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International Nurses day: Gaps between Periphery and center

Different researches published by the Ministry of Health, indicate that "even when we include other factors like the risk level of patients, type of hospital and number of beds, it was found that every additional patient to a nurse, brings to a rise of 7% in the risk of dying 30 days after a hospitalization, and a rise of 7% in the risk of failed resuscitation. As far as the nursing staff is concerned, every additional patient brought to a rise of 23% in the risk that the nurse will suffer exhaustion, and a rise of 15% in risk of loss of satisfaction from the work." Another research demonstrates that a rise of 10% in the number of certified nurses with a first degree, reduced 5% of the risk of death of the patient in the first 30 days following a surgery. To conclude, in hospitals with a relatively higher percentage of certified nurses with a first degree, a relatively lower rate of post-surgical mortality was found.

Neglecting the human factor means harming the services given to Israel's residents. The X is harsher in the periphery. The vacuum created will be filled by the private market. But, contrary to the narrow mind characterizing our government, it carries grave danger. Private institutions are in a fact medicine that is centered on profit, and endangers public health system. It causes the leakage of professionals, and enables the richer population to detach itself from the public system, and thus reduce the public pressure to invest in improving our public health system. If this process is not stopped, growing numbers of residents will be forced to suffice with a suffocating public system. A sporadic one time act – even if it is in a good direction like adding the number of beds in hospitals – will not save our public health system, mainly because it does not address the structural problems: turning the professions attractive, investing in human power development and training. Only a comprehensive approach that the right to health – including the right to receive adequate respective health care – is an obligation of the state towards its residents, will bring the desired change. To achieve this, we need a strong ministry of health, with a minister who views this as a mission, and with a government that enables its promotion with the necessary means and budget.


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