Why I Left the University Hospital for the Private Clinic Hospital - The Failure of the Administrative Governance
Seance of wednesday 26 february 2020 (L'Hôpital : la crise)
DOI number : 10.26299/93za-3n92/emem.2018.3.014
Abstract
I have reached the peak of the university hospital career in 2000, I decided to leave the university hospital for the private clinic for the reasons which are expressed today even more clearly: the administrative mandarinate replaced the medical mandarinate, doctors have been permanently excluded from governance with the HPST reform.
The new administrative management, the race for the budget, the multiplication of proto-cols inversely proportional to the quality of human care of patients, the multiplication of posts of directors and executives parallel to the decrease in the number of carers, the abolition of services, they have leads to the current malaise where burn out is wide-spread: medical doctors have no hope and the nursing staff is totally discredited. The subvention of millions of euros will do nothing if a complete overhaul of the system is not undertaken with a new governance in which doctors will have a decisive role, by recreating units on a human scale with correct working conditions and by upgrading the salaries with a share proportional to the investment of doctors and staff.
In private clinical hospital everything is centered on the patient and the remuneration of doctors. Unlike the public, it’s depends on their activity. Private hospitals have come together and become high-level structures which attract motivated medical doctors. All this is done within their budget, because no structure could afford the slightest deficit, under penalty of closing.
We need to restore envy and consideration to all caregivers, from Doctors to nursing staff.
The new administrative management, the race for the budget, the multiplication of proto-cols inversely proportional to the quality of human care of patients, the multiplication of posts of directors and executives parallel to the decrease in the number of carers, the abolition of services, they have leads to the current malaise where burn out is wide-spread: medical doctors have no hope and the nursing staff is totally discredited. The subvention of millions of euros will do nothing if a complete overhaul of the system is not undertaken with a new governance in which doctors will have a decisive role, by recreating units on a human scale with correct working conditions and by upgrading the salaries with a share proportional to the investment of doctors and staff.
In private clinical hospital everything is centered on the patient and the remuneration of doctors. Unlike the public, it’s depends on their activity. Private hospitals have come together and become high-level structures which attract motivated medical doctors. All this is done within their budget, because no structure could afford the slightest deficit, under penalty of closing.
We need to restore envy and consideration to all caregivers, from Doctors to nursing staff.