Munich - The hospitals in Germany are under great economic pressure. Almost third reported losses in 2018, for 2019 almost every second clinic is expecting deficit (47 percent), and only just under two thirds (65 percent) expect rising sales. Last year it was 82 percent. That emerges from the management consultancy Roland Berger published today.
According to the survey of board members and managing directors of the 400 largest German hospitals, hospital managers are primarily concerned about an increasing shortage of skilled workers. Across Germany, they want to create around 30,000 jobs in nursing alone by the end of the year. But in 2018 only around 11,000 skilled workers were looking for job. According to the hospital study, Germany currently lacks around 20,000 qualified employees for care in the hospital sector.
Demographic change and medical-technical progress have recently increased sales, said Peter Magunia, partner at Roland Berger. But this era of growth is drawing to close. "Stagnating case numbers will significantly intensify competition and increasingly lead to collaborations or mergers."
According to the analysis, the shortage of skilled workers affects both smaller houses in rural areas and larger ones with growth ambitions. They want to promote the planned job creation in nursing with variety of measures. “Increased marketing, more attractive conditions, more training positions and the search for staff from abroad are in the foreground,” explains Oliver Rong, partner at Roland Berger.
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In addition, the hospital managers hope that the training reform that will come into force in 2020 will have positive effects. The training courses for sick, pediatric and elderly care are combined. The clinics hope to get more young people interested in care.
The respondents are more skeptical than in the previous year about the savings effects through digitalization. Only 72 percent of those responsible expect positive impact on the balance sheet. Last year it was 93 percent. In the opinion of the study participants, the digital transformation represents considerable additional burden for the hospital organization.