Deux-Sèvres among the “departments most in difficulty” when it comes to access to care

We can’t say we’re surprised. Upon learning of the publication by the Jean-Jaurès Foundation of a “French access to care card”, on April 23, 2024, we expected to see Deux-Sèvres appear among the territories most in difficulty. And it doesn’t fail.

Note that this study is based on the statistics of 70,000 healthcare professionals registered on Doctolib, the online medical appointment booking platform par excellence. If it turns out to be less alarmist overall than expected, its authors conclude that “great disparities in access” according to health professions and geographical areas.

Delays at least twice the national average

According to the study, 41% of appointments with a general practitioner are made in less than 48 hours in France, compared to 4 to 5 days in Deux-Sèvres.
© (Photo archives NR, Mathieu Herduin)

Among the fifteen departments pointed out as being “the most in difficulty”, include Deux-Sèvres, Loire-Atlantique, Loiret, Cher, Eure, but also Gers, Ardèche, Calvados, Manche, Côtes-d’Armor, Pas-de-Calais , Saône-et-Loire, Nièvre and the Territoire de Belfort. In these territories, the median times for granting an appointment are at least twice the national average, for at least three specialties.

Allow more than three months to wait to consult a cardiologist in Deux-Sèvres, compared to less than two on average nationally. The same goes for ophthalmologists: the delays in granting appointments in the department exceed three months, when the French average does not exceed one month.

41

This is the share of appointments with the general practitioner that are made in less than 48 hours via the Doctolib platform, in France. In Deux-Sèvres, this delay is longer than 4 days.

In terms of pediatrics, fewer than five practitioners practice in Deux-Sèvres, while it is possible to obtain an appointment in less than a week in Île-de-France. The observation is not much more reassuring when it comes to dentists, since consulting in the department in less than a month is a mission impossible.

The study also shows the positive impact of teleconsultation in accelerating the time it takes to make medical appointments.
© (Photo archives NR, Julien Pruvost)

Still according to the study, 41% of appointments with a general practitioner are made in less than 48 hours in France, compared to 4 to 5 days in Deux-Sèvres. It is only for consulting midwives, gynecologists or obstetricians that the delays in the department are equivalent to the French average, from 15 days to a month.

A study to put into perspective

This observation made, the researchers from the Jean-Jaurès Foundation specify that the statistics retained “are not representative of all the realities of access to care in the territories”. In fact, many doctors reserve making appointments on Doctolib for their patients. The study therefore sets aside a certain number of “new patients”, as well as the nearly 1.6 million French people who give up healthcare each year. With, on the front line, the most disadvantaged.

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