“More than 3,000 jobs in the Alpes-de-Haute-Provence”: health, a key to the attractiveness of the region

Posted byadmin Posted onMarch 30, 2024 Comments0
“More than 3,000 jobs in the Alpes-de-Haute-Provence”: health, a key to the attractiveness of the region

Communities find themselves in skills in which they were not supposed to be involved“. This Friday March 29, the Eco Hub Provence was devoted to the attractiveness of a territory characterized by a low medical density (under-dense), a term preferred to that of medical desert by the speakers.

As mentioned by Patricia Granet-Brunello, president of Provence-Alpes Agglomération, mayor of Digne-les-Bains, also an allergist doctor, the question concerns society as a whole. Camille Galtier, president of Durance-Luberon-Verdon Agglomération (DLVAgglo) – which once again becomes a partner of the Eco Hub -, also mayor of Manosque, argues that “we don't say enough that health is a subsidiary with jobs“. And Laurent Saroli, representing the Chamber of Commerce, underlined the role of the body: “We must offer quality of life to entrepreneurs, so that businesses can establish themselves. Territorial marketing currently only involves postcards. It's no longer enough. The medical and the social must intertwine to offer another attractiveness. The aging of the population is a major challenge for the coming years“.

And very quickly the problem of health provision took over. The Departmental Council is creating a first medical center in Digne-les-Bains, recalls Stéphanie Colombero, vice-president for health and social affairs. “Health represents more than 3,000 jobs in total (not just doctors) in the departement” act Isabelle Renvoizé, deputy director of the Regional Health Agency in the Alpes-de-Haute-Provence.

“155 municipalities without health services”

Bringing medical interns back in, by making their accommodation easier, is one way. “155 municipalities are without health services. It takes more than 30 minutes to get to a healthcare service on average. We must rely on new technologies. We are not going to invent doctors with the wave of a magic wand” she underlines. There will be 20% more doctors leaving training by 2027. Will this be enough? Three young graduates would be needed to carry out the volume of work of a retiring practitioner. the participants…

Raising awareness of the territory among future caregivers is targeted with a fight against preconceptions. Originally from Marseille, Hadia Klamma, executive at the Tous Aures clinic in Manosque, confides that she “discovered a territory with a better quality of life and professional development“.”There is the question of spa guests: we have a real economy geared towards prevention. It’s positive and has attractive value. We will have to have the courage to say that 'we don't care about the college certificate or the baccalaureate' when jobs are not filled“, insists Camille Galtier. With a leitmotif: develop structural antennas to capture and keep the local population.

An approach that starts at school and also allows for prevention. Referring to well-being workshops at the Dignois thermal baths, Francis Kuhn, community advisor responsible for the Full Health strategy, underlines how much this “makes it possible to develop employment, new activities and create attractiveness. Health problems are enormous, strategic and major: prevention will help solve them“. And to point out the use of the campus connected to Digne for remote training in health professions.

“The contempt of urban people”

Zoeline Froissart is a general practitioner, in the process of settling in La Brillanne.
Zoeline Froissart is a general practitioner, in the process of settling in La Brillanne. Photo Eric Camoin

The underdense areas are essentially rural and rural students are less than 20%… We settle down and come for an internship in an area we know because it's scary“. Zoeline Froissart is a general practitioner, in the process of settling in La Brillanne. A native of Sisteron, having grown up in Manosque, she mentions “contempt for urban people“but also the decisive role of a community in facilitating access to buildings.

The creation of the legal entity of the health home project, with doctors working as a team, dates from 2019. “It is not the financial aid system that favors the project. We are at La Brillanne because we struggled before. The municipal team believed in us and offered us premises“. The structure will open at the end of the year with nine professionals in association, including three salaried general practitioners.

“Becoming an innovative territory”

Rodolphe Bizet chairs the community of health professionals in the Upper Var Valley, Vaïre and Esteron.
Rodolphe Bizet chairs the community of health professionals in the Upper Var Valley, Vaïre and Esteron. Photo Eric Camoin

Rodolphe Bizet chairs the community of health professionals of the Upper Var Valley, Vaïre and Esteron, a recent and territorialized entity, in Annot. “We have three doctors, when there was only one a year and a half ago. A pediatrician has been established, we have two chiropodist-podiatrists, a pharmacy, in good relations with the Annot-Entrevaux hospital center. We are an hour from Nice and Digne. Health professionals need to report their problems to find common solutions.“.

It is the quality of life that brought these practitioners to Annot – practitioners who are no longer required to be on call because they are supported by advanced practice nurses. “Attractiveness is a major issue. We must make the department an innovative territory that takes care of its caregivers. We have everything we need“.

“Be careful of intra-departmental competition”

Jean-Christian Grimaud, general director of services at Sisteron town hall.
Jean-Christian Grimaud, general director of services at Sisteron town hall. Photo Eric Camoin

As Evad Affaire, Jean-Christian Grimaud, general director of Sisteron town hall services, mentions “a collective approach. In Sisteron, Digne or Manosque, mayors are called upon to get involved in the health policy of their territory. Beware of intra-departmental competition: there is no point in me bringing a doctor from Digne to Sisteron. In Sisteron, we have given ourselves the means to attract doctors from outside by working with a practice.

Among the levers of attractiveness, he mentions housing and the spouse's employment. “There is also the aging of the population: 70% will be over 70 years old by 2040. How to house them? What leisure activities should we offer them? What health ?“And to emphasize:”The health economy, in our department, is also Sanofi: more than 800 jobs, major investments of 60 million“.

Council of the order and medical deserts

Jean-Claude Moulard chairs the Council of the order.
Jean-Claude Moulard chairs the Council of the order. Photo Eric Camoin

Jean-Claude Moulard chairs the Order's Council. “We have a problem with medical demographics and unequal distribution. We are doing everything to try to fill these medical deserts“. Another problem: “The age pyramid of doctors. 731 are registered but 239 are retired“.

He details: “In 2023, ten new French doctors arrived at the first installation, one in Riez, two in Forcalquier, one in Barcelonnette. There were six transfers, three to Manosque, two to Gréoux, one to Sisteron. Seven doctors come from the European Union, five general practitioners – three in Sisteron, one in Digne, one in Aiglun -, one should go to Banon, a dermatologist in Barcelonnette“. The role of the 22 superintendent doctors is important.

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