Under pressure, the government has promised to open a number of sites, starting on Monday, to improve patient management and working conditions
Under pressure, the government has promised to open a number of sites, starting on Monday, to improve patient management and carers’ working conditions. Overview of topics on the table.
Despite the five different “health plans” under Emmanuel Macron’s five-year program, the health sector still remains breathless. The crisis caused by the coronavirus has highlighted the pressure experienced by carers and healthcare staff. In order to meet expectations, the government has committed to open several projects to improve patient care and the working conditions of caregivers.
In this sense, “Ségur health” will be launched on Monday and will be completed “by mid-July at the latest”, according to Olivier Véran. The Minister of Health promised that “strong commitments will be made”. “The government must show the height of what the hospital has given” to cope with the health crisis caused by the coronavirus, “a real tribute to the carers, this would not mock them with empty promises”, warns the president of the Fédération hospitalière de France (FHF), Frédéric Valletoux, in an interview on Sunday at JDD.
an overview of the various construction projects that will be discussed.
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salary increases
Arrested during a hospital visit, Emmanuel Macron promised to “put an end” to the “poverty” of health workers by launching a pay rise, in parallel with bonuses announced in light of the Covid-19 crisis. .
“This is an emergency,” believes his side Frédéric Valletoux. This gesture has actually been expected for years by unions, who point to low salaries in hospitals, especially for nurses: they affect 1,500 euros net at the beginning of a career, which is one of the lowest levels in OECD countries.
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In the case of carers, the aim is to achieve a “remuneration level” equal to the “European average”, the health minister assured, stating that the increases will affect both hospitals and long-term care facilities.
According to the trade union, the difference is around 300 euros per month. The latter, however, warn against a measure limited only to nurses. “It should be a speed bump for the whole personal hospital,” said Julie Ferrua, of SOUTH Health.
working hours
Olivier Veran also said that they want to “reexamine the framework of the organization of working hours in the hospital”, believing that it is necessary to question “the restrictions that prevent those who want to work more”. This announcement pushed many unions, tied to 35 hours, which reminds us that many employees could never access the reduction of working hours, lack of employment enough in hospitals.
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It is not a matter of “deregulation of working hours”, specified the minister, also a doctor, saying that we will only enable “employees who wish” to organize “their working hours” differently.
This reform is a long-standing request of the Fédération hospitalière de France (FHF), which recommends an “advanced framework of autonomy” for hospitals, disorganized according to it by the 35-hour reform.
Career and workforce
The executive branch promised to put “the question of mounted skills” on the discussion table, “for the better evaluation of all careers, all professions and the development of new careers.”
The goal is to strengthen the attractiveness of hospitals, which, due to the working conditions, but also, according to the trade unionists, inadequate management of human resources, many struggle with hiring and retaining employees.
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For Frederic Valletoux, “the first medical desert in France, it is the hospital: almost 30% of jobs are not filled”, he recalls, appealing among other things “to reduce the wage gap between public and private, which weakens hospitals.” This situation forces hospitals to close beds or hire temporary workers. A choice that is often expensive, the temporary advantage often due to lack requires a fee higher than the payment network.
In nursing, “30% of new graduates leave the profession within five years,” emphasizes Thierry Amouroux, SNPI spokesperson.
care Organization around the patient
“Our healthcare system is not yet focused enough on the patient, on his journey. It is not efficient enough in management,” Olivier Véran believed, trying to improve his corporate governance.
at this stage, the government has not indicated the specific reforms it intends to implement. But he promised to fight against “administrative”, giving more weight to “doctors”.
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The executive could also reform it with a bit more price action (T2A), introduced in 2003. This system, which determines hospital resources according to legislation, is often accused of encouraging a “race for volume”.
It could also stop bed closures, which the hospital has been highly critical of: over a 20-year period, close to 100,000 beds have been removed from clinics and hospitals.
Debt and investments
At the end of March, Emmanuel Macron promised a “major investment plan” for the outcome of the crisis. This plan, intended specifically for the renewal of equipment, will also be imposed on hospitals and long-term care facilities, Olivier Véran said, without specifying the amount of the allocated budget.
The issue of hospital debt, now close to 30 billion euros, which is at the center of many discussions between the executive and federal hospitals, could also be back on the table.
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As part of the “hospital plan” decided in the fall of 2019, the government announced the continuation of the “mass” debt of 10 billion euros over three years. During the Council of Ministers on Wednesday, Olivier Veran spoke of “an effort of 13 billion euros”.
The FHF sided with him and proposed increasing investment in hospitals by “two billion a year”.
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For its president, this Segur is a “historic opportunity” and “the government should learn from the mistakes of the past” because, “so far, reforms have had the ability to avoid real issues, such as financing, rationalization of expenditures according to the importance of care or medical deserts. The worst would be a return to technocratic and economic management at the expense of the real needs of patients”.
Date of update: 24 May 2020, 05:59
Categories: Optical Illusion
Source: newstars.edu.vn