The public hospital "collapses": in a forum published Wednesday by Le Monde , 70 medical directors of the Public Assistance - Paris Hospitals (AP-HP) call to increase the budget allocated to the health and to revalue the wages caregivers, fearing an "irreversible breakpoint".
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"We are no longer able to ensure our missions in good conditions of quality and safety of care," alarmed the signatories, head of the medical departments-university (DMU) recently created at the AP-HP on the eve of a day of mobilization to "save the public hospital".
"Every week care units close"
Due to lack of staff, "hundreds of hospital beds" and "dozens of operating rooms" are closed, "every week care units close," the authors of the rostrum continued. As a result, the management delays "get longer" and are no longer "reasonable" for "urgent care", forcing patients to "turn" to the private sector. "Too few recruitments of caregivers are in sight to hope for a return to normal," say the medical directors.
To the "hundreds of posts" budgeted but not provided is added the flight, "more serious", nurses, caregivers, physiotherapists ... which leads to "overwork" and "exhaustion" remaining teams.
"Inadequate" remuneration
In particular, the "non-salary enhancement" of caregivers "for several years" and compensation "particularly" unsuited to the cost "rents, life" in the Paris region. Similarly, "the flight of doctors from university hospitals endangers the training of the entire profession" and "the level of health in France," worried the signatories.
After years of budget pressure and "gradual downsizing", they call for "upward revision" of the national goal of health insurance spending (the Ondam, which serves to limit their natural increase) to avoid " the worst "tomorrow.
A demonstration in Paris on Thursday
In their view, other "emergency measures" are needed to upgrade the "salary of paramedical staff, nurses in the first place, and doctors" or access to housing facilitated "near" hospitals. More broadly, they call for a "complete overhaul" of hospital funding.
A "big demonstration" is planned for Thursday in Paris by the unions and collectives wishing to extend the strike in progress for seven months in the emergency rooms throughout the hospital. On Tuesday, Health Minister Agnès Buzyn, who promises a "support plan" in November, said that "discussions" were "underway" on the level of Ondam.