Question 4051 — health

Summary

Ms. Céline Thiébault-Martinez alerts the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, on the alarming situation of access to care in his department and more particularly on the sudden closure of teleconsultation booths, a first-resort system, essential for residents of areas under-resourced with health professionals. Friday September 27 2024, the department of Seine-et-Marne announced the permanent closure of the ten teleconsultation booths installed since 2020. This decision follows the judicial liquidation of the company H4D, responsible for their management. These cabins, present in towns like Brie-Comte-Robert and Grisy-Suisnes, played a crucial role in access to care for populations already facing a serious shortage of doctors. With only 5.7 general practitioners per 10,000 inhabitants in 2021, compared to a national average of 14.7, Seine-et-Marne ranks 98th out of 101 departments in terms of medical density. Medical desertification is particularly acute there and these cabins allowed residents to benefit from a consultation within a reasonable time and without having to travel long distances. The judicial liquidation of the company H4D and the sudden closure of the cabins sowed confusion and dismay among the population and local elected officials. The H4D company has received significant financial support from public authorities. No later than December 2023, during the issue of a bond loan in the amount of 5,862,798 euros, Bpifrance participation acquired a debt of 2,406,685 euros. In addition, between 2021 and 2023, the H4D company received 1,412,765 euros in research tax credit and 186,993 euros of innovation tax credit. How could such decisions have been taken without any warning being issued beforehand? Was the ministry aware of the deterioration in the financial situation of the company H4D and the risks this posed to thousands of citizens dependent on this system? The MP also asks the Minister what concrete measures and The Government intends to take immediate measures to remedy the medical shortage which particularly affects departments such as Seine-et-Marne. As the representative of a territory which is among the worst ranked in terms of access to care, she wishes to know what lasting solutions will be implemented to ensure a better territorial network in terms of health care. Finally, she questions him about the arrangements future plans that the Government intends to propose to prevent a similar situation from recurring: could monitoring and alert mechanisms not be put in place so that elected officials and residents are not caught off guard, as was the case here; it demands rapid responses and concrete commitments so as not to leave the inhabitants of Seine-et-Marne in such a critical situation.

Machine translation from French. The official text remains authoritative.

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