Posted Jul 26, 2022, 6:00 AMUpdated on Jul 26, 2022 at 8:48 am
The Covid-19 epidemic, as we know, very strongly affected the activity of health establishments in 2020. The Department of Research, Studies, Evaluation and Statistics (DREES) made it a precise inventory in its annual work on health establishments published on Tuesday. The year was marked by an “unprecedented” decline in full hospitalization activity.
With 10.3 million stays recorded, full hospitalization fell significantly more than in previous years (-12.4%, compared to -0.5% per year on average between 2013 and 2019). This “unprecedented” decline is explained in particular by the deprogramming of non-urgent care, in particular in surgery, and the reassignment of personnel to the management of the coronavirus epidemic.
Hospitalization at home has developed
Containment measures and barrier gestures have also had an effect on hospital use, underlines the DREES, as well as the fear of being contaminated or of contributing to the saturation of hospitals. Favored by the decrease in the number of road accidents and sports activities, the number of emergency visits thus fell by 17.3% in 2020, a “historic” drop.
For the first time in twenty years, the number of days of partial hospitalization also fell (-23.5%). Home hospitalization, on the other hand, continued to develop at a more sustained pace during the health crisis. Faced with the risk of contagion in conventional hospitalization, the number of stays thus increased by 15.8%, compared to +4.6% per year on average from 2013 to 2019.
Reduction in the number of beds
With regard to the number of beds, in full hospitalization, it fell more sharply in 2020 (-1.2%) than in previous years (-0.9% per year on average between 2013 and 2019). To limit contagion, many double rooms have been transformed into single rooms and staff have been reassigned to Covid units, resulting in less capacity in their original department.
The number of critical care beds, on the other hand, increased by 3.6% between the end of 2019 and the end of 2020, while the care of patients with Covid represented a quarter of all intensive care days this year. -the. In total in 2020, 303,000 patients with Covid-19 were hospitalized, which represents 2.6% of all patients hospitalized during the year.
To deal with the health crisis, public hospitals also experienced a rebound in their workforce in 2020 (+1.9%, or +20,100 employees, after +0.2% in 2019). With regard to their financial situation, the accounts of public hospitals have returned to a virtual balance, after seven years of deficit, the State compensating for the declines in scheduled care activity linked to Covid. That of private for-profit clinics has also improved. Their net income thus stands at 3% of revenue, up 0.9 points compared to 2019.