![\"conf_DRG_5_10_2015\"](\"https:\/\/www.ogbl.lu\/wp-content\/uploads\/communiques\/conf_DRG_5_10_2015.jpg\")
<\/a><\/p>\nAlors que le gouvernement a annonc\u00e9 dans son programme de coalition vouloir introduire d\u2019ici 2018 un nouveau mod\u00e8le de financement des \u00e9tablissements hospitaliers, pr\u00e9voyant un syst\u00e8me de \u00abtarification \u00e0 l\u2019activit\u00e9\u00bb, le syndicat Sant\u00e9, Services sociaux et \u00e9ducatifs de l\u2019OGBL a organis\u00e9 le 5 octobre dernier \u00e0 Remich (CEFOS), une conf\u00e9rence pour comprendre quelles seraient les cons\u00e9quences de l\u2019introduction d\u2019un tel mod\u00e8le de financement sur le personnel, les h\u00f4pitaux et le personnel. Une conf\u00e9rence qui a connu un franc succ\u00e8s au regard du grand nombre de participants.<\/p>\n
Invit\u00e9 \u00e0 s\u2019exprimer sur le sujet, Herbert Weisbrod-Frey, responsable du secteur sant\u00e9 aupr\u00e8s du bureau conf\u00e9d\u00e9ral du syndicat allemand ver.di., a d\u00e9cortiqu\u00e9 ce mod\u00e8le qui a d\u00e9j\u00e0 \u00e9t\u00e9 adopt\u00e9 en Allemagne. Et selon ce dernier, il n\u2019y aurait vraiment rien de bon \u00e0 en attendre.<\/p>\n
Premi\u00e8rement, les attentes quant \u00e0 davantage de transparence (un objectif clairement affich\u00e9) constituent une d\u00e9ception am\u00e8re.<\/p>\n
Deuxi\u00e8mement, l\u2019introduction de la \u00abtarification \u00e0 l\u2019acte\u00bb a conduit \u00e0 des r\u00e9ductions drastiques de personnel dans les \u00e9tablissements hospitaliers.<\/p>\n
Troisi\u00e8mement, le nouveau syst\u00e8me a entra\u00een\u00e9 une diminution du temps moyen d\u2019hospitalisation des patients, sous couvert d\u2019efficience \u00e9conomique. Le syst\u00e8me visant \u00e0 \u00e9viter autant que possible les longs s\u00e9jours, \u00e9videmment plus co\u00fbteux.
\nIdem pour ce qui en est plus g\u00e9n\u00e9ralement des moyens investis pour traiter les patients.
\nQuatri\u00e8mement, on observe une tendance accrue \u00e0 la privatisation des h\u00f4pitaux allemands au profit d\u2019une multitude de cliniques priv\u00e9es.<\/p>\n
Cinqui\u00e8mement, les d\u00e9l\u00e9gations du personnel dans les h\u00f4pitaux ont vu leur marge de man\u0153uvre fortement se r\u00e9duire \u00e0 la suite du nouveau syst\u00e8me de gestion m\u00e9dico-\u00e9conomique.<\/p>\n
Il ressort clairement de la r\u00e9alit\u00e9 hospitali\u00e8re allemande que le syst\u00e8me de \u00abtarification \u00e0 l\u2019activit\u00e9\u00bb a des cons\u00e9quences d\u00e9sastreuses aussi bien en ce qui concerne la qualit\u00e9 des prestations fournies aux patients, que sur le personnel travaillant dans les h\u00f4pitaux. Les h\u00f4pitaux doivent en effet atteindre leurs objectifs de recettes pour pouvoir continuer \u00e0 exploiter leur \u00e9tablissement. N\u2019est alors plus consid\u00e9r\u00e9 le patient en tant que tel, mais principalement ce qu’il peut rapporter. L\u2019OGBL ne peut \u00e9videmment que s\u2019opposer \u00e0 l\u2019id\u00e9e d\u2019introduire un syst\u00e8me similaire au Luxembourg. Dans un domaine relevant du service public, il ne peut \u00eatre question de faire des b\u00e9n\u00e9fices sur le dos des malades.<\/p>","protected":false},"author":1,"featured_media":4139,"template":"","categorie_communiques":[51],"syndicat":[75],"acf":[],"yoast_head":"\r\n
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