To fight against medical deserts, Prime Minister Edouard Philippe indicated on Monday that he wanted more and more nursing homes to be created.
While visiting a multidisciplinary health center (MSP) in Avoine (Indre-et-Loire) on Monday morning, Prime Minister Edouard Philippe said he wanted to see this system developed with the aim of combating desertification. medical.
“This initiative here, and other initiatives everywhere in France, show the way. And the objective of the bill is to ensure that these initiatives can be duplicated, multiplied on the territory, so that the collective exercise of medicine becomes the norm”, even if it is not a question of making it “compulsory”, he explained, alongside the Minister of Health Agnès Buzyn.
Ability to group together
Multi-professional health centers bring together several health professionals in common premises. Most of the time located in rural areas, they are made up of at least two general practitioners and a paramedic. The law defines them as places where health professionals gather, providing care activities without accommodation and participating in preventive, social and educational actions.
At the beginning of 2018, France had 910 health centers and more than 300 in the process of being created. “This ability to come together, invent new ways of practicing, appeals to doctors who do not live in rural areas,” continues Édouard Philippe, who also confirmed the creation by 2022 of 4,000 assistant positions. medical.
Reduction of administrative constraints
“I think that doubling the number of nursing homes is a completely achievable objective. The nursing homes are attractive. They offer doctors a sharing of tasks, a reduction in administrative constraints. They allow them to rotate, to have more free time”, assures European 1 Brigitte Bouzige, vice-president of the French Federation of Health Centers and Centers.
But still it is necessary to have agreed beforehand with doctors, because the financing is not everything. Only 4% of French GPs currently work in these structures. “In Avanton (near Poitiers), the health center, inaugurated four months ago, is struggling to find general practitioners. This group of health professionals was designed and financed by the municipality, to the tune of 430,000 euros. An osteopath put down his suitcases in April. Two nurses put down their plate at the beginning of August but the doctors shun this brand new setting”, can we for example read on the site of french culture.
The number of doctors in regular activity has decreased by 10%
Since 2010, the number of doctors in regular activity has decreased by 10%. This downward trend primarily concerns general practitioners. While there were 94,261 in regular activity in 2010, there were only 87,801 in 2018, a drop of 7.3% since 2010 (0.4% since 2017).
CNOM data also reveal an increase in inequalities between the best off departments in terms of medical density. The worst-off departments now have 1.6 times fewer generalists than the best-off, compared to 1.4 times fewer in 2010. The gap is even greater for various other professions, with for example 2, 6 times fewer ophthalmologists, 2.7 times fewer psychiatrists and 3.6 times fewer dermatologists in the most under-resourced areas.
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