Wednesday, March 31, 2021
Home Health & Fitness you have trouble making an appointment on Doctolib? We explain why
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you have trouble making an appointment on Doctolib? We explain why


The message is often the same. “Due to high demand and a limited number of doses, no vaccination window is available at this center.” On the Doctolib site, candidates for vaccination against Covid-19 are likely to come across these words. While the government is communicating on the acceleration of the vaccination campaign, the queues remain long in the centers.

Doctolib is one of the four operators, with the Maiia, KelDoc and Clickdoc platforms, retained by the government to organize appointments in the 1,440 vaccination centers open to date. Almost 90% of the centers have chosen Doctolib for online reservations. In order to measure the state of the queues, franceinfo therefore scrutinized the listings on the website.

A majority of centers are full

Vaccinations are currently open to three categories of the population: those over 70, vulnerable people at very high risk and over 50 who have co-morbidities (diabetes, hypertension, obesity, etc.). For the latter group, people aged 50-54 are counted separately, as they do not have access to the AstraZeneca vaccine. Depending on the day and time, between 70% and 80% of the centers displayed by Doctolib are full. Friday March 26, at the national level, this proportion varied between 78% and 81%, according to the categories of population.

But major regional disparities are emerging

These figures actually hide a strong heterogeneity at the regional level. If, in territories such as Brittany, Center-Val de Loire or Hauts-de-France, most centers are full, this is not the case in Auvergne-Rhône-Alpes, Bourgogne-Franche -Comté or in Provence-Alpes-Côte d’Azur *. A phenomenon that the authorities have also observed for a few days. “Ile-de-France, the Bourgogne-Franche-Comté region and the Provence-Alpes-Côte region d’Azur reported the lengthening of the deadlines during which appointments remained open, confirms the general directorate of health to franceinfo.

“For two weeks, it is true that it is more difficult to fill the slots open to over 75s. There are not many who register”, admits Agnès Giannotti, coordinating doctor of the vaccination center of the 18th arrondissement of Paris. In fact, the proportion of people over 75 who have received at least one injection is now high. It exceeds 50% in several regions, including Ile-de-France and Bourgogne-Franche-Comté.

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It is therefore logical that there are fewer candidates. The announcement made by Emmanuel Macron on Tuesday to expand vaccination to people aged 70 to 74 without comorbidity is actually a response to this trend. Unsolicited doses threatened to be wasted due to lack of patients. Officially, this extension only came into force as of this Saturday, March 27, but in some centers in Ile-de-France, people in this age group have been vaccinated since Monday, March 22.

Few doctors offer online appointments for vaccination

If the centers are quickly saturated on the internet, it is also because not all the appointments are posted online. Many coordinating doctors of vaccination centers prefer to go through other channels, such as medical offices, which allow better selection of profiles. “When we open time slots on Doctolib, the places leave in no time. But the people registered do not necessarily correspond to the priority public. We therefore decided that the human being had to take over the machine”, explains Doctor Jean-Christophe Calmes, president of the Territorial Professional Health Community (CPTS) of the Thau basin (Hérault).

In this territory, which includes 13 municipalities, only part of the meetings are offered on the websites. The others are assigned via medical offices or communal social action centers (CCAS). Doctor Anne-Laure Bonis, president of the CPTS of Côte-d’Or, in charge of a vaccination center in Dijon, also gives priority to patients selected on a case-by-case basis by doctors.

“Many candidates have registered as vulnerable people, in good faith, because they are diabetic or have hypertension. But this category is actually reserved for very specific profiles: transplant recipients, chemotherapy patients. or people with rare diseases. “

Anne-Laure Bonis, doctor in Dijon

to franceinfo

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There is also no need to go through online platforms to get vaccinated directly from your general practitioner. Very few offer meetings there. Friday March 26, only 20 practices were referenced for vaccination against Covid-19 on Doctolib.

Finding a niche is easier by logging in on Thursdays and Fridays

People who want to register at vaccination centers are most likely to find an available time slot by logging in on Thursday and Friday. As the graph below shows, bookings hit weekly peaks on these days, in the first three weeks of March. A phenomenon that can be explained by the opening of ephemeral centers exclusively on weekends.

And the arrival of vaccinodromes from the beginning of April should make it possible to amplify this movement. The Minister of Health, Olivier Véran, announced on Monday March 22 the opening of“at least 35” of these mega-centers capable of performing 1,000 to 2,000 daily injections. Traveling to Valenciennes on Tuesday, Emmanuel Macron reaffirmed that the target of 10 million French people vaccinated in mid-April would be reached. “There is no holiday, no weekend for this battle”, assured the Head of State. A change of course, while so far the vast majority of vaccination centers are closed on weekends. According to the list of vaccination centers published by the Ministry of Health, less than 6% are open on Sundays and 30% on Saturdays.

But in vaccination centers, this question of opening on weekends is not unanimous. “The story of Sunday annoys me, gets carried away by Doctor Agnès Giannotti in Paris. You also have to be able to go the distance. We always said: ‘You give us the doses and we administer them.’ Currently, all vaccines received are injected. On the other hand, if there are too many doses and there is a need for additional opening days, then we will organize ourselves differently. But we are in a long distance race. And we are certainly not going to burn ourselves in the first 100 meters to communicate. “

According to the latest forecasts communicated by the Directorate General of Health (DGS), vaccine deliveries, which have experienced many jolts since January, should accelerate sharply from April. By the summer, the DGS expects 41.1 million doses received from Pfizer-BioNTech, 15.4 million doses for AstraZeneca, 8.1 million for Janssen / Johnson & Johnson and 6.7 million for Moderna . Finally, if validated by health authorities, the CureVac vaccine should arrive with a million doses. The total number of doses received is expected to reach 72.4 million in June.

* Given too few centers displayed on Doctolib, waiting times are not calculated for Corsica.



Source site www.francetvinfo.fr

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