Question 5751 — health

Summary

Ms. Sabine Thillaye questions the Minister of Solidarity and Health on the fight against medical deserts. Despite a continued increase in the number of doctors (220,000 professionals today, or an average density of 334 practitioners per 100,000 inhabitants), the medical divide remains a reality and concerns nearly 3.9 million French people. Between 2012 and 2016, geographic access to general practitioners (less than 30 minutes from home) has deteriorated for more than a quarter of the population, access to specialist doctors has decreased for 38% of French people with regard to ophthalmologists, 40% for pediatricians and even 59% of the population for access to gynecologists. The situation could become even more worrying in the coming years due to the retirement of many professionals and the vulnerability of certain territories. isolated rural areas, often poorly connected to health infrastructure. On October 13, 2017, the Government presented ambitious measures to combat this phenomenon: the provision of suitable equipment to facilitate the digitalization of certain consultation services, the reorganization of health care provision by doubling, within five years, the number of health homes, the strengthening of regional health agencies (ARS) and the creation, within them, of evaluation committees responsible for better coordinating efforts at the territorial level. It was also announced, within the framework of medical conventions, a renewal of aid of 50,000 euros over three years allocated to doctors setting up in fragile areas. A new zoning will be proposed by the Government in 2018 and it would be interesting to have information on the criteria that will be used in the development of this new map. Finally, the Government declared its readiness to facilitate local initiatives and innovative organizations in each territory. In the department of Indre-et-Loire, certain communities, like Pernay and Cléré-les-Pins, have played an important role in encouraging groups of practitioners and strengthening the medical offer. She asks him by what concrete measures this type of practice is taken virtuous could be encouraged and supported by the Government.

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