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Cecília Müller on Tuesday sent an official letter shared by health expert Kunetz Zsombor to the heads of the institutions entitled “Request for information on the secondment of health workers.”
The national medical director argues that during the second wave of the coronavirus epidemic, a further increase in the number of patients requiring hospital care is expected due to the increase in the number of new infections and suspected cases of infection.
To ensure the care of Covid-19 patients, it is necessary to increase the Covid-19 care capacity of designated healthcare providers to care for infected patients, including the human resources needed to care for patients, who already they cannot be resolved by the institutions involved. remember that
In the event of a health crisis, any health care worker may be transferred to a health care institution providing primary care, outpatient care, or hospital care or to a temporary medical institution for other health care activities.
Therefore, this letter was also received by private healthcare providers, who had to submit data on their healthcare workers in tabular form before noon today.
In other words, the government is preparing another important step to aggravate the epidemic situation, since the management plan is under way, since the increase in the number of patients treated in the hospital requires more health workers in the institutions. It is also important to see that learning from the consequences of the spring period (untreated patients, postponement of elective interventions, repatriated patients) uses a fundamentally different health strategy for the care system. 1) The capacities of public hospitals are gradually being released (more recently a 20% availability was issued, which means 14,000 beds), unlike March-April (when the discharge rate was first 60%, which finally was 50%). meg). 2) This also has the consequence that coronavirus-free patient care can continue, which is good news for overall patient care. 3) However, due to the first two points, the care system is markedly strained, with more pressure on hospitals and specialized personnel than during the first wave of epidemics. And this tension can only be addressed if the government intervenes at the biggest bottleneck on the supply side of the supply system. Recognizing this, a letter could now be issued from the national chief physician regarding the possibility of removal.
The Hungarian implementation is interesting: this was the English style in the spring
Attila Végh is a health manager who was previously the number one leader in private clinics in Western Europe, but presented in march in an interview with Portfolio, how the care system in England responded to the epidemic. It turns out that the other way is not to withdraw labor from the private sector by the state system, but to outsource the benefits there to the government.
“There have been a number of measures in the UK that affect both the public and private sectors. This is also very important because there are over 100,000 public health vacancies in England (out of 1.3 million jobs). Furthermore Hospitals are very congested, March is usually the busiest month, with 94% bed occupancy, which is very high. 30% of the total (approximately 100,000) acute hospital beds. All planned surgeries will be postponed , such as hernias, cataracts, joint surgeries. Only from April 15 will surgery be performed on cancer patients, critical and urgent according to strict criteria. Surgeries can only be booked up to 3 weeks in advance. All patients who are in a public acute hospital for more than 21 days will be relocated, freeing up acute capacities. Non-somatic, psychiatric and other providers’ care centers are also equipped with ventilators es and to care for somatic patients without coronavirus. An important agreement has been reached with private service providers in the framework of the defense measure.
The state has access to private sector beds and the 20,000 clinics employed there, where some surgery is subcontracted, as well as intensive care and access to ventilators for patients infected with the coronavirus. The cost of these benefits is reimbursed by the state, but only at cost, with no profit.
In reality, this is a win-win situation because in a crisis situation, a private service provider may be forced to shut down while incurring fixed costs and sending valuable labor would also be painful. Another measure in the island nation is the conversion of operating rooms into hospitals to care for people infected by coronavirus. In addition, administrative burdens are reduced and quality controls are eliminated. Administration protocols can be suspended if this makes treatment difficult for patients. It is also an important decision that everyone, regardless of their field of expertise, can be asked to care for patients in intensive or ventilated care. And, of course, they also decided to buy new fans ”, explained the expert.
He also added at the time that triassic and isolation protocols were introduced in England, involving medical students and medical researchers in care, maximizing staff availability, remembering everyone in the system, and abolishing licensing. At the same time, the decision was made to withdraw the doctors who had left for the last 3 years. Meanwhile, the training of professionals to treat coronavirus patients according to the Covid-19 protocols continues. And the state will also ensure that the supervision of the children of health workers is resolved. Meanwhile, of course, the possibility of teleworking is offered, as far as possible teleconsultation has been introduced to serve outpatients.
Top image: A soldier is testing line counting equipment in a tent set up in the courtyard of the South Pest Central Hospital (DPC) on September 21, 2020, where the tent system will be operational again. This is where the screening of people infected with coronavirus takes place. The tent complex was built on March 25 so that hospital staff could pre-classify patients arriving at the hospital here. Source: MTI / Koszticsák Szilárd
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