The European health workforce faces a severe crisis. Rapidly aging EU countries have an estimated shortage of some 1.2 million doctors, nurses and midwives. Lack of nurses is especially significant. Our reporter Julián López Gómez travelled to Bulgaria, one of the countries most affected.
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00:00The system is in an absolutely critical state.
00:03We get a lot of money and that's why we have to work on two places.
00:08Europe is facing a serious lack of doctors and nurses.
00:13The situation is especially critical in countries such as this, in Bulgaria,
00:17and in clinics such as the one that is on my shoulders
00:20due to a complex combination of demographic challenges,
00:24socio-political and economic challenges
00:27with low salaries and bad conditions of work.
00:30What is the outcome of the problem in the entire European Union?
00:33What are the eventual solutions for the most affected countries?
00:41Europe is facing a serious crisis.
00:45It is estimated that in a rapid process of envejecimiento
00:48the countries of the European Union require 1,2 millions of doctors,
00:52doctors and nurses.
00:54The carencia de enfermeros y enfermeras es especialmente significativa.
00:59Un número considerable se acerca a la edad de jubilación
01:02y el relevo generacional se está demostrando limitado.
01:05A menudo se enfrentan a condiciones laborales difíciles,
01:08incluidas largas jornadas, correlaciones elevadas de pacientes,
01:13salarios bajos y tensión emocional.
01:16Muchos profesionales denuncian agotamiento,
01:19lo que disminuye las tasas de retención
01:21y desincentiva la vocación en los jóvenes.
01:24La competencia entre socios comunitarios
01:26para atraer y retener a profesionales médicos
01:29agrava aún más la situación.
01:32Bulgaria es un claro ejemplo de los desafíos actuales.
01:36En una década, el país ha perdido más del 10% de sus enfermeras.
01:40Muchas han emigrado a otros estados miembros
01:42en busca de mejores salarios y condiciones laborales.
01:46Consciente del problema, la UE está desarrollando una iniciativa de tres años
01:51para financiar nuevos y mejores programas de formación
01:55para atraer a jóvenes estudiantes al campo de la enfermería.
02:04De entre todos los estados miembros de la Unión Europea,
02:07Bulgaria será un buen campo de ensayo para comprender
02:10si la iniciativa para retener a jóvenes profesionales
02:13acaba siendo eficaz.
02:15La edad media de los y las enfermeras aquí es de 53 años.
02:20El 20% de los jóvenes graduados en enfermería
02:23acaba emigrando para buscar horizontes mejores.
02:27Este es el retrato de un sector sanitario
02:29que lucha por mantenerse cómoda.
02:32Elsa es una de las 144 enfermeras de este gran hospital estatal.
02:42El año pasado ingresaron aquí unos 13.000 pacientes.
02:46Elsa trabaja en la unidad de ortopedia.
02:51A pesar de progresos recientes,
02:53el hospital opera bajo la proporción
02:55de al menos dos enfermeras por médico
02:57considerada por profesionales sanitarios
03:00como el estándar mínimo de buenas prácticas.
03:03En laquela época,
03:04sí,
03:05no me parece mucho el suerte de trabajar como una sesta.
03:07Gracias por mejorar muchas otras cosas,
03:08las dudas,
03:09para trabajar,
03:10para estudiar,
03:11para enseñar,
03:13pero también me gustaría ser médica,
03:14mamita también es medica,
03:15οςita también también.
03:16Para mí también es grande.
03:17Muy malas o dinero
03:18ya estamos,
03:20por eso estamos necesarios
03:22para trabajar en dos lugares.
03:23We give them the daily days, which we can see in our family.
03:29We are not 24 hours, but we have many hours in the hospital.
03:35We are not able to die.
03:37We are not able to die.
03:39We are able to die.
03:41We are able to die.
03:43Bulgaria has the second index lower level of medical care in the U.E.
03:50This is a very difficult situation.
03:55My job is very difficult.
03:57It was difficult for the beginning,
03:59but the person is not able to die.
04:02We have to continue.
04:04We have to deal with the difficulties
04:06and we are not able to die.
04:10Like many other European nurses,
04:12Elsa finds it difficult to talk about the issue.
04:15They are afraid of their jobs.
04:18They are afraid of the issue.
04:21No, they are afraid of it.
04:23At the same time,
04:24faced with a lack of critical resources,
04:26experimental medical care evoke more openly the gravitate of the situation.
04:31A couple of months before I came here, I worked at four places.
04:39It's going to be around 160 hours a week.
04:44With the nurses, the problem is the same.
04:46To become a good nurse, you need time.
04:49So if you want to close this gap of lack of personnel,
04:56and you start now, you can fix it after 10 years from now.
05:00You cannot fix it now.
05:02After a intense turn, ELSA reflexiona on the personal price
05:07that must pay to remain in your beloved profession.
05:11In Bulgaria, maybe our job is not worth it.
05:15I can say many, many things that are not ethical,
05:21but we are truly protected.
05:24Because you spend 12 hours, you're not leaving the holidays,
05:28you are not leaving the holidays, you were leaving the holidays.
05:31You are leaving the holidays, you are leaving the holidays,
05:35and you will buy the holidays.
05:40the
05:49sector
05:49coinciden
05:50en que
05:50a
05:50bulgaria
05:50le
05:51faltan
05:5117
05:51mil
05:52enfermeras
05:52y
05:52enfermeros
05:53para
05:53que
05:53su
05:53sistema
05:54sanitario
05:54funcione
05:55eficientemente
05:56como
05:57solucionar
05:57o al
05:58menos
05:58mejorar
05:58la
05:59situación
05:59llevamos
06:00la
06:01pregunta
06:01a
06:01la
06:01sede
06:02del
06:02sindicato
06:03de
06:03profesionales
06:03sanitarios
06:04de
06:04bulgaria
06:05que
06:05cuenta
06:05con
06:0532
06:06mil
06:06miembros
06:07mil
06:08kava
06:08sile
06:08va
06:08su
06:09presidenta
06:09Ejerce como enfermera clínica desde hace 43 años.
06:39Човешката подкрепа, човешкото отношение към пациента, за тях няма време.
06:44Според нашите изчисления, за да останат медицински сестри в България,
06:50стартовата заплата би трябвало да е поне 3 минимални заплати за страната.
06:55А какво може да направи Европейската комисия?
06:59Ние вече сме свидетели на много декларации, различни други финансови и какви ли не документи,
07:05които се отпращат към държавете.
07:10Дори в семестралния доклад на Европа за България, там изречно е написано,
07:15че трябва да бъдат направени, да бъдат увеличени инвестициите в здравните грижи,
07:22да се направи така, че сестрите да имат възможност да работят това,
07:28което наистина са били обучавани не само в лечебните заведения,
07:32а и в извън болничната помощ, което в момента не се е правил.
07:36Кога са българия ефи, кога да имаме възможността,
07:40която ефетра ефетра са българия поле възможността,
07:44како манерича, контракта, сао, комфорта,
07:47което ефетра истерроли професионал.