The Home Medical Aid Market - France

Health care: everything to do with hospitalization at home.

Home medical assistance is mainly aimed at vulnerable groups, such as the elderly or disabled, who are ultimately losing their independence. But it can also concern people suffering from chronic illnesses or in need of exceptional assistance. Thehome medical assistance (AMAD) sector is responding to a growing need in France, driven by an aging population,longer life expectancy and the retirement of the baby-boom generations. While the 75+ age group represented 9% of the population in 2022, it is expected to reach 16% by 2052, multiplying the demand for homecare and support services. in addition to these demographic factors, socio-cultural constraints - geographical dispersion of families, professional and financial constraints - mean that home care is often unavoidable if elderly or disabled people are to remain independent. At the same time, the value of home care has increased, both for economic reasons (lower cost than institutional accommodation) and for individual preferences: 79% of French people wish to remain at home in the event of loss of autonomy, and 65% prefer home care for chronic illness. This context has given rise to a plethora of services, historically provided by associations (ADMR, UNA), relayed by local authorities (CCAS/CIAS) and desormais enrichées par l'arrivée massive d'acteurs privés (entreprises de PSAD, grandes sociétés comme Bastide, Air Liquide Santé ou La Poste). Faced with this complexity, the reform of Services Autonomie à Domicile (SAD), which is being rolled out progressively until 2025, marks a turning point in the sector. It introduces a one-stop shop, facilitates inter-professional coordination, establishes a tripartite funding model (care, assistance and coordination), enhances the value of homecare professions and fully integrates digital tools. These measures are designed to offer users a clearer, more efficient and more secure care pathway, while guaranteeing professionals a more attractive working environment, adapted to the demographic and organizational challenges facing the region.