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DownloadCOUNTRY: France
KNOWLEDGE BROKER: Laurent Chambaud, Director of EHESP, France
SEPEN thanks the knowledge brokers for their contribution in checking and completing the country-information. SEPEN is accountable for the content of the country profiles.
| Type of information | Source | Year | Remarks |
| Table 1: Health workforce stock and replacement | ASIP-Santé RPPS;
ADELI directory; MESRI-SIES; Enquête Écoles, Ministry of Higher Education, Research and Innovation |
2019 | Sources provided by knowledge broker.
Stock data physicians retrieved from: ASIP-Santé RPPS Stock data nurses retrieved from: Répertoire ADELI directory Graduates data physicians retrieved from: MESRI-SIES Graduates data nurses retrieved from: Enquête Écoles |
| Figure 1: Mobility level in absolute numbers | OECD | 2018 | Only immigration data for OECD countries are available. The data produced are therefore incomplete. Not all OECD-countries register the country of origin of incoming health professionals and some do not register incoming health professionals at all. Emigration data are based on immigration numbers in other OECD-countries, as emigration as such is not registered nor reported. |
| Figure 2a: Number of practicing physicians per 1000 inhabitants | Eurostat | 2018 | Figure 2a presents regional distribution of physicians. Maps are formatted according to the NUTS classification obtained from Eurostat or recent national data provided by the key country informants. The national average is derived from the OECD/Eurostat databases, and the EU average from the “Health at a Glance: Europe” report published in November 2020. |
| Figure 2b: Number of practicing nurses and midwives per 1000 inhabitants | Eurostat | 2016 | Figure 2b presents regional distrubution of nursing and midwifery. Maps are formatted according to the NUTS classification obtained from Eurostat or recent national data provided by the key country informants. The national average is derived from the OECD/Eurostat databases, and the EU average from the “Health at a Glance: Europe” report published in November 2020. |
| Statistic | Number | Data Year |
| Total population | 67 012 883 | 2019 |
| Life expectancy at birth | 82,9 | 2018 |
Source: Eurostat
| Licensed to practice | Practising | Professionally active | |||||
| Statistic | Number | Per 1000 inhabitants | Number | Per 1000 inhabitants | Number | Per 1000 inhabitants | Data year |
| Physicians | Not reported | Not reported | 211 162 | 3,16 | 225 082 | 3,37 | 2017 |
| > Generalist Medical Practitioner | Not reported | Not reported | 94 889 | 1,42 | Not reported | Not reported | 2017 |
| > Specialist Medical Practitioner | Not reported | Not reported | 116 273 | 1,74 | Not reported | Not reported | 2017 |
| Nurses | Not reported | Not reported | Not reported | Not reported | 700 988 | 10,48 | 2017 |
| Midwives | Not reported | Not reported | 22 782 | 0,34 | 22 812 | 0,34 | 2017 |
| Dentists | Not reported | Not reported | 43 167 | 0,65 | 43 485 | 0,65 | 2017 |
| Pharmacists | Not reported | Not reported | 69 346 | 1,04 | 73 819 | 1,1 | 2017 |
| Physiotherapists | Not reported | Not reported | Not reported | Not reported | Not reported | Not reported | 2017 |
Source: OECD
Not reported
| Name | Role | Website |
| Ministry of Higher Education and Research | https://www.enseignementsup-recherche.gouv.fr/ | |
| Regional Committees and Health Agencies | Regional executive agencies for health, both delivering input data on the needs and drawing up the health workforce planning through organising residencies and assessing service coverage. | https://www.ars.sante.fr/ |
| National Observatory of Demography of Health Professions | See below | https://solidarites-sante.gouv.fr/ministere/acteurs/instances-rattachees/article/ondps-observatoire-national-de-la-demographie-des-professions-de-sante |
| Professional Associations
National Council of the College of Physicians (CNOM) National Council of the College of Dental Surgeons (CNOCD) National Council of the College of Nurses (CNOI) National Council of the College of Midwives (CNOSF) National Council of the College of Pharmacists (CNOP) National Council of the Order of Masseurs-Physiotherapists(CNOMK) |
Providing identification and registration data | https://www.conseil-national.medecin.fr/
http://www.ordre-chirurgiens-dentistes.fr/ https://www.ordre-infirmiers.fr/ http://www.ordre-sages-femmes.fr/ |
| Ministry of Solidarities and Health: Directorate of Research,
Studies, Evaluation & Statistics |
Main provider of demand data | https://drees.solidarites-sante.gouv.fr/etudes-et-statistiques/ |
| Name | Role | Website |
| National Observatory of Health Workforce Demography | The institution is responsible for:
|
https://solidarites-sante.gouv.fr/ministere/acteurs/instances-rattachees/article/ondps-observatoire-national-de-la-demographie-des-professions-de-sante |
| Regional Committees and Health Agencies | Regional executive agencies for health, both delivering input data on the needs and drawing up the health workforce planning through organising residencies and assessing service coverage. | https://www.ars.sante.fr/ |
| Ministry of Health & Solidarities | In charge of national strategies and fostering the dialogue between relevant stakeholders of health-related issues. | https://solidarites-sante.gouv.fr |
| Name | Role | Website |
| Professional Associations:
National Council of the College of Physicians National Council of the College of Dental Surgeons National Council of the College of Nurses National Council of the College of Midwives National Council of the College of Pharmacists National Council of the Order of Masseurs-Physiotherapists National Association of Medical Students of France Autonomous National Inter-union Representative of General Medicine Interns National Inter-Union of Interns (ISNI) National Federation of Pharmacy and Medical Biology Internal Trade Unions National Union of Students in Dental Surgery National Association of Midwifery Students National Union of Dental Surgery Students |
The associations are responsible for representing the interests of its members at all administrative levels, as well as for ensuring the professional and ethical standards. | https://www.conseil-national.medecin.fr/
http://www.ordre-chirurgiens-dentistes.fr/ https://www.ordre-infirmiers.fr/ http://www.ordre-sages-femmes.fr/ |
| Name | Role | Website |
| National College of Teaching Generalists (CNGE) | Representing its members, consulting with the health authorities, the Ministry of Health, and the Ministry of Higher Education and Research. Responsible for ensuring the quality and adequate functioning of the education. | https://www.cnge.fr/ |
| National Conference of Deans of Faculties of Dental Surgery | https://www.lecourrierdudentiste.com/societes-scientifiques/conference-des-doyens-des-facultes-de-chirurgie-dentaire-cdfcd.html | |
| National Conference of Deans of Faculties of Medicine | https://www.reseau-chu.org/directeurs-generaux/conference-des-doyens-des-facultes-de-medecine/ | |
| National Conference of Deans of Faculties of Pharmacy | https://www.conference-doyens-pharmacie.fr/ | |
| National Conference of Teachers in midwifery (CNEMa) | https://cnema.fr/ |
| Original name | Décret n° 2010-804 du 13 juillet 2010 relatif aux missions de l’Observatoire national de la démographie des professions de santé |
| Name in English | Decree n ° 2010-804 dated 13 July 2010 relating to the missions of the National Observatory of Demography of Health Professions |
| Short description | The structure and roles of the National Observatory are defined by the Decree. The Observatory is responsible for supervising the activity of regional committees, as well as for collecting and disseminating all types of data necessary for planning purposes. The institution is also responsible for issuing recommendations for the Ministry of Health and the Ministry of Higher Education and Research with regard to the annual admissions to training. |
| Publication date | 13 July 2010 |
| Link to full text | https://www.legifrance.gouv.fr/affichTexte.do?cidTexte=JORFTEXT000022481406&categorieLien=id |
| Original name | Lutte contre les déserts médicaux
|
| Name in English | Fight against medical deserts
|
| Short description | Comprehensive reform of community care (including financial incentives for the settlement of General Practitioners) followed by additional task shift and the creation of new professions. |
| Publication date | from 2017 |
| Link to full text | https://solidarites-sante.gouv.fr/systeme-de-sante-et-medico-social/masante2022/lutter-contre-les-deserts-medicaux/
https://www.ars.sante.fr/le-plan-pour-renforcer-lacces-territorial-aux-soins-0 |
| Original name | Stratégie nationale eSanté 2020 |
| Name in English | The national e-health 2020 strategy |
| Short description | The national e-health 2020 strategy aims to enable and accelerate the digital transformation of the healthcare, as well as support all relevant actors in its adoption. Regional health agencies, responsible for regulation and finance, are important facilitators during the implementation of this initiative. |
| Publication date | 21 February 2018 |
| Link to full text | https://www.ars.sante.fr/la-strategie-nationale-e-sante-2020 |
| Original name | Stratégie MA SANTE 2022 |
| Name in English | MY HEALTH 2022 Strategy |
| Short description | The strategy aims to reform the healthcare system with a focus on ensuring patient-centred care. It comprises elements that facilitate the reorganisation of the service provision – e.g. restructuring patient pathways; establishing new roles and health professions, managed career pathways; improved collaboration between health professions and the resulting reduction in isolated health providers. The expected outcomes are the increasing time for patient-provider interactions, improved quality of care, and increased satisfaction on the part of both patients and providers. |
| Publication date | 18 September 2018 (press release) |
| Link to full text | https://solidarites-sante.gouv.fr/systeme-de-sante-et-medico-social/masante2022/
https://solidarites-sante.gouv.fr/IMG/pdf/ma_sante_2022_synthese.pdf |
| Original name | Proposition de loi visant à supprimer les conditions de nationalité qui restreignent l’accès des travailleurs étrangers à l’exercice de certaines professions libérales ou privées |
| Name in English | Proposal for a law abolishing the nationality conditions that restrict the access of foreign workers to the exercise of certain self-employed or private professions |
| Short description | Article 1 is aims to enhance the health workforce supply by restructuring the practice requirements for foreign-national physicians, dentists, midwives and pharmacists. |
| Publication date | 4 February 2009 |
| Link to full text | https://www.senat.fr/rap/l08-197/l08-1975.html |
| Original name | La mobilité internationale des professionnels de santé: quels enjeux pourle système de soins français ? |
| Name in English | International mobility of health professionals: What are the challenges for the French healthcare system? |
| Short description | The study by the Strategic Analysis Centre investigates the challenges of international mobility, and proposes alternative solutions to improve the health workforce supply in France. Enhancing circular mobility by bilateral agreements between French hospitals and facilities from the EU, or guidelines on the integration of foreign-trained health professionals can be drawn up to serve as. |
| Publication date | December 2012 |
| Link to full text | http://archives.strategie.gouv.fr/cas/en/system/files/2012-12-04-mobilite-professionels_sante-na308-v2.pdf |
| Original name | Suppression de la Première Année Commune aux Etudes de Santé – la réforme des études de santé |
| Name in English | Abolition of the First Common Year in Health Studies (PACES) – the reform of health studies |
| Short description | Admission to training in health professions was possible mainly through the PACES framework. As a result of the reform of health studies, from the 2020 academic year, each university can adjust its selection procedure in line with its training capacity and the specific needs of the region (in coordination with the Regional Health Agencies). The reform also revokes the centrally settled numerus-clausus system. Thanks to the transformation of the admission system, access routes to the training of health professionals becomes more diversified, as it is possible to access health studies after one, two or three years of higher health studies. Each student can apply for health studies twice. |
| Publication date | 5 November 2019 |
| Link to full text | https://www.enseignementsup-recherche.gouv.fr/cid146432/suppression-de-la-paces-les-nouvelles-modalites-d-etudes-de-sante-publiees.html
Decree n°2019-1125, Decree n°2019-1126, Order of November 4, 2019 |
Not reported
| Original name | Agence nationale du développement professionnel continu |
| Name in English | National Agency for Continuing Professional Development |
| Short description | The CPD system is regulated by the Health System Modernisation law. A dedicated public institution is responsible for planning and organising CPD, and also for ensuring the quality of CPD programmes. CPD activities are mandatory for health professionals. CPD training covers certain types of activities which needs to be conducted in each 3-year cycle that involves practice review, educational activities and patient safety programmes. |
| Publication date | 26 January 2016 |
| Link to full text | https://www.legifrance.gouv.fr/affichTexte.do?cidTexte=JORFTEXT000031912641&categorieLien=id#JORFSCTA000031912691 |
Not reported
| Original name | Stratégie nationale pour favoriser la qualité de vie au travail en établissements médico-sociaux |
| Name in English | National strategy to promote the quality of life at work in medico-social institutions |
| Short description |
A national strategy was introduced in 2018 with the aim of improving working conditions and mental health for medical and non-medical professionals working in the health and social sectors. The strategy incorporates elements, such as improving the working environment and working conditions or prevention of psychosocial risks. The National Observatory for the Quality of Lifein healthcare settings and for medico-social professionals was established as a part of the national strategy to improve working conditions in the health and social sectors. The Observatory is in charge of Knowledge development, management and sharing. |
| Publication date | June 2018
July 2018 |
| Link to full text | https://solidarites-sante.gouv.fr/IMG/pdf/strategie_qvt_ems.pdf |
| Original name | Le dispositif national de médiation |
| Name in English | The national mediation system |
| Short description | The national mediation system was established for the staff of the public health, social and medico-social institutions in 2019. The system is responsible for facilitating the flow of information and solving disputes between the actors in the health and social institutions. |
| Publication date | 28 August 2019 |
| Link to full text | https://www.legifrance.gouv.fr/affichTexte.do?cidTexte=JORFTEXT000038987938&fastPos=1&fastReqId=948518561 |
Not reported
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Last updated: 10 October 2020
The country fiches are produced under the EU Health Programme 2014-2020 under a service contract with the Consumers, Health, Agriculture and Food Executive Agency (Chafea) acting under the mandate from the European Commission. The information and views set out in the country sheets are those of the author(s) and do not necessarily reflect the official opinion of the Commission/Executive Agency. The Commission/Executive Agency does not guarantee the accuracy of the data included in this study.
Neither the Commission/Executive Agency nor any person acting on the Commission’s/Executive Agency’s behalf may be held responsible for the use which may be made of the information contained therein.
This website was produced under the EU Health Programme 2014-2020 under a service contract with the Consumers, Health, Agriculture and Food Executive Agency (Chafea) acting under the mandate from the European Commission. The information and views set out in this website are those of the author(s) and do not necessarily reflect the official opinion of the Commission/Executive Agency. The Commission/Executive Agency does not guarantee the accuracy of the data included in this website. Neither the Commission/Executive Agency nor any person acting on the Commission's / Executive Agency's behalf may be held responsible for the use which may be made of the information contained therein.