Question 39851 — medicine

Summary

Mrs. Bénédicte Taurine draws the attention of the Minister of Solidarity and Health to medical desertification and the situation of rural municipalities which continue to encounter enormous difficulties in finding general practitioners wishing to practice there, despite favorable installation conditions (presence of a medical office, financial investments and aid from the municipality to support the installation, etc.). Faced with this observation, elected officials have no binding means and, beyond the advertising that they carry out in particular via social networks in order to attract applications, municipalities are sometimes led to spend public money on recruitment firms in order to try to find a solution and not leave their population without a doctor. Elected officials thus find themselves alone facing a problem that the ARS (regional health agencies) cannot solve. still not resolved. Year after year, this or that new organizational modality (ESP, MSP, CPTS) supposed to bring doctors back particularly to the countryside, that is to say where they are lacking, have been created and the government strategy My health 2022 put in place. Among the stated objectives of the Ministry of Health: that all medical practice now moves towards a reduction in administrative tasks and a practice coordinated between professionals; “isolated” liberal exercise should become the exception. However, none of the structures supposed to facilitate the practice of medicine while promoting new ways of life and working, family and leisure time, to which doctors aspire like everyone else, has succeeded in stopping medical desertification, and this while the populations are often aging and require greater care and monitoring. There is now worry and helplessness that reigns in many French communities when a doctor stops practicing there. The observation is clear and disappointing: no ESP (primary care team) or MSP (multi-professional health center) can on its own attract doctors: they must be supplemented by stronger and more proactive measures. In the constituency of Mrs. MP, in Ariège, the municipality of Les Cabannes therefore has no solution to find the successor(s) to the only two doctors in the existing ESP who will leave in mid-July 2021, leaving around 1,300 people without a general practitioner nearby. A Senate report dated January 29, 2020, titled “Medical Deserts: The State Must Finally Take Courageous Action! » recommended different solutions in order to no longer rely on the only free installation of doctors, which no longer works to meet the health challenges of the nation. She therefore wishes to know where the Government is in its study of this report and on the emergency measures it plans to take so that French citizens regain access to care and can seek treatment, wherever they live in France.

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