One yr after a primary survey exhibiting the extent of the deprogramming of operations throughout the first wave of Covid, the UFC-Que Choisir takes a brand new evaluation of the scenario which underlines the persistence of the phenomenon. Given the critical results of deprogramming on the health of sufferers, the UFC-Que Choisir calls on the Minister of Health in addition to the regional health businesses to urgently put in place a system able to guaranteeing the care of all. as quickly as attainable.
A delay in care removed from being made up after a yr of health crisis
While the shock of the first wave of Covid and the want to deal with sufferers being contaminated had resulted in 74% of operations initially deliberate for March and April 2020 being deprogrammed (1), a brand new survey (2) by UFC-Que Choisir exhibits that the scenario is way from being resolved. Indeed, 39% of the operations deliberate between March 2020 and March 2021 had nonetheless not taken place in April 2021, together with 27% which had not been the topic of any reprogramming. As for operations rescheduled however not but carried out, it’s to be feared that the new appointments – on common positioned 7 months after the preliminary date – is not going to all be honored. In reality, 1 / 4 of the sufferers questioned who had to bear deprogramming had their operation postponed at the least twice.
Negative penalties for eight out of ten sufferers
The persistence of delays in therapy is all the extra worrying as in 81% of circumstances, they precipitated unfavorable penalties for sufferers. Beyond the anxieties and stress, 20% of respondents stress that the deprogramming of their operation has had the impact of worsening their health drawback and 5% level to a delay in the detection of a illness. Worse, these aggravations fairly often relate to critical pathologies: half of the unscheduled operations justified full hospitalization. In addition, a current examine (3) exhibits that kidney transplant exercise fell by 30% in 2020.
Exceptional measures are nonetheless sluggish to be taken
The alternative to switch covid sufferers to public hospitals in different areas, to the detriment of locations nonetheless obtainable in private clinics, might have raised questions on the capacities for cooperation between private and public throughout the second wave (4). In actuality, it stems from a progressive specialization of the public in the reception of sufferers with covid: public hospitals have supplied up to 88% of care since the begin of the second wave of covid, greater than throughout the first wave (5).
In order to shortly meet up with the delays in care linked to huge deprogramming, it’s crucial to consider the specificities of every sector to obtain an environment friendly distribution of duties between public and private. Since the public sector appears higher suited to the reception of covid circumstances, it’s pressing to make use of the capacities of private institutions in the administration of unscheduled operations. Coordination work must be carried out, in a position to direct customers to all the locations obtainable.
While the deprogramming of operations persist for greater than a yr after the begin of the health crisis, and due to the strategy of the summer time interval which can restrict hospital capability, the UFC-Que Choisir asks the health authorities, and extra notably to regional health businesses:
- Ensure that each one the locations obtainable in health care institutions are used in order to shortly make up for the backlog;
- Encourage the involvement of the private sector in taking cost of unscheduled operations, at no extra price to customers.
(2) Online survey performed from April 7 to 20, 2021 – 844 respondents
(3) Cf. FHF examine (Fédération Hospitalière de France) information on COVID stays and the penalties of hospital saturation and resuscitation – Press workshop March 30, 2021
(4) By approach of illustration, the president of the regional federation of private hospitalization was shocked in October 2020 by the undeniable fact that “the Nîmes University Hospital is maintaining its transfers outside the region while in Nîmes, the Polyclinique Grand Sud and the Franciscans, alerted in the crisis unit, have increased their resuscitation capacities“.