the promise of recent beds masks the scarcity of docs | EUROtoday

Catherine Vautrin, Minister of Labor, Health and Solidarity, ought to have some motive to point out off by presenting, Wednesday April 10, to the Council of Ministers – concurrently the invoice on the tip of life – a “ten-year strategy for strengthening palliative care”. The acknowledged goal of this ” strategy “ is to supply palliative care to any affected person who wants it. To assure this “universal access” by 2034, a further 1.1 billion euros are deliberate over the interval. That is a rise in credit of 66% in comparison with a present annual expenditure of 1.6 billion euros, financed by Social Security. A windfall that permits the federal government to decide to creating hospital beds and new specialised constructions (20 new palliative care items by 2025, 100 cellular palliative care groups created over ten years, and many others.).

An exquisite image which however ignores a actuality: the numerous variety of unfilled positions in already current constructions. The newest examine dates again to 2020. Carried out for the National Center for Palliative and End-of-Life Care, it establishes a spot of 30% between the precise workforce and the variety of positions to be stuffed, really helpful by a 2008 round from the Ministry of Health which units workers ratios in palliative care constructions. In this sector, the formally deliberate and funded variety of docs, nurses, well being managers, psychologists, in comparison with the variety of beds, is greater than in different branches of medication.

In 2024, what’s the scarcity of caregivers? “The data we have has not yet been fully analyzed. The figures remain to be refined, responds the office of M^me Vautrin. But the elements we have clearly show that there is demographic tension in the different structures. » The ministry cites the fact that the circular was replaced by an instruction published in June 2023. Which requires new calculations.

A training “channel”

A couple of surveys in a number of areas and departments are sufficient to ascertain the significance of vacant nursing positions. In Provence-Alpes-Côte d'Azur (PACA), the overwhelming majority of palliative care items function with fewer than two docs for ten to 12 beds. The ratio really helpful by the ministry is at the least two to a few docs. In this area, half of the cellular palliative care groups wouldn’t have a physician, though they need to have at the least one practitioner. In Ile-de-France, one in two cellular groups additionally function with out a physician. However, PACA and Ile-de-France should not the worst-off areas when it comes to palliative care provision.

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