A commission of inquiry rendered, Thursday, March 31, a report which includes 80 recommendations to combat the hospital crisis. In particular, it proposes to reduce the share of “activity pricing” and to loosen the vice of the national objective of health insurance expenditure (ONDAM).
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With a bouquet of 80 Recommendations made public Thursday, March 31, senators are looking at the hospital crisis, highlighted and aggravated by two years of health crisis. Reduction of the number of beds, shortage of nurses, emergency service closures for lack of medical staff … At the request of the Republicans group, a commission of inquiry into “the situation of the hospital and the health system in France “was formed in the fall of 2021 and auditioned, since December, medical and administrative officials of institutions, physicians and hospitals, city care professionals, or public bodies and local elected officials.
If the 295-page ratio does not have a smashing recommendation, it puts on the front of the stage a desperately absent subject from the debates of the presidential campaign, to the chagrin of caregivers. It is diagnosed and offers a set of remedies for the hospital that now finds a broad echo in the political class.
“To stop the negative spiral in which institutions are entrained”, the Commission, chaired by Socialist Bernard Jomier, and whose Senator LR Catherine deroche is rapporteur, calls for “sustainable financing and consistent with the needs of health “, but also to restore” freedom and autonomy to healthcare teams and institutions “and” attractiveness and meaning to care trades “.
Better databases
Senators return to one of the triggers of this report: what about the share of closed beds in the hospital recurrently for lack of staff? The publication of the 20% shock figure, advanced in a report of the Scientific Council of 5 October 2021, had been challenged immediately by the Minister of Health, Olivier Véran, who had a few weeks later in December, after investigation of the General Branch of the Care Offer, the number of 2% of full hospitalization beds less than in 2019.
Reminding the Ribambelle of very different percentages on these closures, the authors of the report deplore a “lack of measurement and monitoring of capacity reductions and personal shortages” by the State, considering that the situation is A “little evolved” since the 2006 Court of Auditors. “The Ministry of Health does not have reliable information on the workforce and the distribution of hospital staff. The resulting opacity, combined with the Ignorance of the medical work time, does not allow a knowledge of the supply of care sufficiently precise to guide decisions, “written the institution of Cambon Street.
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