Question 16750 — health professions

Summary

Ms. Alix Fruchon draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the persistent shortage of dental assistants and medical electroradiology technicians in the department of Indre, in a context of structural fragility of the care offer. At the national level, these professions face structural difficulties. France has around 31,000 manipulators in medical electroradiology, but their actual number in activity is estimated between 27,000 and 28,000, reflecting a statistical overestimation and lasting pressure on the workforce. Furthermore, more than 2,000 positions are currently unfilled nationally, in a context of continued growth in medical imaging needs and the aging of the profession. These difficulties are particularly acute in the territories rural areas and particularly in the department of Indre which indeed presents a worrying situation in terms of the demographics of health professionals. It only has around 75 dental surgeons, with a level of access to care estimated at 33.9%, reflecting a particularly insufficient supply. In the field of medical imaging, the density is also very low, with around 5 radiologists per 100,000 inhabitants, or less than half the national average. In this context, the difficulties in recruiting paramedical personnel greatly aggravate the situation. Regarding medical electroradiology manipulators, whose role is essential for carrying out imaging examinations (radiology, scanner, MRI, nuclear medicine), are today in tension at the national level, with a deficit estimated at around 15% of the workforce, in a context of aging of the profession. Field feedback shows a real shortage, particularly in Châteauroux. This shortage would not result from a lack of vacancies, but rather from a lack of candidates. Professionals identify two main causes. On the one hand, the transformation of the radiology sector, marked by increasing financialization with the development of structures owned by large private groups. This development would be accompanied by an increased logic of profitability and greater productivity requirements, likely to lead to a deterioration of working conditions without a significant increase in remuneration, thus contributing to a loss of attractiveness of the profession. On the other hand, the question of training appears decisive. The recent opening of a DTS type course in medical imaging and therapeutic radiology in Châteauroux illustrates a marked interest in this sector, with 276 applications submitted for only 24 places available. This significant gap between demand and reception capacities highlights an under-sizing of the training offer in relation to needs. This discrepancy highlights a structural problem: even though the needs for professionals are proven and growing, the training capacities remain insufficient to respond to them, particularly in rural areas such as Indre. This situation limits the renewal of the workforce and compromises, in the medium term, access to care. At the same time, dental assistants, essential to the smooth running of practices, also face significant recruitment difficulties. Professionals in the dental sector indicate that when a position becomes available, Applications are often few in number and recruitment times can be particularly long. This situation has direct consequences on the organization of firms. The absence of a dental assistant reduces treatment capacity, complicates the provision of care and limits the development of activity, particularly in a region already facing a shortage of dental surgeons. Beyond the one question of the number of practitioners, these elements highlight a broader issue: that of the effective capacity of healthcare structures to operate. Indeed, a dental surgeon cannot practice in optimal conditions without a dental assistant, these professionals being essential for chairside assistance, management of the sterilization chain, preparation of rooms, organization of the practice and support. patients. Thus, the difficulties in recruiting these personnel have a direct impact on the ability of dental practices to meet the needs of the population and contribute to deteriorating access to care in the department. In this context, she asks what concrete measures the Government intends to implement in order to: improve the attractiveness of the professions of medical electroradiology manipulator and assistant dental, in particular by acting on the conditions of exercise; to increase training capacities, in line with the territorial needs observed; and to provide, in the short term, operational responses to the recruitment difficulties encountered in the Indre department.

Machine translation from French. The official text remains authoritative.

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