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French GP Installations Rebound Strongly in 2025

Assurance Maladie says the rise stems from past increases in medical school places, prompting renewed scrutiny of fee controls, rules on doctor location

Overview

  • Assurance Maladie reported a 32% increase in liberal general practitioner installations in 2025, rising to 2,810 from 2,130 the year before.
  • The rebound was concentrated in underserved 'zones d'intervention prioritaires', where 891 GPs set up practice in 2025, an increase of about 45% year on year.
  • Officials attribute the change partly to a multi-year lag after a marked expansion of medical school places earlier in the decade, which is now feeding more new doctors into practice.
  • Organizational access also improved with SAS coverage reaching 98.5% of the population and a 20% rise in signed contracts for medical assistants, expanding team-based primary care.
  • At the same time fewer doctors joined the Optam fee-limiting scheme in 2025, a drop that raises concerns about financial access for patients and has become a live issue in pending Senate debates over location and fee rules.