Le Premier ministre a charg\u00e9 l\u2019Inspection g\u00e9n\u00e9rale des affaires sociales (IGAS) et l\u2019Inspection g\u00e9n\u00e9rale des finances (IGF) d\u2019une mission visant \u00e0 \u00e9tablir un \u00e9tat des lieux du temps de travail des m\u00e9decins exer\u00e7ant en ville et \u00e0 l\u2019h\u00f4pital. Cette mission, conduite notamment par Fran\u00e7ois Auvigne, R\u00e9my Slove, L\u00e9onore Lafargue, Olivier Pernet-Coudrier, No\u00e9mie Carlier (IGF), Thomas Le Ludec et Sophie Lebret (IGAS), avait pour objectifs de recenser les donn\u00e9es disponibles, d\u2019analyser les \u00e9volutions du temps de travail m\u00e9dical, d\u2019identifier les dispositifs d\u2019optimisation existants et d\u2019examiner l\u2019organisation ainsi que le pilotage du temps de travail dans les h\u00f4pitaux publics. Le rapport correspondant, intitul\u00e9 \u00ab Temps de travail des m\u00e9decins \u00bb (rapport IGAS-IGF, 2026), a \u00e9t\u00e9 publi\u00e9.<\/p>\n
La mission constate d\u2019abord un d\u00e9ficit de connaissance consolid\u00e9e du temps de travail des m\u00e9decins. Les donn\u00e9es actuellement disponibles permettent de suivre les effectifs et l\u2019activit\u00e9, mais ne permettent pas de mesurer de mani\u00e8re globale le temps de travail d\u2019un m\u00e9decin en int\u00e9grant l\u2019ensemble de ses activit\u00e9s et de ses modes d\u2019exercice (lib\u00e9ral, salari\u00e9 ou mixte). Cette lacune est identifi\u00e9e comme un enjeu croissant pour \u00e9valuer le temps m\u00e9dical effectivement disponible et adapter l\u2019organisation de l\u2019offre de soins.<\/p>\n
Les enqu\u00eates existantes mettent en \u00e9vidence une diminution du temps de travail d\u00e9clar\u00e9 au cours des derni\u00e8res ann\u00e9es, particuli\u00e8rement document\u00e9e pour les m\u00e9decins lib\u00e9raux. L\u2019analyse r\u00e9alis\u00e9e par la mission \u00e0 partir des donn\u00e9es de l\u2019Assurance maladie montre qu\u2019entre 2021 et 2025, le nombre de jours d\u2019exercice lib\u00e9ral a diminu\u00e9 de 3 % \u00e0 8 % selon les sp\u00e9cialit\u00e9s. Toutefois, cette baisse ne se traduit pas automatiquement par une diminution \u00e9quivalente de l\u2019offre de soins, l\u2019activit\u00e9 ayant tendance \u00e0 s\u2019intensifier et \u00e0 se concentrer sur un nombre plus r\u00e9duit de journ\u00e9es.<\/p>\n
S\u2019agissant des h\u00f4pitaux publics, le rapport souligne que le pilotage du temps m\u00e9dical reste insuffisamment structur\u00e9 et que la r\u00e9glementation en vigueur n\u2019est pas appliqu\u00e9e de mani\u00e8re syst\u00e9matique. Parall\u00e8lement, les \u00e9tablissements recourent de fa\u00e7on accrue aux dispositifs destin\u00e9s \u00e0 compenser les d\u00e9ficits de temps m\u00e9dical, en particulier le temps de travail additionnel et l\u2019int\u00e9rim m\u00e9dical. La mission met en avant la n\u00e9cessit\u00e9 de mieux organiser et piloter la ressource m\u00e9dicale, tant au niveau des \u00e9tablissements qu\u2019\u00e0 l\u2019\u00e9chelle des territoires.<\/p>\n
Les recommandations du rapport s\u2019articulent autour de trois orientations principales : am\u00e9liorer la connaissance du temps de travail des m\u00e9decins par un meilleur usage des donn\u00e9es disponibles ; mieux dimensionner et piloter la ressource m\u00e9dicale, en particulier dans les h\u00f4pitaux publics et \u00e0 l\u2019\u00e9chelle territoriale ; \u00e9valuer et d\u00e9velopper les organisations, les coop\u00e9rations professionnelles et les outils num\u00e9riques susceptibles d\u2019augmenter le temps m\u00e9dical effectivement consacr\u00e9 aux patients. Le rapport insiste sur la structuration et la gouvernance du temps m\u00e9dical comme leviers de r\u00e9gulation de l\u2019offre de soins, tout en rappelant les limites actuelles de la connaissance statistique et de l\u2019application r\u00e9glementaire.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" Le Premier ministre a charg\u00e9 l\u2019Inspection g\u00e9n\u00e9rale des affaires sociales (IGAS) et l\u2019Inspection g\u00e9n\u00e9rale des finances (IGF) d\u2019une mission visant \u00e0 \u00e9tablir un \u00e9tat des lieux du temps de travail 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