Coronavirus grimaces: province doctors do not receive salary, fear of closing hospitals



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The brochure wrote: “We informed staff that due to the reduction in the number of services this year. subway. In July, and due to a change in the payment procedure for PSDF services, the institution’s costs in August exceeded its income.

On September 11, 2020, a meeting of the Remuneration Review Commission of the Kupiškis Hospital of the Public Institution was held on the tactics of paying employee wages for August.

Resolved: pay employees in installments. For employees with a salary of 500 EUR or less – to pay the full amount (09 14 – 09 15), and for employees who earn more than 500 EUR – to pay twice (currently to pay 500 EUR, the rest of the salary – after receiving PSDF funds for August services) ”.

Returning after the holidays, the doctors from the Kupiškis Hospital found such a note.

Returning after the holidays, the doctors from the Kupiškis Hospital found such a note.

© Readers photo

Accountant: There is no money and no one knows when he will see it

“Employees were not informed in advance in writing about the delay in wages. October 12 paystubs were received at the time of pay, but on October 16. All employees’ accounts remained empty. As always, no one knows nothing, the accountant reported that there is no money and no one knows when they will see it.

According to the employment contract, the salary is paid twice a month, on the 10th, 13th and 25th and 28th of the month. But now, despite the unpaid wages, there are no meetings, no conversations with the doctors. Why is this happening? Employees fear for the future because it is so lazy. Maybe we are going to close the hospital? “, Thought. Delphi doctors who approached the portal.

According to them, most of the hospital staff are of retirement age because young people do not want to go to work at Kupiškis hospital due to too low wages.

“There was also talk of increasing the salaries of doctors, the Ministry of Health demanded that they be increased, but the director is not implementing this plan,” denounced the doctors, who wanted to remain anonymous.

Funding was lacking for certain services.

Dainius Bardauskas, mayor of the Kupiškis district municipality, who is the founder of the said hospital. Delphi He said the money had just been transferred from the Mandatory Medical Insurance Fund (PSDF) on Monday and should come to medical bills these days.

Kupiškis Hospital.

Kupiškis Hospital.

© DELFI / Valdas Kopūstas

“There was a lack of funds for certain services during the quarantine. But now things should be back to normal. Clearly, this is a challenge because the most funding, the main cash flow, is obtained through an outpatient consultation. How many The more people refer GPs to the outpatient clinic, the more income the hospital can receive.

But knowing the procedures currently in place, where the primary health care provider provides many consultations over the phone, limits access to the outpatient consultation, which causes some problems. We are trying to fight it ”, explained D. Bardauskas.

Due to the delays in medical salaries, the mayor also saw some blame on the part of hospital administrators:

When asked if similar problems would not happen again if the quarantine were announced again, D. Bardauskas said: “And who can know what it will be like there? There is a shortage of doctors, you know that very well, especially in the province. They are older. Both take risks and are at risk. There is a problem here, but not only in the hospitals of Kupiškis, but in the hospitals of all the Lithuanian provinces ”.

Mayor: There is no talk of closure

According to D. Bardauskas, the people of Kupiškės have nothing to fear that they will be left without medical services, although the situation is complicated, there is a shortage of doctors. Still, no one is going to close the hospital and there is no talk of any restructuring.

“Many regional hospitals face this problem, not just ours, there is nothing special here. At the moment, the closure of the hospital is not really threatening, unless decisions are made somewhere that does not depend on us, but for now there is no talk of the closure ”, assured the mayor.

He would be left without the Department of Pediatrics

It is true that Mr Bardauskas did not conceal that the license of the Department of Childhood Diseases of the Kupiškis Hospital has not been extended.

“We just realized that we were wondering if we really needed this chapter. Of course, it would be a great shame if he didn’t stay, but there are such opinions.

In any case, the children of Kupiškis would continue to receive qualified health care services, there would be no problem with that. Of course, it would be more convenient to obtain them when they are provided on the spot; there is no language here. But the license has not been renewed because fever patients with “fights” are now quarantined in that department, and the facilities of health institutions are not adapted to the challenges we face now, “said the mayor.

According to the interlocutor, the need for the Department of Pediatrics was questioned when looking at the statistics of its workload. Children with infectious respiratory diseases, which usually occur during the cold season, come here the most.

“Then there is more traffic. Otherwise, the department is unloaded and its maintenance is very expensive. The children from the Kupiškis district would be sent to Panevėžys, because there the department does not have a great burden either, and they would still receive first aid and outpatient services here, ”promised A. Bardauskas.

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