Question 26708 — health establishments

Summary

Mr. Daniel Labaronne draws the attention of the Minister of Solidarity and Health to the difficulties that medical establishments in the Centre-Val de Loire region encounter in recruiting. It constitutes the last region in terms of medical demographics and also has one of the lowest rates of places in medical studies. The region is experiencing a real problem of attractiveness, particularly for territories outside the Loire axis. So, doctors trained by the faculty of Tours settle only on the Loire axis and abandon the other territories of the region. Installation assistance measures are not sufficient incentives to counter this phenomenon, which concerns general practitioners and specialists as much as the paramedical professions. Professionals increasingly prefer fixed-term contracts and part-time work, refusing sometimes positions with atypical hours or working hours in the evenings and weekends, due in particular to problems with childcare, transport or even low pay. Establishments therefore have difficulty replacing nursing staff, which leads to a significant cost linked to the use of temporary work and an increasingly long time to train a professional. This results in a great disorganization with certain tasks assigned to non-competent people, permanent schedule changes as well as work overload. Some home services such as home nursing services (SSIAD) are forced to suspend rounds due to lack of staff, which has repercussions on the entire care chain. For example, a survey carried out among hospitals members of the Federation of Hospital and Personal Assistance Establishments (FEHAP) in the Centre-Val de Loire region report 56 FTEs of nursing assistants vacant for 3 months to 1 year (mainly in EHPADs) and 5 FTEs of coordinating doctors who have been vacant for 1 to 6 years. This situation reflects the current problem of medical deserts that the MP has particularly worked on as part of the Rural Agenda mission. THE report “Ruralities: an ambition to share”, delivered on July 26, 2019, encouraged the Government to take stronger and faster measures to fight against medical deserts. He would like to know how these recruitment difficulties are approached by his ministry and to know the measures put in place to provide answers.

Machine translation from French. The official text remains authoritative.

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