MEMBER'S CORNER
ROMANIA
A strong private healthcare sector
|
The Romanian private healthcare sector rose by 12% in 2017, to 1.7 billion euro, according to an analysis by Romania-based medical services comparison website Mediprice. The number of private hospitals in Romania thus doubled between 2011 and 2016 to reach 200 units while the number of private medical centres tripled to over 600. A reversal of this upward trend is not in view.
|
The growth of the private healthcare sector is mainly due to the instability of the public healthcare system and its structural and financial weaknesses : low healthcare expenditure in percentage of GDP (4.95% in 2015- Eurostat), underperformance and under-spending on healthcare, lack of access and availability of healthcare facilities,...
According to Cristian Sas, Chief Executive Officer at Clinica Anima "The Romanian private healthcare sector is driven by private investments, private corporate subscriptions and fees for services from patients, who very often favour the private sector for the quality of care. Nonetheless Romanian patients pay much more out of pocket than other European citizens in average, which is a huge problem. The payment systems from the NHS based on diagnosis-related groups (DRGs) severely underpays complex pathology fervently below cost, discouraging hospitals to undertake complex cases, for which they would be not paid properly. On top not all private hospitals are under contract with the the NHS. The private sector is working closely with patients associations, political bodies, the health Ministry in order to impulse some positive changes, for the sake of our patients."
PORTUGAL
Pact with Ministry of Economy recognizes the importance and dynamism of the private health sector in Portugal
|
At the end of March, a Pact for Competitiveness and Internationalization was signed between Health Cluster Portugal (HCP) and the Portuguese Ministry of Health - This Pact recognizes the current and future strategic contribution of the health sector to the Portuguese economy.
|
Pedro Siza Vieira, Portuguese Minister of Economy, Salvador de Mello, President of Health Cluster Portugal (HCP)
Indicators of Health Cluster Portugal, which has 172 members, including the Portuguese Association of Private Hospitals (APHP), show that the health sector represents 279 000 jobs and a turnover of 27 billion euros, with tendency to grow, as Pedro Siza Vieira, Portuguese Deputy Minister of Economy, explained.
"There is a very significant possibility of growth, both in terms of the contribution of the sector to research and development in Portugal, but also in what may be the increase in production in the field of pharmaceutical services, in order to reduce the trade deficit that we continue to face in this sector, "assured the Minister.
APHP considers that this is the recognition of Health as a factor of competitiveness of the country and, as a member of HCP, "welcomes this step forward and considers that the signing of a Pact should positively mark the relationship between public entities and private entrepreneurs so that we can have more investment and thus a wider and more differentiated offer. "
"Ensuring equity and equality in access to healthcare for the whole population at any time" and "improving contractual mechanisms to achieve better health outcomes and with more efficiency" are two assertions mentioned in the Pact and considered by APHP to be strategic for the future of the sector, as is the commitment, also made in this pact, to review the licensing mechanisms. The revision of these procedures is essential to remove costs of context and barriers for investment.
Signed in Lisbon, in the presence of the Portuguese Prime Minister, this pact with HCP was one of the three sectoral pacts signed by the Ministry of Economy, which also included the Portuguese AgroFood Cluster and the Cluster AEC - Architecture, Engineering and Construction.
According to Pedro Siza Vieira, the areas chosen were very specific: "We wanted to start with some sectors that, because of the significant weight they already have in exports or because they face particular challenges at the moment, could show how we want to work with companies from now on".
PORTUGAL - SPAIN
SAVE THE DATE – 2nd Iberian Summit of private Hospitals - 30.05.2019
FRANCE
FHP - Creation of a “skills operator” dedicated to health
|
After several months of intense negotiations with social partners and many meetings with representatives of the French Government, a “Skills Operator” (funding body for continuing vocational training and apprenticeship) specific to health sector was created and officially approved by the French Ministry of Labor.
|
This is a real success for health professionals. A specific “skills operator” is essential to carry out a strong policy in favor of job attractiveness and to develop training for health professionals. The health sector needs it to fight against the shortage of staff and thus ensure a better medical follow-up of patients treated in our structures.
This “Skills Operator” brings together several employers' federations from healthcare, social, and home support sectors. It will also welcome other health professions and support services for vulnerable individuals.
The creation laid the foundations for full recognition of the health sector. In a political and social context of professional “branches” merger, the constitution of this “skills operator” will help building a true cohesion among health sector that will benefit to our organizations, professionals and patients.
FRANCE
CAHPP Meets UN goals for Sustainable Development
|
UEHP partner CAHPP has been engaged in a sustainable development approach since 2012 and is adapting its 2018-2020 policy to the 17 Sustainable Development Goals of the UN.
|
In August 2015, 193 countries adopted the new sustainable development agenda converging around 17 UN goals as well as a global agreement on climate change (Paris Agreement adopted at COP 21).
Furthermore, CAHPP is the only consulting and referencing center in France having obtained the 3rd level (out of 4) of the AFNOR's AFAQ Focus CSR Responsible Purchasing International certification.
What are CAHPP actions ?
In addition to regular internal training for its 70 employees, monthly webinars are organized with the industry to ensure a consistent increasing power of all actors. Information and exchange seminars are organized at least twice a year with healthcare establishments. Finally, each year, CAHPP awards 4 scholarships to institutions to reward them for their action in sustainable development.
Informed buyers
CAHPP analyzes and evaluates the sustainable development strategy of its suppliers referenced via a "green index" (A, A +, A ++) dispayed on CAHPP product and service catalogs to manufacturers who meet the strict specifications.
This CAHPP online evaluation tool has been in use since 2012. The evaluation is based on more than 33 questions grouped into 6 themes that suppliers can answer over a defined period. 3 questions are disqualifying. A CAHPP control cell then checks each answer and the required proofs. The online tool gives a score to each supplier and service provider, as well as areas for improvement for the following year. Since 2013, the evaluation also takes into account the evolution of the quantified indicators supplied by suppliers from one year to the next.
SDG n°12
Since 2018, CAHPP has come down to the product level with the program "CAHPP is committed" on the promotion of products and services analyzed with regard to health and the environment. It thus meets Sustainable Development Goal number 12 "Responsible consumption and production".
Progressively CAHPP actions will be developed in accordance with each of the 17 SDGs.
MAJOR EUROPEAN PRIVATE HOSPITAL GROUPS
GERMANY
“The most important job in the world” campaign by Helios private hospital group
At the opening of its second Nursing Congress in Berlin on 29 March 2019, Helios launched its nationwide caregivers recruiting campaign "The most important job in the world" ( www.wichtigster-job.de).
"Our nursing staff needs attractive working places that we want to further develop in close dialogue with Helios healthcare professionals," said Helios CEO Franzel Simon. More than 20,000 caregivers are employed in the 86 clinics of the Helios hospital network throughout Germany. "The nursing staff is by far our largest professional group, followed by the medical one with about 12,000 doctors. To ensure good medicine, both groups must work closely together, today more than ever, because good medicine only works hand in hand with good care" emphasized the Helios chairman. "Our primary goal is to keep our caregivers and attract new ones for the future."
During Helios two-day care congress, 1,300 company nurses discussed with doctors and hospital managers in forums, workshops and plenary events, aspects of their working conditions, challenges in everyday work and concepts for improving their work situation. The objective is to render the caregiver working place more attractive in order to be prepared for current and future challenges in healthcare. Helios seeks caregivers in particular in large metropolitan areas such as Berlin and Munich. Nurses, nursing assistants and medical assistant for the operating room are the focus groups.
“I am very proud of my work. I like my job very much”
The attention-grabbing campaign "The most important job in the word" is starting in 13 German cities with posters, advertisements and on the internet. In a second phase, the Helios clinics will adapt the campaign to their respective territories by adding the name of their city like for instance "The most important job in Krefeld."
Helios aims then to recruit around 1,000 nursing personnel in 2019.
Helios Group
Helios is Europe's leading private hospital operator with more than 100,000 employees. Together with Quirónsalud in Spain, Helios Kliniken in Germany is part of the Holding Helios Health. Around 19 million patients opt for medical treatment at Helios every year. In 2018, the company generated total sales of €9 billion in both countries.
Helios Germany operates 86 acute care hospitals, 126 medical care centers (MVZ) and 10 prevention centers. Every year around 5.3 million patients, of which 4,1 million are outpatients, are treated in Germany. With over 66,000 employees, Helios generated sales of approximately €6 billion in 2018. Helios is a partner in the "Wir für Gesundheit" (We for Health) hospital network. Helios Germany is headquartered in Berlin.
Quirónsalud operates 47 hospitals, 57 outpatient centers and around 300 occupational risk prevention centers, and treats approximately 13.3 million patients annually, of which 12.9 million are outpatients. Quirónsalud has over 34,000 employees, and generated sales of about €3 billion in 2018.
Helios Germany and Helios Spain are part of the Fresenius healthcare group.
Foto credits: Helios Kliniken GmbH/Thomas Oberländer
|