Question 16479 — medicine

Summary

Ms. Alix Fruchon draws the attention of the Minister of Higher Education, Research and Space to the project to create a branch for the first year of medical studies in Châteauroux, planned for the start of the 2027 school year, at the initiative of the Centre-Val de Loire region. This project takes place in a particularly worrying context for access to care in the country and even more so in rural and intermediate areas. There The Centre-Val de Loire region is today the metropolitan region least well equipped with general practitioners, with around 100 doctors per 100,000 inhabitants compared to more than 120 at the national level. In this context, the department of Indre and its prefecture town, Châteauroux, appear to be particularly fragile territories. The medical demographics there are in sharp decline, marked by an aging of practitioners and a continued decline in the number of doctors, in a predominantly rural and sparsely populated area. This situation fuels a growing feeling of abandonment and calls into question the principle of equal access to care among French people. Faced with this emergency, local elected officials and departments of the Centre-Val de Loire region have initiated proactive policies to strengthen the medical attractiveness of the territory. However, these efforts will be able to fully produce their effects without a determined commitment from the State to bring training places closer to the territories that need them the most. Indeed, numerous studies show that medical students tend to settle where they were trained. Therefore, the opening of a first year branch of medical studies in Châteauroux constitutes a structuring lever to fight sustainably against medical desertification, by allowing young people from the region to access these studies without mobility constraints and by ultimately promoting their local settlement. Beyond the sole question of training, this project raises more broadly that of territorial equality and the capacity of the Republic to guarantee equitable access to training. It meets a strong requirement of the inhabitants of Indre and, more broadly, of rural territories: that of not being forgotten by public health policies. Under these conditions, she asks him to please clarify the Government's position regarding the support provided to this project for a first year branch of medical studies in Châteauroux at the start of the 2027 school year and to indicate the concrete means, particularly financial and educational, that the State intends to mobilize to guarantee its rapid implementation, as well as its lasting inclusion in a national strategy to combat territorial inequalities in access to care.

Machine translation from French. The official text remains authoritative.

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1. 30 June 2026

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• Alix Fruchon · auteur

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