Created to curb medical desertification, installation aid has benefited only 20% of practitioners who have arrived in the deficit areas of Île-de-France in recent years and many have never heard of it, lamented Thursday the regional union (URPS) of liberal doctors.
In four years, from 2018 to 2021, nearly 1,750 doctors have settled in a "
priority intervention zone
" in the Ile-de-France region, but "
only
" 365 have signed a settlement assistance contract with the Sécu, notes the URPS in a press release.
Endowed with 30,000 to 60,000 euros depending on the case, this device designed in 2016 aims to "
fight against medical desertification
", recalls the Health Insurance on its website.
The results are not there: at the end of 2021, 2085 practitioners had received this subsidy at the national level.
In order to understand “
why there are so few of them to sign
” in the Paris region, the URPS conducted a survey at the beginning of the summer among 1,750 recently settled in “
deficit areas
”.
Out of 244 responses received, it emerges that a third of those who did not seek help had “
not been informed of its existence
”.
The proof of a lack of communication from the public authorities, estimates Valérie Briole, president of the Ile-de-France authority, who confides to AFP that “
if the Social Security is not able to do it, it is not going well
”.
Read alsoMedical deserts also exist 40 km from Paris
She also points out the counterparties required (group exercise, limited prices, participation in on-call duty), which dissuaded a majority from asking for installation assistance: "
We invent restrictive and complex processes, then we say that it doesn't work not
”.
Despite these shortcomings, the URPS still defends the system and pleads to "
open it up to all those who wish
".
Aware that the government “
is not ready to increase the price of the basic consultation
”, Dr. Briole judges that this “
can save some facilities
”.
