Question 12343 — health

Summary

Ms. Sandrine Nosbé questions the Minister of Health, Families, Autonomy and Disabled People about the situation of medical desert for women's health in the 9th district of Isère. The UFC-Que Choisir reveals that in 2026, Pont-en-Royans, Saint-Marcellin, Tullins and Vinay are medical deserts for gynecologists without excess fees and that Rives only allows difficult access to the latter. The returns of Residents of the district also report obstacles to accessing gynecological follow-up or to specialists such as radiologists to be able to perform mammograms. This situation has tangible consequences on women's health. A low density of specialists such as gynecologists or radiologists leads to delays in cancer screening, particularly breast cancer, for which the Regular mammography is a key early detection tool. In France, it is recommended for women aged 50 to 74 without any particular risk factors to have a mammogram every two years, accompanied by a clinical examination. According to the National Cancer Institute, in 2019-2020, this device made it possible to detect 38,773 cancers, or 7.8 cancers per 1,000 women screened. Early detection significantly improves the prognosis and allows for generally less heavy treatments. Furthermore, cervical cancer affects nearly 3,000 women each year and causes around 1,100 deaths, while 90% of these cancers could be avoided thanks to regular screening by smear, recommended from 25 to 30 years of age with two examinations one year apart then one every 3 years and from 30 to 65 years of age with a test every 5 years when the results are normal, vaccination against HPV complementing this prevention. Beyond cancers, the lack of access to health specialists for women also contributes to difficulties in accessing contraception, the prevention and monitoring of sexually transmitted infections, as well as obstacles to access to voluntary termination of pregnancy or sexual health care in general. These territorial inequalities aggravate inequalities health, pushing some women to forgo essential care for financial or logistical reasons, with a greater impact on people who are precarious, isolated or with disabilities. While fee overruns continue to grow and travel times to see a doctor lengthen, the MP asks the Minister what measures she intends to put in place to guarantee a better distribution of health professionals across the territory. What measures will it implement to curb the escalation of fee overruns? Also, she would like to know how she intends to seriously take into account the health of women, particularly in medical deserts, in order to guarantee compliance with the recommended biannual mammographic follow-up and to allow early detection of breast cancer, thus ensuring the fastest possible support.

Machine translation from French. The official text remains authoritative.

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