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Health systems in transition <strong>France</strong> 119<br />

or her professional and scientific qualifications validated for his/her medical<br />

specialty by the National University Council for Health Care (Conseil national<br />

des universitiés).<br />

4.2.5 Other health workers’ career paths<br />

Most other health professionals may work either as self-employed practitioners<br />

or as salaried employees, although health aides may only be employed.<br />

The majority of nurses are employed as salaried staff, mainly by hospitals<br />

(67.9%), while 16.4% are self-employed and provide ambulatory care. Other<br />

institutions employing nurses include long-term care institutions, regional and<br />

local authorities, schools, temporary recruitment agencies and private firms.<br />

Around 71.6% of midwives work in hospitals with childbirth facilities, where<br />

a large proportion of antenatal care takes place; 22.0% of midwives opt for<br />

self-employment, while 6.3% work for regional and local authorities or for PMIs.<br />

Almost all dentists (90.4%) are self-employed, while most of those in salaried<br />

posts worked in health centres or as advisers for SHI regimes.<br />

The vast majority of pharmacists (73.8%) work in retail pharmacies, either<br />

as the qualified title-holder or as an assistant. Other pharmacists work in<br />

management of biological test laboratories (10.3%), in hospitals and other health<br />

care institutions (8%) or within the pharmaceutical industry (4.6%).

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