Pubblicato in: Amministrazione, Devoluzione socialismo

Medici e paramedici stanno lasciando in massa la sanità. 500 al mese. La Svezia.

Giuseppe Sandro Mela.

2020-12-24.

Giulio Romano. Mantova. Palazzo Te. Caduta dei Giganti. 002 Particolare

«But even if more ICU beds are provided, the bigger concern now is whether Sweden has enough health-care workers with the skills needed to look after the country’s sickest patients»

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Gli operatori sanitari svedesi in prima linea stanno abbandonando il lavoro in numeri preoccupanti: la Svezia si trova ad affrontare una carenza di operatori sanitari, mentre il numero di dimissioni aumenta dopo un anno ininterrotto di assistenza ai pazienti Covid.

Ma questo problema non è soltanto svedese. Anche in Italia il numero delle richieste di pensione ha passato da tempo le soglie critiche.

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«Sweden’s frontline health care workers are quitting in worrying numbers as COVID cases spike»

«Sweden faces a shortage of health-care workers as the number of resignations ticks up after a relentless year of caring for Covid patients»

«Even before the first wave of the pandemic back in March, there was “a shortage of specialist nurses, including at ICUs,” she said in a phone interview»

«But even if more ICU beds are provided, the bigger concern now is whether Sweden has enough health-care workers with the skills needed to look after the country’s sickest patients»

«There are fewer qualified people available now than there were in the spring»

«But increasingly, staff are so desperate for some real time off that they see resignation as the only way out»

«resignations in the health-care profession are now up from a year ago, at as many as 500 a month»

«Stockholm has asked for additional health-care staff from Sweden’s armed forces, but it’s not clear the military has the resources to help»

«In the meantime, over 100 staff from a children’s hospital have reportedly been redeployed to intensive care units, meaning that children who had been due to receive non-emergency surgery will now be forced to wait»

«Part of the problem is that nurses in particular are increasingly unwilling to subject themselves to the hours and conditions facing them during the Covid crisis, given the average pay level»

«Sara Nordin, once an assistant nurse at an intensive care unit, …. she couldn’t make ends meet on the $33,600 basic pay she got a year»

«the danger now is that more people will die because there aren’t enough qualified health-care professionals left to look after them»

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Le unità di rianimazione e di terapie intensive necessiterebbero di personale altamente qualificato, medico ed infermieristico, ma i tempi di formazione sono lunghi ed anche molto faticosi. L’idea di trasferire dei pediatri in un reparto di rianimazione è una pura e semplice follia.

Ma se risulta essere impossibile trovare simile personale da assumere, si assiste nel converso ad una corsa al pensionamento da parte del personale in organico: cerca di scappare più veloce che possa da una situazione insostenibile.

I malanni del sistema sanitario svedese sono molto simili a quelli di tutta l’Unione Europea, e quindi anche della Italia.

– La gestione pubblica dei servizi sanitari è fallimentare.

– Hanno contingentato gli ingressi nelle scuole di medicina, sbagliando clamorosamente le previsioni delle future necessità: adesso mancano medici ed infermieri allo stato dell’arte. Ma nessuno dei ministeriali ha pagato per un simile errore.

– I sistemi sanitari sono stati coerciti in rigidissimi sistemi burocratici, che assorbono gran parte del tempo degli operatori ed ostacolano l’applicazione delle corrette azioni sanitarie, specie poi nelle emergenze. Ma nessuno può permettersi di trascurare questo aspetto, perché ‘il paziente deve morire legalmente‘, pena una condanna penale.

– Grande responsabilità poi ricade sulla magistratura, che accetta senza filtro alcuno qualsiasi azione legale contro il personale sanitario, rimandandolo invariabilmente a giudizio. A livello europeo i casi di responsabilità accertata sono un numero percentualmente sparuto, ma le sentenze che ‘il fatto non sussiste‘ arrivano dopo almeno cinque anni di iter processuale e comportano spese che gli operatori sono chiamati a coprire in prima persona.

– Alla scarsa considerazione sociale si dovrebbero aggiungere i miserandi emolumenti corrisposti a persone di così alta qualificazione e che rischiamo la propria vita per curare quella altrui. L’elenco dei medici e degli infermieri morti in servizio è impressionante. “$33,600 basic pay” sono un obolo della misericordia, con il quale è semplicemente impossibile mantenere una famiglia.

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Come si constata, il problema esiste reale e concreto.

Ma la soluzione richiederà tempi lunghi e sarà politica, non tecnica.

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Sweden Seeing “Unprecedented” Resignations In Healthcare Amid Second Wave Surge.

Swedish healthcare workers are resigning at alarming rates.

The exodus from the industry has been so stark that the chairwoman of the Swedish Association of Health Professionals, Sineva Ribeiro, has called the situation “terrible”, according to Bloomberg.

Prior to the pandemic, the country was already facing a shortage of specialists and nurses, the report notes. Now, nearly a year into the Covid crisis and with Stockholm’s intensive care capacity hitting 99%, there are fewer qualified people available to work in healthcare than there were in the Spring.

Members of the Swedish Association of Health Professionals have called it an “untenable situation”. Stockholm County’s Mayor has called the situation “extremely tense” and has acknowledged that there is a need for staff. She said on Friday: “There’s fatigue. You can’t ignore that, so it’s extremely important to get more people.”

But staff are so “desperate” for time off, they see resignation as their only option, the union has said. “We don’t have the staff to do it,” Ribeiro said. “I talked to members in August who said they would resign because it was the only way to get some time off and recover. We see high rates of sickness, symptoms of exhaustion and members who have been infected.”

And for the time being, there’s little idea as to where new capacity and staff will come from. Stockholm County has already asked for help from the country’s armed forces, but the military may not have the resources to help, either. Sweden is also asking neighboring countries, like Finland, for help. Finland has said it is ready to free up space for Swedish ICU units.

Another reason that resignations are ticking up is that nurses only make about $33,600 in basic pay, which has made it easy to decide that working during the pandemic simply isn’t worth it. Recall, back in August, we wrote about EMTs leaving their jobs in “alarming numbers” in the U.S. due to the pandemic and the poor pay.

Oren Barzilay, president of the FDNY-EMS Local 2507, representing New York City medics noted that about 60 EMTs had left the department between May and August.

“They see the risks associated with the job and the low pay, and it’s just not worth it,”  Barzilay said. EMTs start at just $30,000 per year in New York and pay tops out at about $50,000. Nationally, the job pays just $38,830 per year on average.

Alarmingly, Michael MacNeil, president of Boston’s EMS association said it’s not just older EMTs that are quitting. Rather, those with only a couple of years in the field are also leaving – and new positions are getting difficult to fill. He said: “We aren’t getting people interested and don’t have enough qualified applicants to fill available seats. We can’t fill the jobs.”

Selena Xie, president of the Austin EMS Association, representing medics in Austin, Texas said that 25 EMTs had left through August, on pace to double the annual average of 30. Xie said: “We know for sure the virus is helping people make the decision that this is not an ideal job right now and that their own health and their family’s health is at risk.”

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Sweden’s Covid Workers Are Quitting in Dangerous Numbers.

«Sweden faces a shortage of health-care workers as the number of resignations ticks up after a relentless year of caring for Covid patients. Sineva Ribeiro, the chairwoman of the Swedish Association of Health Professionals, says the situation is “terrible”.»

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Sweden’s frontline health care workers are quitting in worrying numbers as COVID cases spike.

Sweden faces a shortage of health-care workers as the number of resignations ticks up after a relentless year of caring for Covid patients.

Sineva Ribeiro, the chairwoman of the Swedish Association of Health Professionals, says the situation is “terrible.”

Even before the first wave of the pandemic back in March, there was “a shortage of specialist nurses, including at ICUs,” she said in a phone interview.

The development shows that even countries with universal health-care systems are now struggling to keep up with the Covid crisis. This week, Stockholm’s intensive care capacity hit 99%, sending the city into a panic and prompting calls for outside help.

But even if more ICU beds are provided, the bigger concern now is whether Sweden has enough health-care workers with the skills needed to look after the country’s sickest patients.

Ribeiro says that already back in May, members of her union “warned of an untenable situation.” There are fewer qualified people available now than there were in the spring, “which makes it harder to expand ICU capacity,” she said.

Health-care professionals have emerged as the heroes of the Covid crisis, often drawing cheers from grateful onlookers as they emerge from hospitals after long and grueling shifts.

But increasingly, staff are so desperate for some real time off that they see resignation as the only way out, Ribeiro said. A survey by broadcaster TV4 showed that in 13 of Sweden’s 21 regions, resignations in the health-care profession are now up from a year ago, at as many as 500 a month.

The Army

Stockholm County Mayor Irene Svenonius says the situation is “extremely tense.” In an interview with Dagens Nyheter on Friday, she acknowledged that health-care workers are overworked, and that there’s a need to add staff. “There’s fatigue,” she said. “You can’t ignore that, so it’s extremely important to get more people.”

It’s uncertain where that extra capacity will come from. Stockholm has asked for additional health-care staff from Sweden’s armed forces, but it’s not clear the military has the resources to help. In the meantime, over 100 staff from a children’s hospital have reportedly been redeployed to intensive care units, meaning that children who had been due to receive non-emergency surgery will now be forced to wait.

Sweden, which has avoided a lockdown since the pandemic started, is also turning to other Nordic countries for help. On Saturday, neighboring Finland said it’s ready to assist by freeing up space for Swedish ICU patients.

The worry is that, despite scientific strides that allow medics to better understand and treat Covid-19, there aren’t enough professionals left to put that knowledge into practice.

“We don’t have the staff to do it,” Ribeiro said. She described the current health-care crisis facing the country as “unprecedented.” 

Nurse’s Pay

Part of the problem is that nurses in particular are increasingly unwilling to subject themselves to the hours and conditions facing them during the Covid crisis, given the average pay level. Sara Nordin, once an assistant nurse at an intensive care unit, told Bloomberg in October that she quit because she couldn’t make ends meet on the $33,600 basic pay she got a year.

“I talked to members in August who said they would resign because it was the only way to get some time off and recover,” Ribeiro said. “We see high rates of sickness, symptoms of exhaustion and members who have been infected.”

For Sweden, the danger now is that more people will die because there aren’t enough qualified health-care professionals left to look after them.

“In a work environment where you are so tired, the risk of mistakes increases,” Ribeiro said. “And those mistakes can lead to patients dying.”