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Absenteeism, vacant positions... A study highlights the difficulties of public hospitals

2022-06-22T17:30:02.574Z


The French hospital federation specifies in particular that almost all of the establishments questioned encounter difficulties in attracting staff.


At the hospital, the crisis broke out on all floors and the evidence of global malaise continued to accumulate.

In a survey covering the months of April and May, unveiled by AFP on Wednesday and sent to

Le Figaro

, the French Hospital Federation (FHF) looks back on the situation of public health and medico-social establishments in terms of human resources .

The 405 establishments that responded to the survey represent some 382,000 non-medical professionals, enough to draw a representative panorama of the situation, according to the FHF.

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The lexical field of the study is without appeal and the objections noted are numerous.

First, absenteeism has stabilized "

at a historically high level

", putting the teams under pressure.

In 2021, the average rate observed over the year reached 9.9%, i.e. one percentage point more than in 2019 and 2.5 points more than in 2012. While absenteeism fell slightly compared to 2020, it remains set at a record level and even continues to increase in university hospitals.

Then, despite an increase in staff numbers reaching "

3% [...] in 3 years

", public establishments still suffer from numerous vacancies.

In other words, "

if more caregivers have been working in the establishments since 2019, this situation has not made it possible to reduce the proportion of vacant posts

» among nurses and caregivers.

The latter are still not in sufficient number, while the demand for care has increased.

The share of vacancies for state-qualified nurses has thus increased from 7.5% to 13.1% in three years in medico-social establishments and services (ESMS), and from 3% to 6.6% in health establishments, excluding university hospitals.

Conversely, the situation for caregivers improved in the ESMS and the CHU or CHR, but it worsened in the other health establishments.

In the longer term, recruiting to meet needs and fill gaps turns into a headache, note the establishments, of which eight out of ten "

experience permanent difficulties

" in attracting candidates and 19% occasional difficulties.

The priority remains to recruit nurses for the CHUs and CHs, and nursing assistants for the nursing homes, it is specified.

In addition, personnel willing to work nights are particularly sought after.

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The backlog of care accumulated during the epidemic is difficult to make up for, due to a lack of manpower.

The workload therefore increases for the staff who remain, as does fatigue, overtime and the use of temporary workers, a solution to temporarily fill the gaps in the teams.

Another track particularly decried to relieve the teams, many establishments are forced to temporarily close beds, up to 40% of them, and 85% of the CHU and CHR.

However, despite the lack of arms, there is no cohort of unvaccinated personnel, suspended for several months, who could help the teams by being reinstated, judges the FHF.

"

About 4,000 to 5,000 professionals from all professions, caregivers and non-caregivers

", are still suspended on April 1, estimates the federation, or 0.3% of the total of agents in the hospital public service.

A drop of water, and certainly not enough to save the hospital.

A “difficult summer is looming”

The combination of these different factors shows an unprecedented human situation in the corridors of establishments.

Certainly, in recent months, the situation has been able to partially stabilize with the Ségur de la santé, and the finding may differ in part depending on the type of establishment.

But the scale of the crisis, on the edge of the holidays, makes professionals despair.

The FHF itself also expects busy months: "

a difficult summer is looming in particular in terms of the management of unscheduled care

", she warns.

This document is only the latest evidence of the many ills from which the public hospital has suffered for years.

At the end of May, data coming from the field had underlined that many territories were seeing entire services close, for lack of personnel to take care of them.

And this, even though the summer holidays had not started.

Interviewed, professionals saw the next few weeks with a mixture of resignation and concern: “

I don't see any prospect of improvement in the next two years, and neither do my colleagues.

So, how long are we going to hold out?

asked a member of the Collectif inter-urgences at the end of May.

The summer is going to be "

excruciating

“Warned for his part the president of the Association of hospital emergency physicians of France, Patrick Pelloux, in May.

One thing is certain: there is no doubt that the profile of the future replacement for the Minister of Health Brigitte Bourguignon, who will leave the government, after his failure in the legislative elections, will be closely scrutinized by the profession.

Source: lefigaro

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