Question 16150 — health professions

Summary

Mrs. Mathilde Paris alerts the Minister of Labor, Health and Solidarity about the dramatic situation of physiotherapists in France, due to index increases well below inflation as well as the complexity of the new quotations and new zoning. Indeed, on February 22, 2024, the profession obtained a revaluation of 0.06 points on its key letter, the first since 2012, which corresponds to a increase of 2.8% (i.e. between 0.45 cents and 0.55 cents increase per act), well below inflation rates. Other increases are planned by 2027 but only on part of the quotations and for an amount of one euro fifty cents on average, again, well below the expectations of the profession. In addition to these low revaluations, physiotherapists denounce too complex zoning and possibilities too limited facilities while the average waiting time for an appointment in a practice is one month. The perplexity and saturation of physiotherapists are at their height following the implementation of a new nomenclature of physiotherapy acts with a move from around 30 different ratings to more than 80 different ratings. In 10 years, physiotherapists have lost nearly 20% of purchasing power due to the freeze on their prices, which only accelerated the phenomenon of abandonment of the profession. Now, 30% of physiotherapists who end their activity each year are under 30 years old and are leaving the profession. According to data published by the National Union of Approved Associations (UNASA) for the year 2022, the accounting profit of physiotherapists has plunged by more than 10%, representing a loss of 4,200 euros in income with an increase external charges, taxes, combined with stagnation in turnover which probably reflects difficulties in caring for more patients. Overwork, coupled with a feeling of contempt, reinforces the frustration of physiotherapists who feel devalued while they try to provide quality service to their patients. This situation no longer allows them to invest in care and equipment. quality and pushes them to slaughter to survive to the detriment of the quality of care and patients. The threat to access to quality physiotherapy care is very real while ratings and zoning penalize physiotherapists. In view of all these elements, the MP asks the Minister to study the possibility of shortening the timetable for revaluations of quotations as well as a revaluation of the latter in order to compensate for the significant losses in purchasing power of the profession. She also asks him to initiate a reflection around a simplification of the quotes which are considered too complex by professionals in the sector who deplore an increasingly long administrative and declaration time, which penalizes the quality of care for patients.

Machine translation from French. The official text remains authoritative.

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