Question 13154 — health professions

Summary

Mr. Pierre Person wishes to draw the attention of the Minister of Solidarity and Health to the practice of osteopathy in France. As recalled in article 75 of the 2002 law, three types of professionals can today perform osteopathic procedures in France: osteopaths who are doctors of medicine (ODM), paramedical osteopaths (OP) and osteopaths who are not health professionals (ONPS). Among them, only osteopaths Medical doctors benefit from a state diploma, obtained following a course of 9 to 15 years. They have thus been particularly trained in delivering a medical diagnosis, unlike the other two types of osteopaths. This explains why certain manipulations can only be carried out by OPs or ONPS if the patient has a certificate of no contraindication, issued by a doctor. However, although this distinction is enshrined in law, the situation turns out to be more confusing on the ground. It is indeed recurrent that patients wishing to consult an osteopath do not know whether they are contacting a health professional or a non-professional, practicing comfort procedures. The mention “DO” (graduate in osteopathy) which benefits non-health professionals and which appears on business cards or professional plaques leaves believe patients that the professional in question is a “doctor of osteopathy” when in fact he is qualified in osteopathy. In addition, the development of an undifferentiated use of the three types of osteopaths seems to have contributed to a multiplication in the number of practitioners, 26,222 practitioners in 2016, a doubling in 5 years, and 6 times more than in the United Kingdom for an identical population monitored. Many of them, in In particular, young osteopaths who are not health professionals, currently live in a precarious situation, being the first to depend on a situation where the supply is much greater than the demand for care. Also, it is clear that the sector today requires real clarification between the different types of practitioners and a more sustainable development of activity, so that patients and practitioners can receive care and exercise in a more transparent, secure and peaceful environment. He therefore wishes to know whether these issues have been taken into account within the framework of the new health plan, presented at the beginning of September 2018, or whether other measures or plans are being studied in this regard.

Machine translation from French. The official text remains authoritative.

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