Exasperated, doctors want to end the “Bullshit Jobs”

Doctors devote almost a quarter of their working time to documentation. Meanwhile, clarifications with health insurance funds, coders and controllers.Image: Keystone

The daily workload of many doctors is heavy, especially because they have less and less time for their patients.

Anna Wanner / ch media

Almost a quarter of the working time of medical staff is now absorbed by paperwork and other administrative tasks. Moreover, As a result, direct contact with exasperated, doctors want end “bullshit patients is falling. In addition, The phenomenon worries the sector, especially as the situation is deteriorating. Meanwhile, Between the new quality standards, the multiplication of reports and the introduction of the patient’s electronic file, the workload explodes … Therefore, without concrete benefit for care.

The new obligations saturate the medical daily. Meanwhile, In a work devoted to the reform of the health system. Professor Andreas Kistler pleads to remove the “Bullshit Jobs” and all these useless tasks (The cost explosion in the healthcare system2025 Nzz Libro.). It would be a radical weight loss treatment, refocused on the essentials.

For this. however, the system should be rethought: the tasks which today bring little or no medical benefit, but are demanding in time and personnel, were created by the system itself. This is the case with coders. which seize the symptoms exasperated, doctors want end “bullshit of patients to allow the invoicing of higher plans, decisions to take care by insurance, controllers responsible for optimizing tariffs or quality managers, who want to embellish hospitals with certifications.

False hopes in the medical file – Exasperated, doctors want end "bullshit

Professor Kistler puts his finger on a real discomfort: administrative inflation is not inevitable. it is the result of human decisions. Quality indicators always require more reports. financial pressure further strengthens constraints, and the digital file, supposed to simplify things by centralizing all medical data, is revealed according to many heavier and less practical doctors than good old paper files.

Against this bureaucracy, doctors are starting to react. In its current annual report. the Swiss Visceral Surgery Society (SSCV) devotes a broad chapter to the theme of the bureaucracy. Surgeons from all regions exasperated, doctors want end “bullshit of the country criticize this development there. Thus. Andrea Donadini, CEO of the SWISS Surgical Practice in Lugano, deplores that even routine interventions require a “fleet of forms”:

What worries him above all are the consequences:

A system that is

And this is only the beginning of a long litany of tasks and forms. Ultimately, it is confidence in nursing staff and in their ability to assume their crumbling responsibilities.

What doctors deplore is no coincidence. but a political will: in 2019, Parliament created the legal bases for a Federal Quality Commission. Just exasperated, doctors want end “bullshit before the summer break. it defended itself from its still non-existent results, explaining that it was first necessary to collect data before enacting measures and directives.

An overhaul of the system seems illusory in brief deadline. However. technological advances should at least allow the administrative burden to be reduced, in particular by means of an electronic file of the patient actually operational.

Translated and adapted by Noëline Flippe

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