Desperately seeking GPs in Scaër – Pays de quimperlé: why they give up treatment



The general practitioner is, as a general rule, the gateway to the care process. When it remains closed, we come to waivers, diagnoses that are delayed established … For ten years, Scaer, classified as a medical desert of ARS, have been actively, if not desperately, searching for new GPs to meet the needs of its needs. population. “They say there should be one doctor for every 1,000 people. In Scaer (5,295 inhabitants according to the latest INSEE census) we have only three doctors left, or even two, depending on availability, “says Marie-Pierre Gire, assistant for solidarity and health. A situation that worries the municipality. “From the beginning of the mandate we have made it a priority … But we should have three hits in two years’ time”. The municipal team has launched its lines, but still does not see anything coming. “We have created a collective, which is very active, with the inhabitants”.

The municipality was gradually in this unpleasant situation, after the departure of the former doctors (see below) and even went into the red zone in 2014, after Dr. Anne-Marie Le Berre’s departure for Gourin. Scaer at the time had only one general practitioner.

Up to 30,000 euros for installation

This crossing of the desert is not carried out by the municipality alone. “We attended a meeting of the CPTS (Professional Territorial Health Community, during the Constitution), which can accompany us in our research. We have also gone from a Complementary Action Zone (ZAC) to a Regional Support Zone (ZAR) according to the classification of ARS (Regional Health Agency). It gives us access to new financial means. “ARS can release an installation aid of 25,000 euros.” To which the municipality can add 5,000 euros and an extremely low rent of 150 euros at the medical center “. Hard to do more. But still not enough. “There was actually a young doctor who seemed interested. He did not want to stray more than 30 minutes from Quimper. But we never got an answer …”.

Banners unfolded along the highway

Social networks, the SOS Villages operation, publications in the daily newspaper Le Généraliste, classified ads at the medical school in Brest … Nothing was left to chance by the municipality, which paid a small check for communication, but also for the renovation of the medical house. The team does not give up. Next step: “We will set up banners along the motorway, at the Scaër exit and at all strategic entry points into the city to make our research known”. A video will also be produced to present the city. “It’s hard to do more if not by ‘selling’ our city and explaining that we’re fine there … We really want to accompany someone here, at Scaër”.

in complement

Doctor for 40 years in Scaer, he is still waiting for his replacements

Jean-François Petton practiced as a physician in Scaer for almost 40 years.

Gwen Rastoll

Jean-François Petton was an old-fashioned “doctor”. A doctor listening to his patients, of this generation, covering the whole territory, and responding to emergencies 7 days a week, 24 hours a day? The idea is not to magnify a bygone era, but to try to understand why Scaer is still waiting to replace a doctor who has retired for ten years. “At one point, we were up to six doctors. When I arrived at Scaër, I wanted to work at a medical center. We were three partners in the beginning. Then the mood disappeared … The doctor’s house closed in 2012, but was bought by the town hall, which performed work there ”. Only one doctor employs it today.

“The abolition of the numerus clausus comes too late”

? “In my opinion, in the 1990s there was a desire on the part of the state to reduce the costs of general medicine and health care. That is why we came to this conclusion. We pumped into the pool of young doctors to increase the range of ARS, occupational medicine … These openings have changed the way the profession is viewed. Young doctors are no longer prepared to work 70 hours a week, to work shifts or to work on Sundays. There has also been a feminization of the profession and the need to share the workload among young doctors who do not want to spend all their time at work … I left without finding anyone to take over. Even temps for the holidays, had it become difficult? observes the doctor, without passing judgment.

“Society has changed, the remote location of hospitals can put young doctors in a kind of insecurity.” According to him, the abolition of the numerus clausus also came far too late. ‘The 1970s cohorts had up to 8,000 doctors. After their departure, they were not replaced by the promotions from the 90s to 2000, which only released 3,000 doctors ”. Jean-François Petton loved this life as a “country doctor”, close to his patients. “You have to attract young people by showing them that what is being done here means something. The wealth of the people who live in this area must be highlighted ”.

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