How medical assistants are helping in areas that lack doctors in france
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ROLE IS INTENDED TO HELP FREE UP GP TIME SO THEY CAN TREAT MORE PATIENTS Specially-trained assistants are being increasingly employed to help free up doctors’ time so they can see more
patients. The job of an assistant médical is to work closely with GPs or specialist doctors on both administrative tasks and basic patient care, for example taking blood pressure. “The role
was created to ease the pressure caused by a stagnation in the number of doctors combined with an ageing population requiring more care,” Emmanuel Frère-Lecoutre, director of care at the
Caisse nationale de l’assurance maladie, told The Connexion. VISIT THE CONNEXION SHOP FOR FRANCE-THEMED GIFT IDEAS “The role frees up time for the doctors and allows them to focus as much as
possible on medical activity.” Read more: French town opens medical centre for those without a GP HOW MANY MEDICAL ASSISTANTS HAVE ARE THERE? More than 6,700 medical assistant contracts
have been signed since 2019 when the new role was created. The majority (over 50%) of these were previously medical secretaries who have undertaken the necessary training, which takes
around eight months to complete. Doctors who have hired medical assistants have recorded a 9.9% increase in the number of patients taken on, a 5.6% increase in patients seen over the course
of the year and 8.7% more medical procedures performed each day, 30 months after hiring them. Assurance maladie reimburses up to 50% of the medical assistant’s salary, but the financial aid
is only given if the number of patients and medical care is increasing. “It is too early to say if the quality of medical care is increasing but the quality of life of doctors has
significantly improved,” said Mr Frère-Lecoutre. “The role has progressed well and we aim to reach 10,000 contracts signed by 2025.” The number of doctors in France increased slightly
between 2023 and 2024, but regional disparities have also grown, and pressure on medical supply remains a major problem, both today and for the future. France’s population continues to age,
with 26.6% people above the age of 60 in 2021. Some 77% of French residents have difficulties booking appointments with specialists and 58% have given up or postponed healthcare due to a
lack of doctors, according to recent surveys. Read more: What is being done to tackle France’s shortage of dermatologists? HOW MANY MORE DOCTORS ARE THERE IN FRANCE NOW? There were 3,272
more doctors on January 1, 2024 than the previous year, according to the Conseil national de l‘Ordre des médecins, a marginal increase of 1.4%, although numbers are expected “to rise
gradually for a few years and then significantly after that”. There have also been improvements bringing the average age of doctors down – it is now 48.1 years as opposed to 50.2 in 2010.
The number of female doctors is up to 51.8% from 40% in 2010. However, the increase in doctors was mostly in university hospitals, while rural regions are seeing a decrease in the number of
medical practitioners, combined with a growing average age. Generally speaking, the north of France is more affected by this disparity, although there are also stark contrasts between the
number of general practitioners and specialists. For example, in the Paris area, there is an extremely high density of specialists, while patients find it a lot harder to sign up to a new
GP or have an ordinary appointment. Though it has a slightly higher density of doctors compared to the UK, France has a considerably lower density than Spain, Italy and Germany, according
to OECD figures. “Access to healthcare has long been seen as an essential priority, but one for which no satisfactory solution has yet been found,” the Conseil national de l'Ordre des
médecins stated in a press release. New prime minister Michel Barnier has described medical deserts as one of his “executive’s priorities”. One idea is to encourage retired doctors to
resume practising through a “favourable combination of salary and pension”. This is not a new idea and the president of independent doctors' union UFML, Jérôme Marty, qualified it as
putting “a bit of plaster on an open wound”.