAL", "SECRET PROFESSIONNEL" ] }, "MINISTERE": "MINISTERE DE LA SANTE PUBLIQUE ET DE L'ASSURANCE MALADIE", "TITREFULL": "Décret no 95-1000 du 6 septembre 1995 portant code de déontologie médicale" }, "META_TEXTE_CHRONICLE": { "CID": "JORFTEXT000000555170", "NOR": "SANP9502310D", "NUM": "95-1000", "DATE_PUBLI": "1995-09-08", "DATE_TEXTE": "1995-09-06", "ORIGINE_PUBLI": "JORF n°209 du 8 septembre 1995", "PAGE_DEB_PUBLI": 13305, "PAGE_FIN_PUBLI": 19950908 } }, "META_COMMUN": { "ID": "JORFTEXT000000555170", "URL": "texte/version/JORF/TEXT/00/00/00/55/51/JORFTEXT000000555170.xml", "NATURE": "DECRET", "ORIGINE": "JORF", "ANCIEN_ID": "1DX9951000" } }, "VISAS": { "CONTENU": "Le Premier ministre,
Sur le rapport du garde des sceaux, ministre de la justice, et du ministre de la santé publique et de l'assurance maladie,
Vu le code de la santé publique, notamment l'article L. 366;
Vu le code de la sécurité sociale;
Vu la loi no 66-879 du 29 novembre 1966 modifiée relative aux sociétés civiles professionnelles;
Vu la loi no 90-1258 du 31 décembre 1990 modifiée relative à l'exercice sous forme de sociétés des professions libérales soumises à un statut législatif ou réglementaire ou dont le titre est protégé;
Vu le décret no 77-636 du 14 juin 1977 pris pour l'application aux médecins de la loi no 66-879 du 29 novembre 1966 relative aux sociétés civiles professionnelles;
Vu le décret no 94-680 du 3 août 1994 relatif à l'exercice en commun de la profession de médecin sous forme de société d'exercice libéral;
Vu la délibération du Conseil national de l'ordre des médecins du 12 février 1993;
Le Conseil d'Etat entendu,
Décrète:
\n
" }, "SIGNATAIRES": { "CONTENU": "Fait à Paris, le 6 septembre 1995.
\n

ALAIN JUPPE

Par le Premier ministre:

Le ministre de la santé publique et de l'assurance maladie,
ELISABETH HUBERT

Le garde des sceaux, ministre de la justice,

JACQUES TOUBON

" } } }, "texte_version_lien": [ { "texte_version_id": "JORFTEXT000000555170", "cible": true, "cidtexte": "JORFTEXT000000796530", "id": "JORFTEXT000000796530", "typelien": "MODIFIE" } ], "textelr": { "JORFTEXT000000555170": { "META": { "META_SPEC": { "META_TEXTE_CHRONICLE": { "CID": "JORFTEXT000000555170", "NOR": "SANP9502310D", "NUM": "95-1000", "DATE_PUBLI": "1995-09-08", "DATE_TEXTE": "1995-09-06", "ORIGINE_PUBLI": "JORF n°209 du 8 septembre 1995", "PAGE_DEB_PUBLI": 13305, "PAGE_FIN_PUBLI": 19950908 } }, "META_COMMUN": { "ID": "JORFTEXT000000555170", "URL": "texte/struct/JORF/TEXT/00/00/00/55/51/JORFTEXT000000555170.xml", "NATURE": "DECRET", "ORIGINE": "JORF", "ANCIEN_ID": "1DX9951000" } }, "STRUCT": { "LIEN_ART": [ { "@id": "JORFARTI000001207114", "@fin": "2999-01-01", "@debut": "2999-01-01", "@origine": "JORF" }, { "@id": "JORFARTI000001013959", "@fin": "2999-01-01", "@debut": "2999-01-01", "@origine": "JORF" }, { "@id": "JORFARTI000001979725", "@fin": "2999-01-01", "@debut": 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