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The Covid-19 crisis has accelerated the process of bed closures in 2020

Between the finish of 2019 and the finish of 2020, reception capability fell by 1.2%, confirmed a report by DREES revealed on Tuesday morning.

Between the finish of 2021 and May 2022, closing hospital beds has fueled the presidential marketing campaign. Just a few months later, the DREEs launched this Tuesday a listing of well being facility situations in 2020, 1 12 months into the Covid-19 pandemic. Dating from final September confirms the first estimate of the statistical service related to the Ministry of Health: if the quantity of full hospital beds – in different phrases, with in a single day stays – has been on a downward slope for ten years, the Covid-19 crisis has intensified this development in 2020.

In whole, 4,900 beds had been closed in 2020, a lower of 1.2% in comparison with the finish of 2019, the report famous, with the reception capability reaching 387,000 beds at the finish of the 12 months. This decline is extra marked than earlier years’ dynamics, which averaged -0.9% per 12 months between 2013 and 2019.

The discount in the quantity of beds must be analyzed in the context of the shift in the direction of ambulatory care – that’s, with out in a single day stays – in hospitals working for twenty years. If that 12 months is additional marked, “This is probably going linked to the context of the Covid-19 pandemic and its penalties on hospital admission capability and hospital human sources.“Several elements have come into play, together with deprogramming non-emergency operations, redeploying sure workers to vital care providers, in addition to changing many double rooms to single rooms to keep away from transmission of the virus,” Drees stated.

Increase in quantity of vital care beds

This decline, nevertheless, is proportional to the accompanying decline in general hospital exercise because of the well being crisis.“, the doc qualifies: the deprogramming of non-urgent care because of the epidemic is an element, management measures and barrier gestures in addition to the improve in non-use of hospitals, because of the concern of being contaminated by Covid.

This unprecedented decline in hospital exercise additionally weighed in half on hospitalizations, which elevated by a median of 2.5% per 12 months from 2013 to 2019. In 2020, in comparability, they grew by only one.7% (+1300 locations). improve”Mainly pushed by non-public clinics, whereas the well being crisis seems to have slowed the dynamism of public hospitals and personal non-profits.“, the statistical service specifies. Likewise, the well being crisis has lowered the quantity of emergency room visits (-17.3% in comparison with 2019), figuring out “A break with the regular and dynamic progress noticed since 1996

As famous by DREES in September, whereas the quantity of full hospital beds decreased considerably between the finish of 2019 and the finish of 2020, the Covid-19 pandemic led to a major improve in vital care capability, which helps sufferers whose well being situations are very alarming. The latter had been already on an upward development earlier than the crisis (+6.9% between the finish of 2013 and the finish of 2019), however they actually jumped because of the well being crisis: the quantity of vital care beds elevated by 3, 6% between the finish of 2019 and the finish of 2020, “Three instances larger than the earlier six-year development“, DREES signifies. In specific, the quantity of intensive care beds elevated by 14.3%.

Lack of workers

It must be famous, nevertheless, that these information on hospital beds, notably in vital care, come from expenditure incurred on 31 December of every year. honey, “With the well being crisis related to the Covid-19 pandemic, the quantity of beds has skilled sturdy variations in 2020, in line with the pandemic wave.Drees factors out. Temporary deployment of beds to take care of epidemics is due to this fact not included in this year-end checklist.The service is due to this fact unable to supply information on the common quantity of open beds all through 2020.

Highly anticipated, information on hospital reception capability at the finish of 2021 will probably be unveiled by the Department of Statistics at the finish of September. But a number of professionals interviewed are pessimistic. “continued off the bed, stated emergency physician Christophe Prudhomme, nationwide CGT well being consultantBecause the deliberate restructuring program, accelerated by successive well being ministers, at all times has the similar logic: whenever you renovate a hospital, it’s essential to lower no less than 20% of the beds, which don’t change.” And this, regardless of the well being crisis.

For his half, Remy Solomon thinks that it’s troublesome to foretell the evolution of the hospital’s reception capability for 2 years. But, in line with CHU’s Presidents’ Conference of Establishment Medical Commission (CME), these beds have been closing in current months “Not by selection, however by lack of workers” An finish which pressured many hospitals this summer season, in Bordeaux, Besançon, Rennes, Vierzon, Dijon and even Poitiers. As for the closuredrybed »Much of this is because of the evolution of care techniques, that are more and more being carried out“, we are saying to FHF, which says that it doesn’t have more moderen statistics than DREES. There is little doubt that additional publication on this subject will probably be intently scrutinized, together with by political actors.

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