The hospitals will not be sufficiently profitable, and the individual had a problematic deep equity; it is likely to increasingly come to rehabilitation cases. So, the conclusion of a study by the consulting firm PwC says.
based on Monday's published study on the financial health of the hospitals in Switzerland, the annual accounts of 44 houses. The growth in revenues in the inpatient and outpatient area was 2018 relatively modest. Particularly in the outpatient area of the collective intervention of the Federal Council have left their mark.
a positive trend
In the eyes of the authors, the predicted trend is reversing because: There will be fewer hospitals, but more outpatient health centers, hold. The acute care and Rehabilitation will not be sufficiently profitable to be able to investment independently wear. Hospitals in need of your equity.
In the Median of the equity ratio of the studied hospitals fell from about 49 percent in 2014 to 43 percent in 2018. As "good" refer to the authors of the study, 40 percent. The development of the past years further, is likely to be the threshold in 2019, 2020 or 2021 under the steps.
The revenue of the hospitals, are growing less strongly than the volume of the benefits, noted the authors of the study. The hospitals were therefore forced to adapt, because they would otherwise beset by other actors, who were alone in the outpatient care active.
in the study quoted list of planned and in construction site of new build and extension projects provides for from 2018 until 2036, an investment volume of around twelve billion Swiss francs. The refinancing needs of the IT and digitization projects are not included in the statement is attributed.
According to the study, 15 public and private hospitals on the Swiss capital market are active. The authors of the study expect that this proportion is increasing. Conversely, capital investors due to the low interest rates interested in these investments.
The health Directors ' conference (GDK) has not participated in the study. A major challenge for hospitals and cantons not only the financing but also the General trend towards outpatient treatments, which will be supported by the cantons, whether GDK-Secretary-General, Michael Jordi, told the news Agency Keystone-SDA.
The cantons would have to bear on your periodic hospital planning this development for hospitals foreseeable criteria apply, and the needs of the Affected and Alternatives to hospital think. A possibility could be a primary care centre with emergency and only a few beds, where patients need a hospital, be transferred to could be.
That hospitals consider investment in construction, is justified, according to Jordi. "The methods of treatment and processes change, and not all hospitals are equipped for it," he says. If more and more treatments are performed on an outpatient basis, need an appropriate infrastructure. (nag/sda)
Created: 25.11.2019, 14:47 PM