Question 6648 — health professions

Summary

Ms. Sira Sylla questions the Minister of Solidarity and Health on measures to combat medical desertification. The Normandy region is one of the territories most affected by medical desertification. Indeed, according to the localized potential accessibility indicator, 23.1% of Normandy is in a priority intervention zone while 50.3% is in a priority action zone. In total, more than two million Normans do not benefit from local health personnel. In the 4th district, many municipalities are impacted by this phenomenon. For example, since August 2015, the commune of La Bouille no longer has a doctor on its territory, despite its numerous requests to the Normandy regional health agency, in order to obtain a subsidy, and to young practitioners, in order to set up in the municipality. The nearest medical office is located more than twenty minutes from the town and its residents do not have suitable public transport, especially since the aging population cannot move around independently. On October 13, 2017, a plan to combat medical desertification was presented by the Government. Some measures are ambitious, such as the investment of 400 million euros over 5 years in order to double the number of health homes. Other measures, just as ambitious, risk not meeting the immediate needs of populations furthest from healthcare provision. For example, if the development of the use of telemedicine is necessary, making it possible to offer suffering people a remote medical consultation, the success of such a service depends entirely on access and the quality of coverage. mobile of the territories. However, the plan proposed by the Government only allows digital coverage of all territories in 2022. Pending the application of this plan, it would seem that local medicine remains necessary. If the main issue is encouraging doctors to settle in areas lacking medical personnel, the question is how to encourage them to do so. Among all the measures announced by the Government, the development of outpatient courses for health personnel in training seems to be relevant, given the current problems of medical deserts. In this way, young doctors will integrate from the start of their career a rural environment to which they will adapt and develop direct contact with the inhabitants and territories furthest from the medical world. However, this Since this measure is not coercive, it is based solely on the will of those involved in the health sector to invest in these abandoned areas. However, if the systems put in place are upgraded and, therefore, more attractive, there is no guarantee of results in terms of the revitalization of medical deserts. She would like to know the position of the Minister of Solidarity and Health regarding the possibility of making the internship compulsory. outpatient clinic in priority intervention areas and priority action areas for health personnel in training.

Machine translation from French. The official text remains authoritative.

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