Health: scientific communities, -42 thousand NHS employees in the last 10 years – Health

In terms of staff and places, life in Italian hospitals has been a constant ‘bleeding’ for the last 10 years: in fact, 25,000 beds and 42,380 staff have been cut in a decade (2010-2019). This is the balance made by the Forum of the 30 Scientific Associations of Italian Hospital and University Clinicians (Fossc), which warns: “we need a suitable hospital extended to the territory to avoid collapse”.

The progressive weakening of hospital treatment in our country is in the numbers, the forum notes: in these 10 years the number of nursing homes has fallen from 1,165 to 1,054, with a reduction of about 25 thousand ordinary hospital beds (from 215 thousand to 190 thousand). Not only. National health care workers fell by 42,380 units (from 646,236 to 603,856), and the definition of health care reached 37 billion. The pandemic, the forum says, “has also shown the weakness of the system, and the current crisis in the emergency room is nothing but the result of years of cuts and the tip of the iceberg of a hospital system in trouble”.

“The reform of Territorial Medicine – says Francesco Cognetti, Fossc Coordinator – is insufficient to fill the serious and increasingly clear gaps. We are asking for more resources and staff to stop the bleeding of white coats, and we are repeating for the Minister of Health the need for a common table to solve all the serious problems in the health system “.
According to scientific societies “the need to bring treatments closer to the patients’ living environment can not only be satisfied with the creation of new structures, the so-called Community Houses, but there is a need for a new model where the territory and the hospital are We agree in other words about the need to strengthen local medicine – he emphasizes – but we believe that it is not enough to solve the problems at the hospital, starting with waiting lists and the collapse of emergency rooms ”.

According to scientific societies “it is necessary that the number of ordinary hospital beds grows well above 350 per 100,000 inhabitants today to reach at least the European average of 500. The number of intensive care beds must also exceed 14 places. Read, however, remained on paper and never reached of at least 25 per 100,000 inhabitants “. Also by learning from the lesson of the pandemic, “it is also necessary to offer areas of semi-intensive care in both the medical ward and the emergency department”. Then, Cognetti emphasizes, “a progressive prerogative for services in favor of the private sector over the public sector, which is thus depleted,” is underway. As for health workers, “they are inadequate in relation to the population of our country: Hospital specialists are about 130 thousand, 60 thousand fewer than in Germany and 43 thousand fewer than in France. And in Italy, the bleeding of white coats also affects doctors in general medicine: about 40,700, but every year 3,000 retire. And we are witnessing a consistent emigration of newly qualified and postgraduate doctors because pay and working conditions abroad are much better “. In fact, he warns, “the system is close to collapse. The construction of new buildings, such as the Common Houses, is not enough, which does not respond at all to the idea of ​​proximity to care and risks remaining cathedrals in the desert without any connection to the ‘hospital.’ , which still largely exists. locally, in short, to find solutions that, after an increase in expenditure, make it possible to guarantee added value “.

Leave a Comment