2023-04-22 06:49:17
According a study conducted by the Association of Rural Mayors of France (AMRF) and unveiled by France Bleu, life expectancy in rural areas remains lower than in citiesand the differences in life expectancy between rural departments and urban departments have worsened over the past thirty years. Indeed, the study reveals that there is 14,216 more deaths per year in rural areas than would be expected if life expectancy were the same as in cities. Moreover, at equal age and sex, the mortality index of rural living areas is six points higher than that of urban living areas. The current life expectancy of rural dwellers at birth is up to two years less than those in cities. In 2021, among men, it was 78.8 years in departments considered hyper-rural, compared to 80.2 years in hyper-urban departments. Among women, life expectancy at the time was 84.9 years for those in hyper-rural areas and 85.7 years in hyper-urban areas.
In 2020-2021, the average number of deaths was 236,943 in rural living areas, while it was 662,474 deaths in urban living areas. The study established a mortality index according to living areas. These results therefore confirm, according to the association, that “location in town or in the countryside is becoming a determining factor in inequalities in life expectancy”. Faced with this observation, the Association of Rural Mayors of France recalls “the importance of proximity in the organization of the health service“. She therefore calls for a “refoundation of the health democracy” (source 1).
For this, she gathered 35 networks of health professionals and elected officialssuch as Familles Rurales or Macif, in order to present proposals for concrete solutions.
Four proposals were retained: “provide the means for health students to do internships outside the place of initial training (in particular by developing territorial accommodation for health students and transport aid), set up and develop care coordinated around the patient (Escap) and better distribution of health professionals” through, for example, “the creation of a one-stop support service which centralises, at the level of each department, territorial needs, financial aid, administrative support and information relating to the professional’s family life”. They also want to “develop new ways of practicing that can provide the population with rapid and local care”.
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