Question 16285 — health professions

Summary

Mr. Christophe Proença draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the worrying deterioration of access to dermatological care in many territories, and particularly in the Lot department. While national prevention campaigns legitimately encourage the population to consult quickly in the event of a suspicious skin lesion in order to promote screening. early onset of skin cancer, many patients find it increasingly impossible to obtain an appointment with a dermatologist within a time frame compatible with public health requirements. This situation is particularly worrying in Lot, a department of 176,473 inhabitants which today only has one private dermatologist working part-time and one hospital dermatologist. This treatment offer extremely limited leads to waiting times incompatible with the needs for prevention, diagnosis and monitoring, whether for suspected melanomas or carcinomas, but also for severe chronic inflammatory diseases whose consequences on the quality of life, mental health, professional activity and social life of patients are major. This shortage is part of a worrying national context. There France has only around 2,850 dermatologists for nearly 68 million inhabitants, or around 3.25 specialists per 100,000 inhabitants, a level well below the estimated needs. Delays in accessing consultations reach several months in many territories and sometimes exceed an entire year. The explosion in these recourses to care can be explained in particular by the evolution of sun exposure behavior since the 1980s: the practice of voluntary tanning without appropriate protection and the rise of UV cabins contributed to a real and documented increase in skin cancers and chronic dermatological pathologies. These skin diseases constitute a major public health issue. In fact, each year, nearly 200,000 skin cancers are diagnosed in France and around 20 million people live with a pathology. dermatological, often chronic and disabling. This reality has also led the World Health Organization to recognize, in May 2025, skin diseases as a global public health priority. Health professionals are already mobilizing through specialized care teams, tele-expertise systems or innovative territorial organizations. However, these initiatives, although useful, cannot alone compensate for the structural insufficiency in the number of trained specialists. In 2025, only 102 interns will have been trained in dermatology in France, while the need is estimated at at least 150 new specialists per year for a decade in order to respond to the current demographic crisis and announced retirements. He asks him, faced with this situation, what measures the Government intends to take to guarantee equitable access to dermatological care throughout the territory, strengthen the training of future dermatologists and study the establishment of a dedicated ministerial mission bringing together health professionals, patient representatives and parliamentarians in order to respond to this major health and territorial crisis.

Machine translation from French. The official text remains authoritative.

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