Doctors bristling with the loss of their prerogatives

INVESTIGATION – Physiotherapy without a prescription, prescription of glasses by the orthoptist,… Branded by the government as solutions to medical deserts, direct access and other delegations of work irritate the doctors’ unions.

It is a measure included in the Social Security budget for 2022 that has triggered a storm! The French may be prescribed glasses or contact lenses by the orthoptist (paramedic, bac + 3), without going to the ophthalmologist (doctor, bac + 12).

Similarly, for certain treatments, they will be able to have direct access, without diagnosis or prior referral from the doctor, to speech therapists, physiotherapists and nurses in advanced practice (IPA). All these health professionals have a state diploma at bac + 5 level. Decrees will specify the scope of these extensions of skills.


By authorizing this “direct access” to certain paramedical professions, as it had opened up to pharmacists the vaccination against influenza or the delivery of certain drugs for benign pathologies (angina, cystitis and conjunctivitis), the government aims to facilitate access to care. “It will get glasses in places faster, and there are a lot of them,

This article is for subscribers only. You have 90% left to discover.

Pushing back the limits of science is also freedom.

Continue reading your article for € 1 the first month

Already subscribed? Log in


Leave a Reply

Your email address will not be published. Required fields are marked *