Question 1678 — health professions

Summary

Mr. Richard Ferrand draws the attention of the Minister of Solidarity and Health to the situation in the specialty of pathological anatomy and cytology (ACP). The ACP plays a fundamental role in the fight against cancer by concentrating nearly 95% of diagnoses of the disease. The emergence of targeted therapies and personalized medicine means that, in addition to their diagnostic role, ACP doctors are at the origin of the prescription of these innovative therapies. Despite their fundamental role in the fight against cancer, representatives of this specialty argue that the legal definition of this specialty is vague. Indeed, the public health code defines ACP in opposition to medical biology. If medical biology acts have been strictly defined by the decree of September 16, 2015 relating to the conditions and modalities of practice medical biologists and creating the national commission for medical biology, the ACP acts are not. The specificities of this specialty are such that this absence of a legal framework would be detrimental to both patients and professionals. Furthermore, with an average age of 52 years, the ACP specialty is aging. According to the union of French pathologists, out of a profession of 1,471 practitioners, 370 will retire by the end of 2018. This raises the question of takeovers of ACP laboratories, particularly in peripheral territories. The union of pathologists warns of the risks relating to takeover movements of ACP laboratories, in particular with regard to takeovers and acquisitions of capital shares by foreign financial groups, and it proposes in particular to limit the possibilities of buyouts of medical practice companies. Also, he asks him to clarify the Government's position on the matter, both in terms of the legal definition of the specialty and the independence of the ACP specialty.

Machine translation from French. The official text remains authoritative.

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