{"id":16752,"date":"2022-03-05T06:04:00","date_gmt":"2022-03-05T05:04:00","guid":{"rendered":"http:\/\/rutube.fr\/?p=16752"},"modified":"2022-03-05T06:04:00","modified_gmt":"2022-03-05T05:04:00","slug":"desert-medical-le-pire-est-encore-a-venir","status":"publish","type":"post","link":"https:\/\/webtube.fr\/index.php\/2022\/03\/05\/desert-medical-le-pire-est-encore-a-venir\/","title":{"rendered":"D\u00e9sert m\u00e9dical : le pire est encore \u00e0 venir"},"content":{"rendered":"\n<figure><iframe loading=\"lazy\" width=\"800\" height=\"200\" src=\"http:\/\/www.weboomedia.fr\/RutubeStreaming1.htm\" frameborder=\"N\" scrolling=\"no\"><\/iframe><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Articles \u00a0:\u00a0 <a href=\"http:\/\/rutube.fr\/2022\/03\/\" target=\"_blank\" rel=\"noreferrer noopener\">Mar. 2022<\/a> &#8211; <a href=\"http:\/\/rutube.fr\/2022\/02\/\" target=\"_blank\" rel=\"noreferrer noopener\">Fev. 2022 &#8211;<\/a> <a href=\"http:\/\/rutube.fr\/2022\/01\/\" target=\"_blank\" rel=\"noreferrer noopener\">Jan. 2022<\/a> &#8211; \u00a0\u00a0<a href=\"http:\/\/rutube.fr\/2021\/12\/\" target=\"_blank\" rel=\"noreferrer noopener\">Dec. 2021<\/a> \u00a0 &#8211; Facebook\u00a0:\u00a0<a href=\"https:\/\/www.facebook.com\/ORTF-News-107572991571884\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.facebook.com\/ORTF-News-107572991571884<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.bvoltaire.fr\/media\/2019\/11\/capture-decran-2019-11-06-a-09-50-32.png\" alt=\"\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Le d\u00e9part \u00e0 la retraite de presque tous les m\u00e9decins issus du baby-boom d&rsquo;apr\u00e8s-guerre laisse maintenant appara\u00eetre au grand jour des d\u00e9serts m\u00e9dicaux, cons\u00e9quence du&nbsp;<em>numerus clausus<\/em>&nbsp;impos\u00e9 aux \u00e9tudiants en m\u00e9decine qui n&rsquo;a pas permis de compenser ce vide. Si on ajoute \u00e0 cela que les jeunes m\u00e9decins ne veulent plus travailler autant que leurs a\u00een\u00e9s, qui sacrifiaient souvent leur vie de&nbsp;<a href=\"https:\/\/www.bvoltaire.fr\/sujet\/famille\/\">famille<\/a>&nbsp;\u00e0 leur vie professionnelle, on se retrouve maintenant face \u00e0 un vrai probl\u00e8me de&nbsp;<a href=\"https:\/\/www.bvoltaire.fr\/sujet\/sante\/\">sant\u00e9<\/a>&nbsp;publique, tout particuli\u00e8rement dans certaines zones g\u00e9ographiques.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En<a href=\"https:\/\/www.lefigaro.fr\/flash-actu\/2009\/02\/23\/01011-20090223FILWWW00482-le-nombre-de-medecins-va-baisser-de-10.php\">&nbsp;2006, on comptait 327 m\u00e9decins<\/a>&nbsp;pour 100.000 habitants en France. On estime qu\u2019en 2030, cette moyenne devrait chuter \u00e0 292. La r\u00e9partition g\u00e9ographique des m\u00e9decins est tr\u00e8s variable.&nbsp;<a href=\"https:\/\/www.conseil-national.medecin.fr\/sites\/default\/files\/external-package\/analyse_etude\/1riyb2q\/atlas_demographie_medicale_-_cnom_-_2021.pdf\">Certaines r\u00e9gions sont sous-dot\u00e9es<\/a>, moins de 300 m\u00e9decins pour 100.000 habitants, comme la Picardie, la Normandie, la Champagne, les Ardennes, les Pays de Loire, la Bourgogne ou l&rsquo;Auvergne, alors que d&rsquo;autres, comme la r\u00e9gion PACA ou l&rsquo;\u00cele de France, sont beaucoup mieux loties avec nettement plus de 300 m\u00e9decins pour 100.000 habitants.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Devant cette situation, les responsables locaux ont multipli\u00e9 les solutions pour essayer d&rsquo;attirer vers leur commune ou leur r\u00e9gion de jeunes m\u00e9decins : cr\u00e9ation de centres m\u00e9dicaux pluridisciplinaires, mise \u00e0 disposition gratuite d&rsquo;un local pendant les premi\u00e8res ann\u00e9es d&rsquo;installation ou aide financi\u00e8re. Aucune de ces solutions n&rsquo;a fait preuve d&rsquo;une r\u00e9elle efficacit\u00e9, car d&rsquo;apr\u00e8s une&nbsp;<a href=\"https:\/\/www.conseil-national.medecin.fr\/publications\/communiques-presse\/enquete-determinants-linstallation\">enqu\u00eate<\/a>&nbsp;publi\u00e9e il y a d\u00e9j\u00e0 quelques ann\u00e9es, les jeunes m\u00e9decins n&rsquo;envisagent l\u2019exercice lib\u00e9ral qu&rsquo;en dernier recours. Ils pr\u00e9f\u00e8rent majoritairement un exercice salari\u00e9, ce qui est difficilement r\u00e9alisable par les communes ; peu d&rsquo;entre elles auraient les moyens de salarier un ou plusieurs m\u00e9decins. Les collectivit\u00e9s locales pr\u00e9f\u00e8rent donc les attirer par d&rsquo;autres moyens et leur proposer une installation locale en lib\u00e9ral.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Parmi les m\u00e9thodes employ\u00e9es, celle qui semble \u00eatre la plus prometteuse est celle qui consiste \u00e0 proposer des bourses aux \u00e9tudiants en \u00e9change d&rsquo;un engagement \u00e0 servir dans la commune apr\u00e8s leurs \u00e9tudes. L&rsquo;id\u00e9e n&rsquo;est pas nouvelle et fut d\u00e9j\u00e0 exp\u00e9riment\u00e9e, il y a une quinzaine d&rsquo;ann\u00e9es, dans certains d\u00e9partements, avec des r\u00e9sultats mitig\u00e9s. Certaines communes ou communaut\u00e9s de communes proposaient des bourses d\u00e8s la deuxi\u00e8me ann\u00e9e des \u00e9tudes m\u00e9dicales en \u00e9change d&rsquo;un engagement \u00e0 s\u2019installer pendant plusieurs ann\u00e9es dans la r\u00e9gion d\u00e9sign\u00e9e.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Plus r\u00e9cemment, le 1<sup>er<\/sup>&nbsp;mars,&nbsp;<em>Le Parisien<\/em>&nbsp;nous informe que pour pallier cette d\u00e9sertification m\u00e9dicale, la commune d&rsquo;Argenteuil offre une bourse de 12.000 euros par an aux jeunes m\u00e9decins d\u00e9sireux de s\u2019installer sur la commune, en secteur conventionn\u00e9, pendant au moins cinq ans. S&rsquo;ils ne remplissent pas le contrat, la somme devra \u00eatre rembours\u00e9e. Cette aide financi\u00e8re mise \u00e0 disposition des \u00e9tudiants en fin d&rsquo;\u00e9tude devrait permettre, d&rsquo;apr\u00e8s les responsables municipaux, de pallier le manque de g\u00e9n\u00e9ralistes sur la commune d&rsquo;Argenteuil, o\u00f9 ils ne sont que 4,3 pour 10.000 habitants, alors que la moyenne en \u00cele-de-France est de 7,2. Rien n&rsquo;est moins s\u00fbr, cependant, car les facilit\u00e9s financi\u00e8res ne sont pas les seuls avantages que recherchent les m\u00e9decins pour une installation. La qualit\u00e9 de vie joue pour beaucoup, tout comme la s\u00e9curit\u00e9 (les agressions de m\u00e9decins se sont multipli\u00e9es, au cours des derni\u00e8res ann\u00e9es) \u00e0 laquelle sont particuli\u00e8rement sensibles les femmes, qui repr\u00e9sentent maintenant 60 % des jeunes m\u00e9decins.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ces zones de sous-m\u00e9dicalisation ne sont vraisemblablement que les premiers sympt\u00f4mes d&rsquo;une modification en profondeur de la distribution des soins, sachant que l&rsquo;offre ne correspond plus, dans bien des cas, \u00e0 la demande, et qu&rsquo;il faut trouver des solutions innovantes pour r\u00e9pondre \u00e0 ce besoin qui correspond \u00e0 un march\u00e9 qui int\u00e9resse d\u00e9j\u00e0 les industriels de la sant\u00e9 comme le groupe Ramsay Sant\u00e9 (anciennement G\u00e9n\u00e9rale de sant\u00e9, filiale de la G\u00e9n\u00e9rale des eaux rachet\u00e9e par un groupe australien), qui compte implanter prochainement des centre de sant\u00e9 dans diverses r\u00e9gions de France actuellement sous-dot\u00e9es. Mais les solutions adopt\u00e9es par les industriels ne pourront \u00eatre que rentable. Qui paiera ?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.bvoltaire.fr\/auteur\/jacquesmichellacroix\/\">Dr. Jacques Michel Lacroix<\/a>, dans Boulevard Voltaire<\/p>\n\n\n\n<figure><iframe loading=\"lazy\" width=\"800\" height=\"200\" src=\"http:\/\/www.weboomedia.fr\/RutubeStreaming1.htm\" frameborder=\"N\" scrolling=\"no\"><\/iframe><\/figure>\n<!--\nADDFREESTATS.COM AUTOCODE V4.0 -->\n<script type=\"text\/javascript\">\n<!--\nvar AFS_Account=\"00636949\";\nvar AFS_Tracker=\"auto\";\nvar AFS_Server=\"www6\";\nvar AFS_Page=\"DetectName\";\nvar AFS_Url=\"DetectUrl\";\n\/\/ -->\n<\/script>\n<script type=\"text\/javascript\" src=\"http:\/\/www6.addfreestats.com\/cgi-bin\/afstrack.cgi?usr=00636949\">\n<\/script>\n<noscript>\n<a href=\"http:\/\/www.addfreestats.com\">\n<img decoding=\"async\" src=\"http:\/\/www6.addfreestats.com\/cgi-bin\/connect.cgi?usr=00636949Pauto\" border=\"0\" alt=\"AddFreeStats.com Free Web Stats!\">Web Stats<\/a>\n<\/noscript>\n<iframe loading=\"lazy\" width=\"650\" height=\"180\" src=\"http:\/\/onlineradiobox.com\/gr\/mousikokanali\/player\/?cs=gr.mousikokanali&#038;played=1\" frameborder=\"N\" scrolling=\"no\"><\/iframe>\n<a href=\"http:\/\/djmusic.fr\">\n<img decoding=\"async\" src=\"http:\/\/djmusicparis.free.fr\/images\/Djmuisc_Jamendo.jpg\" border=\"0\" alt=\"AddFreeStats.com Free Web Stats!\"> Ecoutez DJMusic.fr<\/a>\n\n<!-- ENDADDFREESTATS.COM AUTOCODE V4.0  \u2192-->\n","protected":false},"excerpt":{"rendered":"<p>Articles \u00a0:\u00a0 Mar. 2022 &#8211; Fev. 2022 &#8211; Jan. 2022 &#8211; \u00a0\u00a0Dec. 2021 \u00a0 &#8211; Facebook\u00a0:\u00a0https:\/\/www.facebook.com\/ORTF-News-107572991571884 Le d\u00e9part \u00e0 la retraite de presque tous les m\u00e9decins issus du baby-boom d&rsquo;apr\u00e8s-guerre laisse maintenant appara\u00eetre au grand jour des d\u00e9serts m\u00e9dicaux, cons\u00e9quence du&nbsp;numerus clausus&nbsp;impos\u00e9 aux \u00e9tudiants en m\u00e9decine qui n&rsquo;a pas permis de compenser ce vide. Si &hellip; <a href=\"https:\/\/webtube.fr\/index.php\/2022\/03\/05\/desert-medical-le-pire-est-encore-a-venir\/\" class=\"more-link\">Continuer la lecture<span class=\"screen-reader-text\"> de &laquo;&nbsp;D\u00e9sert m\u00e9dical : le pire est encore \u00e0 venir&nbsp;&raquo;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[2],"tags":[],"class_list":["post-16752","post","type-post","status-publish","format-standard","hentry","category-non-classe"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>D\u00e9sert m\u00e9dical : le pire est encore \u00e0 venir - # WEBTUBE.fr<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/webtube.fr\/index.php\/2022\/03\/05\/desert-medical-le-pire-est-encore-a-venir\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"D\u00e9sert m\u00e9dical : le pire est encore \u00e0 venir - # WEBTUBE.fr\" \/>\n<meta property=\"og:description\" content=\"Articles \u00a0:\u00a0 Mar. 2022 &#8211; Fev. 2022 &#8211; Jan. 2022 &#8211; \u00a0\u00a0Dec. 2021 \u00a0 &#8211; Facebook\u00a0:\u00a0https:\/\/www.facebook.com\/ORTF-News-107572991571884 Le d\u00e9part \u00e0 la retraite de presque tous les m\u00e9decins issus du baby-boom d&rsquo;apr\u00e8s-guerre laisse maintenant appara\u00eetre au grand jour des d\u00e9serts m\u00e9dicaux, cons\u00e9quence du&nbsp;numerus clausus&nbsp;impos\u00e9 aux \u00e9tudiants en m\u00e9decine qui n&rsquo;a pas permis de compenser ce vide. 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