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745

Question 745 — health professions

answeredFrance· National Assembly· FR

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9 August 2022

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répondue

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31 January 2023

Summary

Ms. Michèle Peyron draws the attention of the Minister of Transformation and Public Service to the low attractiveness of the profession of doctors in the departmental maternal and child protection services (PMI). In 2019, at the request of the Prime Minister, the MP submitted a report on the situation of the PMI, drawing an alarming observation due to a lack of means, sense and consideration towards this structure to so vital to protecting the health of mothers and children. The lack of attractiveness of PMI professions is central to this report. In particular, it noted a progressive and constant decrease in the number of PMI doctors, going from 2,210 FTEs in 2010 to 2,040 FTEs in 2015, i.e. a drop in the rate of change of 7.7 percentage points. These multifactorial difficulties can be explained in particular by departures in uncompensated retirement (the report estimating two thirds of the number of PMI doctors reaching retirement age by 2020), a lack of attractiveness in certain geographical areas and a profession little known to students. The salary of PMI doctors can also be considered as a factor of lack of attractiveness, with a gross salary at the start of their career at 2,137 euros for full time (2018 data). She thus formulated several proposals in order to upgrade and strengthen the attractiveness of the status of PMI doctor, including the recruitment of 300 FTEs by 2022 and the creation of a bonus of 300 euros per month to combat territorial health inequalities for PMI doctors. These short-term solutions were part of the recommendation for a more global overhaul of the profession, notably via an overhaul of their grid. salary and the creation of a body of public health, prevention and health promotion doctors which would allow more bridges and career development. Also, she would like to know the overall situation of the profession in 2022 and the Government's avenues of reflection regarding the upgrading of this profession.

Machine translation from French. The official text remains authoritative.

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