"
The account is not there
" in the fight against medical deserts, estimated MoDem deputies Wednesday, while a senatorial report calls for better involving local elected officials and communities.
Faced with the shortage, “
we are asking health professionals to stay up to 72 years by combining employment and retirement.
It's good that there is a total failure in access to healthcare,
”said MP Philippe Vigier, during a MoDem press briefing on the Social Security budget.
Read alsoInnovation to overcome medical deserts
"
There is a bankruptcy at the beginning in the prospective
" to find a "
adequacy between the health professionals who leave and those who leave the universities.
We have done things so that the numerus clausus is open more than it is, but that will not be enough
, ”said this elected representative of Eure-et-Loir.
"
We have taken important measures in the medium term but we have five or ten difficult years ahead of us
", nuances his colleague Cyrille Isaac Sibille.
The MoDem group, a member of the majority, pleads in particular to experiment, without a prescription, direct access to certain professionals such as physiotherapists or speech therapists.
Made public on Wednesday, a senatorial report describes for its part a "
territorial divide
": "
not only does the State not fulfill its mission of guaranteeing territorial equity in health, but it is not always a facilitator of projects. premises and imposes unnecessary constraints
”.
The State "
must do more and better
", underline the rapporteurs Philippe Mouiller (LR, Deux-Sèvres) and Patricia Schillinger (LREM, Haut-Rhin), from the senatorial delegation to the Territorial Collectivities.
Strengthen the role of the ARS
In general, these two parliamentarians underline "
the need to adopt a national strategic vision in close consultation with the communities
" which found themselves on the front line during the health crisis. They want “
more in-depth
consultation
with the large associations of local elected representatives
” so that they “
participate in the implementation and regular evaluation of this national strategy
”.
The rapporteurs point to the severe criticism addressed by the communities to the regional health agencies (ARS) during the health crisis, pointing to “
a lack of support and advice
”.
"
The departmental delegations, supposed to bring the management of the ARSs closer to the field, do not sufficiently play the expected proximity role given their limited scope of intervention and their weak capacity for expertise and support for elected officials
", underline the representatives. authors.
Read also Île-de-France, the first medical desert in the metropolis
They therefore propose to “
strengthen the facilitating role of the ARS with regard to local elected representatives
” in order to “
better involve local authorities in the health policy carried out
” by these agencies.
The report also recommends "
a joint state-local authority reflection on the risks of competition between the territories
" and questions "
the advisability of strengthening the incentive mechanisms, or even adopting coercive measures modifying the principle of freedom installation
'of doctors.
