Question 13347 — health professions

Summary

Mr. Pierre-Yves Cadalen draws the attention of the Minister of Health, Families, Autonomy and Disabled People to the professional situation of occupational therapists. The difficulty of access to care for all citizens constitutes a major public health issue and requires taking into account the problems identified by health professionals. In a forum in January 2025, the French National Association of occupational therapists (ANFE) points to an obstacle to the smoother access to care linked to the working conditions of occupational therapy. The occupational therapy profession does not have a national order and private consultations are not reimbursed by social security, leading to an invisibility of the profession. Patients are instead referred to physiotherapists or speech therapists, who despite their skills some do not work in the same field as occupational therapists. An occupational therapist can only intervene before receiving a medical prescription (article L. 4331-1 of the public health code) and therefore finds himself in a confusing professional situation. An ANFE study shows that only 35% of occupational therapists carry out their work following a medical prescription. At a time when there is a shortage of doctors, the invisibility of the profession of occupational therapist only accentuates this shortage and worsens the situation of people requiring care, mainly disabled or aging people. The lack of reimbursement only worsens the saturation of other health services covered by social security. Based on these elements, he asks her what measures she intends to take in order to limit the obstacles that meet occupational therapists in the exercise of their profession.

Machine translation from French. The official text remains authoritative.

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