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Another round is over, and hospitals return to the bottom of the list: "Exploiting our morals"

In the past year, the health care system has shifted from corona patients to combat wounded, and for a moment there seemed to be a change in the perception of decision makers.

In a conversation with Walla!

Five hospital administrators talk about landing back on the ground, and share the feeling that they have been forgotten once again: "We have to fight for the right to health"

Tags

• hospitals

• Corona virus

• The guardian of the walls

• Health Care System

• Beilinson Hospital

• Rambam Hospital

• Soroka Hospital

• Sheba Hospital

• Wolfson Hospital

Meirav Cohen

Wednesday, May 26, 2021, 2:15 p.m.

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In the video: Update from Barzilai Hospital on the condition of the beetles on the 11th day of Operation The Guardian of the Walls (Photo: Yotam Ronen)

After a difficult year and a half in dealing with the Corona virus, the hospitals also had to deal with a large-scale military operation, which gave its signals all over the country.

From north to south, medical teams were forced to mobilize once again to treat the wounded and injured.

Despite the exceptional effort, the status of medical staff is not rising, and health care budgets remain low relative to Western countries.

Five directors from the largest hospitals in the country, from Be'er Sheva to Haifa, say in an interview with Walla!

About the feelings the day after the corona, and about the war inside and outside the home.

Read more about the health system

• The threat of layoffs in the health system: 11 Arab workers and 2 Jews were summoned to a hearing

• Hundreds demonstrate in protest of interns: "The Treasury is violating our conditions, as if it were not Corona"

• The first aid button that accompanies anywhere and anytime

The unusual effort is over, conditions are back to normal.

Hadassah Ein Kerem Hospital in Jerusalem (Photo: Flash 90, Hadas Porush)

The deputy director of

Sheba

Hospital

in Tel Hashomer

, Prof. Arnon Afek, says that "when the epidemic began, the health system was efficient and good - the Bloomberg Index ranked it sixth most efficient worldwide - but without reserves. Therefore, there are long queues. I am ashamed that this is how we behave as a country towards our parents. "

Afek recalled that at the beginning of the plague many budgets were invested at once to fight the plague, but no resources were allocated for long-term effects.

"Today we have nothing to do with parking lots opened for the benefit of corona patients or respirators, which we eventually realized were not needed. From this crisis we need to learn to direct resources correctly and not just here and now."

"Wants to apologize to the patients."

Prof. Afek (Photo: Reuven Castro)

The issue of devices has the same problem.

"We have moved all the new standards to treatment in Corona, not to places where there are normal loads. The ideas of freezing admissions and layoffs put us in an impossible situation. The health system will always stand, like the security system - we will not leave our patients. These are not our values. "We are taking advantage of this. I want to apologize to the patients who will not receive treatment. We are simply taking advantage of our morality," Afek resents.

He pointed to a series of changes the system needs to match Western countries: "First and foremost, smartly add resources to the system. Second, a new pricing system in the system that does not harm the public and private. Another thing - cooperation between hospitals in the center and the periphery should be encouraged so as not to "There will be a shortage of manpower. And finally - transparency in prices."

"The longer we wait, the bigger the gap"

The director of the

Wolfson

Hospital

in Holon

, Dr. Anat Angel, believes that "the Israeli health system is excellent and is based on excellent manpower." The ideal occupancy should be 85%. In Israel, we even reach 120%. It hurts patient services. We are on the way to an aging society that needs more medical treatment. Need to adjust the resources, some of which are for chronic treatments. The longer we wait, the greater the gap for the system.

"" The corona has intensified the shortages of manpower and information systems, "she says." We have created new infrastructure and worked day and night. The health care system operated beyond the edge even before the plague, and if the under-budgeting had also been in 2020 we would not have met it. We are committed to a high standard not only for the next epidemic, patients deserve the best care. "

"Health is an expensive issue, but it's one of the most important things for a company's resilience. There's no reason why budgeting the health care system should not be a priority," Angel explains.

"We need to get rid of the paradigms of efficiency to the end and budget in a manner of distributive justice. It is right to reward according to action and according to population. We need to budget according to criteria, in measured and small steps."

More on Walla!

State Comptroller: Poor management leads to long waiting times for surgeries in Israel

To the full article

It is not surprising that politicians do not want the health portfolio. "Dr. Angel and Minister Edelstein (Photo: Official website, Shlomi Yosef)

Dr. Angel, one of the only women to run a hospital in Israel, demands that the waiting period in hospitals be opened to the public so that they can make an informed choice about which one to turn to. "In Israel I can not go anywhere I want to receive medical service , Because of the arrangements with the HMOs.

Let's reveal information, and a person will make his decision.

The HMOs are great, but the selection arrangements are a good consideration for the HMOs, we need to work with a choice space in front of them and cooperation in order to create a therapeutic continuum. "

Angel concludes:" I am not surprised that politicians do not want the health portfolio again. .

We have to fight for the right to the best health. "

"The system is so effective that it risks patients"

Haifa is also not satisfied.

The director of

Rambam

Hospital

, Dr. Mickey Halbertl, is furious at the Treasury's decision to cancel the 600 devices added to the system in favor of treating corona patients in the past year.

"Just before the outbreak of the plague, in February 2020, we had a very limited workforce and a starving system, which is why we gave a special standard for the Corona period. Now we want to stop the work of the teams, which we have longed for many years. It does not even bridge existing gaps, but it "It helps the system to continue to function. These teams are not cream, but something we can continue to exist," he explains.

"We are not open to negotiations, devices should remain in the system.

That's the minimum. "

"The team feels exploited for its commitment."

Dr. Halbertl (Photo: Official Website, -)

The Ministry of Finance claims that these devices were issued with an expiration date - until next June. But Dr. Halbertl claims that the decision was made because there was no state budget. "They said they could not give them until June 2021 because of the budget problems of the State of Israel. Today we know that a solution can be given to this. The nursing staff and the rate of nurses in Israel is the smallest in the Western world, so this is the minimum required for the system. The situation is similar with the number of beds: we stand at 1.68 beds per thousand patients, while in OECD countries it is three beds per thousand patients.

"" There was a very large price during the corona period, some patients did not receive optimal care and the staff felt exploited. Could we let the system crash, and then we would learn? Is this what is expected of us? "The fact that we kept our finger in the dam so that it would not collapse does not mean that the dam is good," Halbertl asserts.

He said, "We are a system that is very effective at risking patients. If the Treasury has such authority, then they will take the responsibility. It is distorted that the responsibility is with us but the authority is with them. .

"Politicians do not fight for the Ministry of Health"

In

Beilinson in Petah Tikva,

they claim that the problem lies in the fact that the health care system provides services to the whole of society, and not just to a particular sector, and therefore no politician puts the issue first. "The health care system is highly regarded by the public, from all corners. I do not think there is an element in Israeli society that would say less than excellent things about the system. But at the decision-makers' table it is not reflected," says hospital director Dr. Eitan Wertheim. That politicians are not fighting for the Ministry of Health. All parties say health is important to them, but no one is threatening to resign from the government if health demands are not met. Therefore, it is difficult for the system to obtain resources for the coming years. "

"I hope that the next government that is formed will find it appropriate to invest in health even if it does not appeal to any audience of voters," he asks.

"It was expected that on the first day of the government there would be a decision to increase health care and that it would remain in the system, and not and sign an art, like the health minister. Let's put the health care system first."

"Let's put the health care system first."

Beilinson Hospital (Photo: Reuven Castro)

Wertheim also details the steps that need to be taken.

"We need a lot of medical and nursing students so that there is enough supply and we do not have a shortage of periphery in certain professions. We need to regulate the infrastructure, like overcrowding and beds. In most countries the principals are not busy raising resources, and the infrastructure is public. One can not imagine completing the health care system on donations.In addition there is no committee that determines what goes into the budget like a health basket committee, it should not look like this.We dare not say and it is unthinkable to tell a resident in the south to fund the Iron Dome, but that's what That we do in health. "

"We took responsibility in the round of fighting, and now we are being punished"

The director of

Soroka

Hospital

in Be'er Sheva

, Dr. Shlomi Kodesh, explains that the abolition of the standards means lengthening. "In the Negev, a thousand specialized doctors are missing, and they gave him 45 extra for Korona, and now they want to take that too.

We were given the Hersh sheep and are now taking.

Even the hundred sisters who gave us want to take.

People will lick corona wounds for a long time to come.

Corona patients were treated well, but what about the rest of the patients? ”He wonders.

"Another attack in Iran and we are going down to the bottom again."

Dr. Kodesh (Photo: Official Website, Spokeswoman at Soroka Hospital)

Dr. Kodesh explains that the system immediately needs another three to five billion shekels from the state budget, to increase the number of medical students by hundreds - and then to increase the standards. "The Ministry of Finance wants to take 600 standards for people who are already in the system. What are we supposed to do with these people? I hope we strengthen the health system, it is very efficient but needs to transfer resources. I sincerely hope that the next prime minister will learn from the plague. It's a pity that after a year like this, we have to bleed to keep people in the system. "

Soroka Hospital has been at the forefront for the past two weeks, since the escalation with Hamas began.

At present, 15 wounded are still hospitalized.

"Soroka has a national responsibility of a million people, we take our role as a super center very seriously. Anyone who hits a hospital that spent so much time after the war ended, takes a risk. The health system excelled in Corona and Soroka stabilizes in every round of fighting - and now we are punished "The doctor's position is better than a year ago, but another attack in Iran and we are going down to the bottom again."

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