Shortage of gynaecologists : general practitioners can manage the majority of problems
Published the 28.12.2017 at 18h46
Update the 28.12.2017 20: 50
Doctors généralistescompétents in gynecology
Find some specialists and in particular of a gynecologist is very difficult. This is the consequence of the poor distribution of medical skills in our country and the lack of popularity of this specialty to general practitioners, who believe it is a competition which is not justified.
In large cities, the gynecologists are certainly more numerous, but will not accept more new patients, or practice of prohibitive prices. In small towns or villages, there are more and it is necessary to walk miles to find one and check it out.
According to figures from the College of physicians, a quarantine departments are more particularly affected : Dordogne, Lot, Aveyron, Haute-Loire, Ain, Jura, Yonne, Eure, Nievre, and Mayenne and Hollow, even on very low densities. Six departments do not even have any gyno medical.
A decrease of 40% of the gynecologists in 10 years
Figures from the council of the order are dramatic : between 2007 and 2017, the number of gynaecologists has dropped by 41.6% ! They are not more than 1 136 for nearly 28 million women over the age of 16 years.
And the fall could continue on an even faster pace in the coming years. Now between 60 and 70 gynecologists medical are trained each year, but it is insufficient to offset the many retirements, because 62% of gynaecologists medical activity more than 60 years.
According to the barometer of access to care developed by the consulting firm Jalma, the period of access to a gynecologist exceed one month in most areas and 2 months in the 2 regions of the South-West.
Gynecologist medical or gynecologic-obstetrician
The gynecologist medical deals specifically with contraception, sterility, and disturbances of the cycle, as well as disorders of the menopause. He also works a lot in the early detection of gynaecological cancers. The gynecologist-obstetrician and occupies most of the pregnancy and childbirth, as well as surgical operations in gynecology.
In 1987, the medical gynecology was recognized only in France and not in Europe. Considered non-essential, there has been a judgment of the training of the gynaecologists general practitioners from 1987 to 2003, without increasing the number of gynecologists-obstetricians.
The scarcity of gynaecologists, with increased rates of consultation. According to a survey of the World, only 38% of the gynaecologists would be limited to a consultation to 30 euros. They would be even more than 18% in Paris. A situation that could improve with the renegotiation of the contractual tariffs.
In practice, if you don’t find a gynecologist, we can perfectly apply to his general practitioner, it is perfectly formed to do the acts of cancer screening and of the requirements of pills or the support of the menopause. However, many women are still reluctant to do so when it comes to gynecological problems. The independent midwives have expertise may also ensure a follow-up of prevention.