Question 16070 — health

Summary

Mr. Jean-Michel Brard draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the worsening medical desertification in dermatology in many territories, particularly in Loire-Atlantique and in neighboring departments. Many patients report major difficulties in obtaining a medical dermatology appointment within a timeframe compatible with their health needs. In certain areas of life, the retirement or installation of practitioners in other territories has led to an almost total disappearance of the dermatological care offer, forcing patients to travel too many kilometers to access a specialist consultation. This situation appears all the more worrying as skin cancers are constantly increasing and the prognosis of certain pathologies, notably melanoma, depend closely on the early diagnosis. Delays in treatment can therefore have serious consequences both for patients and for health insurance finances. Furthermore, several observers point out that certain installation assistance schemes, such as the doctors' installation assistance contract (CAIM), can sometimes have the effect of displacing practitioners from one territory to another without significantly increasing the overall supply of care, thus creating new territorial imbalances. They also question the adequacy between the needs of the population and the number of positions open in dermatology internships. In this context, he would like to know the measures that the Government intends to implement in order to improve access to dermatological care in under-resourced territories and in particular in Loire-Atlantique, to sustainably increase the number of practicing dermatologists, to assess the real impact of public aid for installation on the territorial balance of care provision, to prevent incentive schemes from leading to a simple geographical redistribution of practitioners to the detriment of certain territories and to study the advisability of more regulatory mechanisms effective to ensure a more balanced distribution of specialist doctors throughout the territory.

Machine translation from French. The official text remains authoritative.

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