{"id":5212,"date":"2019-07-15T10:27:18","date_gmt":"2019-07-15T08:27:18","guid":{"rendered":"https:\/\/voxvigor.se\/?p=5212"},"modified":"2019-07-15T10:27:18","modified_gmt":"2019-07-15T08:27:18","slug":"det-pagar-besparingar-inom-psykiatrin-i-region-skane","status":"publish","type":"post","link":"https:\/\/voxvigor.se\/bricks-staging\/det-pagar-besparingar-inom-psykiatrin-i-region-skane\/","title":{"rendered":"Det p\u00e5g\u00e5r besparingar inom psykiatrin i Region Sk\u00e5ne"},"content":{"rendered":"

En kvartett borgerliga politiker i den nya Psykiatri- och habiliteringsn\u00e4mnden skriver <\/strong>den 22 juni i tidningen Sydsvenskan<\/strong><\/a><\/span> att det inte sker n\u00e5gra besparingar inom psykiatrin i Region Sk\u00e5ne.
\n<\/strong>\u201dDe har fel! Psykiatrin har under en l\u00e5ng rad av \u00e5r varit en allt magrare mj\u00f6lkko \u2013 framf\u00f6rallt f\u00f6r fortsatt utbyggnad av sjukhusen\u201d, skriver Nils Littorin, ST-l\u00e4kare, vuxenpsykiatri Malm\u00f6 (t.h.), och Herman Holm, \u00f6verl\u00e4kare, vuxenpsykiatri Malm\u00f6 (t.v.).
\n<\/strong>D\u00e5 de \u00e4nnu inte f\u00e5tt besvara debattartikeln i Sydsvenskan har de valt att publicera sitt inl\u00e4gg p\u00e5 Facebook och i Vox Vigor. <\/strong><\/p>\n

Det g\u00e5r som regel till p\u00e5 det s\u00e4ttet att besparingar via s\u00e5 kallad osthyvel p\u00e5 en eller ett par procent sj\u00f6s\u00e4tts. Det drabbar all verksamhet \u2013 \u00e4ven psykiatrin i Region Sk\u00e5ne som regelm\u00e4ssigt har h\u00e5llit budgeten till skillnad fr\u00e5n framf\u00f6rallt sjukhusbundna kliniker. Vi har \u00e5tskilliga g\u00e5nger och till skillnad fr\u00e5n andra levererat besparingen vilket i praktiken inneb\u00e4r minskad budget.<\/p>\n

De stora sjukhusen, framf\u00f6rallt Sk\u00e5nes universitetssjukhus (SUS), Malm\u00f6-Lund, och Helsingborgs lasarett, har regelm\u00e4ssigt vare sig kunnat leverera besparing eller h\u00e5llit budget vilket vid upprepade tillf\u00e4llen medf\u00f6rt budgetf\u00f6rst\u00e4rkning. Det verkar som att man inte alls \u00e4r medveten om att psykiatrins del av de gemensamma sjukv\u00e5rdskostnaderna 2018 uppgick till 8 procent. I b\u00f6rjan av 2000-talet l\u00e5g vi p\u00e5 12 procent.<\/p>\n

Sv\u00e5rt f\u00e5 plats inom slutenv\u00e5rden<\/h2>\n

Vi som arbetat i psykiatri Malm\u00f6 under denna tid har kunnat se f\u00f6ljande:<\/p>\n

    \n
  • kraftig reduktion av antalet v\u00e5rdplatser (cirka 50 stycken. har f\u00f6rsvunnit de senaste 15 \u00e5ren).<\/li>\n
  • psykologer, arbetsterapeuter, sjukgymnaster har tagits bort fr\u00e5n slutenv\u00e5rden.<\/li>\n
  • hopslagning av m\u00e5nga mindre mottagningar till f\u00e4rre och st\u00f6rre.<\/li>\n
  • p\u00e5 jourmottagning (vi har b\u00e4gge regelbunden jourtj\u00e4nst) ligger ribban f\u00f6r att f\u00e5 en slutenv\u00e5rdsplats h\u00f6gt. Det \u00e4r i stort sett enbart patienter som \u00e4r sj\u00e4lvmordsn\u00e4ra alternativt s\u00e5 d\u00e5liga att psykiatrisk tv\u00e5ngsv\u00e5rd \u00e4r befogat som kan r\u00e4kna med att f\u00e5 en v\u00e5rdplats. M\u00e5nga andra som tidigare skulle f\u00e5tt en v\u00e5rdplats h\u00e4nvisas till \u00f6ppenv\u00e5rd. Anh\u00f6riga f\u00e5r dra ett allt tyngre lass.<\/li>\n<\/ul>\n

    Besparingar maskeras genom effektivisering<\/h2>\n

    Nu har den borgerliga alliansen i Region Sk\u00e5ne aviserat ett effektiviseringskrav p\u00e5 2 procent \u2013 men ordet besparingar vill man inte ta i sin mun. Ist\u00e4llet framst\u00e4ller borgaralliansen Sk\u00e5ne det som att psykiatrin har gott om resurser \u2013 de har ju pengar \u00f6ver! \u00d6verskottet i verksamheten beror dels p\u00e5 att det varit sv\u00e5rt att rekrytera l\u00e4kare och sjuksk\u00f6terskor till v\u00e5r kraftigt nedbantade verksamhet.
    \nMen sanningen \u00e4r ocks\u00e5 att v\u00e5r f\u00f6rre f\u00f6rvaltningschef nekade psykiatrin i Region Sk\u00e5ne att anv\u00e4nda dessa medel och lade rabarber p\u00e5 dem till att finansiera underskott p\u00e5 andra h\u00e5ll, framf\u00f6rallt p\u00e5 sjukhuset i Helsingborg. Det var till och med s\u00e5 illa att psykiatrin inte fick de statliga st\u00f6dmiljoner som gick ut fr\u00e5n Sveriges Kommuner och Landsting (SKL) till psykiatrin. De g\u00e5r ju till huvudmannen. Och f\u00f6rvaltningen hade en annan prioritering.<\/p>\n

    \u00d6kad stress och \u00f6verfulla avdelningar<\/h2>\n

    Underfinansiering och nerdragning har vi och v\u00e5ra patienter f\u00e5tt betala med stress och \u00f6verfulla v\u00e5rdavdelningar. M\u00e5nga medarbetare har gett upp och l\u00e4mnat Malm\u00f6psykiatrin. Vi som \u00e4r kvar slits mellan v\u00e5rt kall och en allt stressigare arbetsmilj\u00f6. L\u00e5t oss f\u00e5 tillbaka de pengar som tagits fr\u00e5n psykiatrin till Region Sk\u00e5nes sargade budget. L\u00e5t oss f\u00e5 anv\u00e4nda pengarna till det de \u00e4r t\u00e4nkta f\u00f6r: v\u00e5rd av psykiskt sjuka, kompetensh\u00f6jning f\u00f6r personalen och rekrytering av medarbetare.<\/p>\n

    Text: Nils Littorin, ST-l\u00e4kare, vuxenpsykiatri Malm\u00f6
    \n<\/strong>Herman Holm, \u00f6verl\u00e4kare, vuxenpsykiatri Malm\u00f6<\/strong><\/p>\n

    Foto: Privat<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

    \u201dPsykiatrin i Region Sk\u00e5ne har under en l\u00e5ng rad av \u00e5r varit en allt magrare mj\u00f6lkko\u2026\u201d, skriver l\u00e4karna Nils Littorin och Herman Holm.<\/p>\n","protected":false},"author":6,"featured_media":5269,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[13],"tags":[],"acf":[],"yoast_head":"\nDet p\u00e5g\u00e5r besparingar inom psykiatrin i Region Sk\u00e5ne - Bricks staging<\/title>\n<meta name=\"description\" content=\"Under en l\u00e4ngre tid har psykiatrin i Region Sk\u00e5ne drabbats av besparingar, tycker Nils Littorin, ST-l\u00e4kare, och Herman Holm, \u00f6verl\u00e4kare.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/voxvigor.se\/bricks-staging\/det-pagar-besparingar-inom-psykiatrin-i-region-skane\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Det p\u00e5g\u00e5r besparingar inom psykiatrin i Region Sk\u00e5ne - 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