2023-12-20 05:53:12
The downward trend has continued for twenty years: as of December 31, 2022, the 2,976 public and private hospitals had exactly 374,290 full hospitalization beds, or 6,713 fewer than the previous year (-1.8 %), according to the report from the statistical department of social ministries (Drees) published Wednesday, December 20.
Health establishments have, at the same time, created 2,591 partial hospitalization places, without a night spent in the establishment (+3.1%), to arrive at a total of 85,015 places. Unlike a bed, a « place » day care can generally accommodate several daily patients.
These figures, observed in both the public and private sectors, illustrate “a trend observed for several years”Who “reflects the will” public authorities to reorganize the provision of hospital care towards more “ambulatory”but also staff shortages, which “do not allow the beds to be maintained”according to the authors of the study.
Since the end of 2013, a total of 39,000 full hospitalization beds have been eliminated (-9.4% in nine years), and 17,400 partial hospitalization places have been created. The collapse in capacity has also been almost constant since the beginning of the 2000s, according to data available on the Irdes website (Institute for Research and Documentation in Health Economics). Caregivers regularly denounce these bed closures, which saturate services, put teams under pressure and increase tensions in emergency services.
Increase in home hospitalization
The publication of this report comes a few hours following the Minister of Health, Aurélien Rousseau, opposed to the immigration law just adopted by Parliament, submitted his resignation on Tuesday evening to the Prime Minister, Elisabeth Borne.
“My only fight for the public hospital is the reopening of the beds, even if it is not very good news for the Ondam [Objectif national des dépenses de l’Assurance maladie] », launched Mr. Rousseau, during a hearing in mid-October at the National Assembly. If the beds close, according to him, “it’s not for budgetary reasons”it is by “lack of attractiveness” care professions. And the government does not “don’t stand idly by”, he defended, referring to the large budgets allocated during the Ségur de la santé, or the recent increases in night work. At the end of November, he promised to “reopen several thousand beds by the end of the year”.
In total, nearly 29,800 beds were eliminated over the period from the end of 2016 to the end of 2022, mainly corresponding to the presidency of Emmanuel Macron. That is much more than under his predecessor François Hollande (-15,000 between the end of 2012 and the end of 2017) but significantly less than during the five-year term of Nicolas Sarkozy (-37,000).
Capacity has also decreased ” faster “ since 2020 than before the Covid-19 epidemic, notes the Drees in its study. The health crisis can “explain an increased decline”, due in particular to the temporary reassignment of intensive care staff, the rescheduling of care or even the transformation of double rooms into single rooms. However, the decline observed in 2022 is the “more marked”note the authors.
Home hospitalization (HAD) saw its capacity increase by 1.6%, following a « bond » 10.5% in 2020, and 6.8% in 2021.
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