2024-01-29 13:12:26
A “deep and rapid deterioration”… The 32 French university hospital centers (CHU) reached a cumulative deficit of 1.2 billion euros at the end of 2023, or three times more than in 2022, when it was 402 million euros. euros, alert the representative bodies of directors, deans and doctors on Monday, calling for “emergency measures”.
“The self-financing capacity of CHUs, and therefore investment, has fallen by 86%,” they continue. These difficulties are “perhaps the most serious since the creation of university hospitals in 1958”.
Figures which “weigh heavily on hopes for improvement”
This deterioration “is linked to several external factors”, including an explosion in expenditure due to inflation (with a balance of 585 million euros for CHUs in 2023), a lack of funding for Ségur measures. health and a drop in revenue due to bed closures following the Covid-19 epidemic, explain the presidents.
These figures “weigh heavily on the hopes of improvement”, recently observed in terms of the attractiveness of careers and the loyalty of caregivers, they estimate. The CHUs in fact felt “a slight improvement in terms of absenteeism”, despite a “still significant turnover among nurses”. “Even if we have been able to reopen beds in recent months, several sectors are in great difficulty, such as geriatrics, pediatrics or psychiatry,” explains Professor Rémi Salomon, who represents the doctors, in the press release.
“Long-term financing strategy”
According to them, the current situation will lead to “an extension of payment terms for suppliers and a profound weakening of Ségur investment operations, at a time when recourse to borrowing is more difficult and more costly”. “In the short term, there is still time to avoid the worst,” they argue.
They call on the public authorities to “compensate for the high inflation” of 2023 and to “return to public hospitals” the part of the Ondam (national objective for health insurance expenditure) reserved for hospitals but which has not been actually consumed – an amount they estimate at 800 million euros. Finally, they call for a “long-term financing strategy”.
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