HHE HOPE 2019 - Page 11

CHART 12 Bed occupancy rate for acute care hospitals: Years 2002, 2008, 2016 2002 2008 100 2016 94.2 90 84.3 84.2 83.1 80 80.2 77.5 76.1 75.3 74.8 74.3 73.6 70.7 70.9 70 70.5 70.0 69.1 68.5 67.4 65.1 59.2 60 50 40 30 20 10 ce th n.a. 0 CHART 13 Rate of practising nurses per physician: Years 2002, 2008, 2016 2002 5.0 2008 4.6 2016 4.4 4.5 4.1 4.0 4.0 3.6 3.5 3.2 3.1 3.0 3.0 2.8 2.6 2.5 2.2 2.1 2.0 2.0 1.8 1.7 1.6 1.4 1.5 1.4 1.4 1.0 makers are raising issues about the upcoming retirement of the ‘baby-boom’ generation of doctors and nurses, exacerbating the workforce shortage in the health field. Health workforce concerns have shifted from worries on shortages towards issues related to the right skill-mix, to better respond to evolving population health needs (Health Workforce Policies in OECD Countries, OECD March 2016). According to the European Commission supplement to the quarterly review on ‘Health and social services from an employment and economic perspective’ (December 2014), there are large imbalances in skills levels, and working patterns and recruitment and retention are conditioned by demanding working conditions. The financial constraints are leading in most European countries to a decrease in the resources available for healthcare professionals, reducing Healthcare workforce in 2016 highlights the presence of about 1,400,000 physicians and 3,300,000 nurses with an average rate of about 2.4 nurses per physician 11 HHE 2019 | hospitalhealthcare.com 0 0.5 the possibilities of hiring new staff. Additionally, several countries, especially in Central and Eastern Europe, are experiencing migrations of their healthcare workforce. European countries, European Organisations and EU institutions are discussing possible impacts and achievable solutions to these issues. Interestingly, several countries are shifting competences from doctors to nurses, creating new educational pathways and bachelor degrees addressed to nurses. In many cases nurses and general practitioners acquire new skills and competences relieving the burden of hospital care by enforcing primary care institutions and community services. The trends described above, are likely to have major impacts on the hospital sector, since inpatient care alone absorbs about a third of the healthcare resources and since the hospital sector