Question 17344 — medicine

Summary

Mr. Julien Guibert alerts the Minister of Health, Families, Autonomy and People with Disabilities to the growing difficulties of access to medical dermatology consultations, particularly in rural areas. As medical deserts continue to expand, dermatology is among the most affected specialties. In many rural departments, including Nièvre, the delays in obtaining an appointment can now be counted in several months, or even exceed a year for certain patients, compromising the early detection of skin cancers, the management of chronic inflammatory skin diseases or even the monitoring of numerous dermatological pathologies. In Nièvre, this situation has reached a particularly critical level since there are no longer any practicing dermatologists in the area. departmental. Residents are forced to turn to neighboring departments to access this specialty, with waiting times often incompatible with the requirements of certain pathologies. This reality illustrates, in a particularly striking way, the consequences of medical desertification in rural areas. This situation is aggravated by a double structural evolution. On the one hand, near the half of dermatologists are today close to retirement age, while the renewal of the workforce remains insufficient. On the other hand, a growing part of the activity of certain specialists is now devoted to aesthetic medicine, an activity based essentially on procedures not covered by health insurance and for which the remuneration methods are, in fact, much more attractive than those of the approved medical dermatology. If aesthetic medicine constitutes a legal medical activity and responds to a real demand, its development nevertheless contributes to reducing the medical time devoted to reimbursed dermatological care, accentuating the difficulties of access to consultations for patients suffering from pathologies requiring medical care. This development appears all the more worrying as the Investments made by the community to train these specialists primarily meet public health needs. In this context, he asks what measures the Government intends to take to guarantee a sufficient supply of medical dermatology throughout the territory. He particularly wishes to know whether the Government plans to better distinguish, in the organization of this specialty, the activities falling within the aesthetic medicine of those meeting the needs for care reimbursed by health insurance, to adapt the training and installation conditions of future dermatologists in order to preserve a sufficient offer of care in medical dermatology, particularly in the territories most affected by medical desertification and to strengthen the systems making it possible to ensure the renewal of the workforce in the face of numerous departures from the retirement announced.

Machine translation from French. The official text remains authoritative.

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