Medical population : disparities are widening in France

VALINCO/SIPA

Published the 12.10.2017 at 15h36

A A

Keywords :

médecindémographie médicaledéserts médicauxmédecins retirees

On the eve of the presentation of the governmental plan to fight against medical deserts, the national Council of the Order of physicians (CNOM) paints a dark picture of the situation in his new atlas of the demography. While France has never had as many physicians – 290 974 practitioners are enrolled in the Order, access to care is deteriorating, and, in particular, in regions that are already in trouble.

“Since 1979, the number of doctors has almost doubled. But this progress has slowed over the last decade, has described Dr. Jean-Marcel Mourgues, president of the section public health and demography in the CNOM, during the presentation of the atlas on Thursday. The share of doctors in activity has been stagnating, while that of pensioners increases. “

Source : Evolution of the number from doctors and pensioners since 1979, CNOM.

6 % of retired assets

In fact, between 2007 and 2017, the proportion of active physicians has declined by 10 points. Today, more than two-thirds of the physicians enrolled in the College are working in their office, the hospital or both. At the same time, the share of pensioners increased from 14% to 20%. Out of the 75 000 retired physicians, 6 % were renfilé their blouses in 2017. They are 6 times more likely to have made this choice compared to 2007.

Many of these retirements and the arrival of fresh blood, favour the feminization of the profession. According to the atlas of 2017, almost a doctor on two in France is a woman. “If the trend continues, we will reach parity perfect in 2020,” said Dr. Jean-Marcel Mourgues. The doctors currently in activity are also more young : 20 % are under 40 years old in 2017, up from 14 % ten years earlier.

Cheers for the salaried !

In 10 years, the mode of exercise of doctors has changed profoundly. During the decade that has just ended, the wage-earning has become the majority practice (46.5% of practitioners employed against 42.8% of liberals). Added to this are the professionals who cut their work time between their office, public hospital, private clinics, or centers of PMI.

The departments of Meurthe-and-Moselle, of the Hauts-de-Seine, Seine-Saint-Denis, Paris, in the Val-de-Marne, Orne, Vienne, the Côte-d’or, Puy-de-Dome and the High Alps have the distinction of having “an over-representation of doctors who practice in an employee,” notes the Atlas demographic 2017.