Important follow-up care: Danger of surgical success due to lack of care
For years, experts have been pointing out the nationwide nursing emergency in hospitals. Little has apparently changed. The lack of caregivers is still widespread. As a result, many patients are poorly cared for. This can lead to complications even after successful operations.
Lack of caregivers
New technologies and increased quality and performance standards have made surgery in Germany ever safer and more efficient. "But the general conditions are worse today than in the past," says a message to the 134th Congress of the German Society for Surgery (DGCH), which starts in Munich on Tuesday. According to the experts, too much bureaucracy, changes in working time legislation and the economization of clinics are affecting high-quality patient care and the doctor-patient relationship. The lack of nursing staff also poses a great danger. This could jeopardize the success of treatment.
Patients are getting worse and worse before and after care
DGCH President Professor Dr. med. Tim Pohlemann explained: "Despite the enormous progress in surgery, there are considerable deficits in patient care in Germany."
Because of the lack of nursing care during operations, patients are getting less and less care before and after discharge and are being discharged more quickly in the wake of growing economic pressure. "This ultimately jeopardizes the success of the treatment," warned the trauma surgeon.
And: "That also decides on a higher or lower complication rate," said the President of the Surgeons' Congress, according to a message from the dpa news agency. The more nurses saw a patient, the more likely they were to notice a negative development.
Doctors are also in demand: "We have to strengthen the patient-doctor relationship - assume broad responsibility for our patients and continue to instill in them trust in good and safe care in the future," said Pohlemann
Adapt the system more flexibly to the individual case
Although the demographic change with increasingly older patients requires more care, this is opposed by the flat-rate remuneration.
Because there is a flat rate per case for every clinical picture - regardless of how the patient is treated and how expensive the care is. According to the experts, the system had to be adapted more flexibly to the individual case.
"Our requirement is that we get the right reward code for every childcare requirement."
Less patients to care for per caregiver
According to the agency report, studies have shown that Germany is falling in international staffing levels in clinics.
"Nursing is the biggest cost factor in a hospital." Therefore, there is always more savings. In this country there would be eight to 14 patients per caregiver or nurse, in Scandinavia the ratio would be 1: 3 to 1: 5. (ad)