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    NDP 정부 1년이 지났는데도 거의 개선이 없는 위니펙 병원 응급실 대기시간

    NEWSBy 121개의 댓글3 Mins Read

    매니토바 NDP가 지난해 지방선거에서 승리한지 1년을 지나면서 일부 위니펙 병원과 어전트-케어 (urgent-care) 응급실 대기시간은 약간 줄었지만, 6개 중에서 3곳은 오히려 대기시간이 늘어난 것으로 나타났다.

    NDP는 2023년 선거 캠페인에서 병원 시스템에 더 많은 직원을 배치하고 병상을 추가하여 응급실 대기시간을 줄이겠다고 약속했다. 그러나 집권한지 1년이 지난 현재 약간 줄어들기는 했지만, 크게 줄어들지는 않은 것으로 나타났다.

    2023년 10월 위니펙 3곳 응급실 그리고 3곳의 어전트-케어 중간 대기시간은 3.52 시간이었다. 올해 10월에는 3.43 시간으로 약간 줄었지만, 크게 개선된 것은 아니다. (중간 대기시간 값은 대기시간을 가장 긴 시간에서 가장 짧은 시간으로 정리했을 때 가장 중앙에 있는 값이다.)

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    NDP가 집권한 첫 해 동안에 가장 큰 개선을 보인 곳은 Concordia Hospital의 어전트-케어 응급실로 중간 대기시간이 4.4 시간에서 3.63 시간으로 줄었다. Concordia Hospital 응급실의 대기시간이 개선되기는 했지만, COVID-19 팬데믹 이전에 비해서는 여전히 길다는 분석이다. Health Sciences Centre 응급실의 대기시간도 3.66 시간에서 3.53으로 줄었고, Seven Oaks 어전트-케어 센트도 3.97 시간에서 3.63 시간으로 약간 줄었다.

    그러나 다른 3곳 병원의 대기시간은 2023년 10월 이후 오히려 늘어난 것으로 나타났다.

    응급실 대기시간이 가장 긴 곳은 St. Boniface Hospital로, 2023년 10월 5.45 시간에서 2024년 10월에는 6.2 시간으로 오히려 크게 길어졌다. St. Boniface Hospital 응급실 대기시간은 Winnipeg Regional Health Authority (WRHA)와 매니토바 주정부가 심각한 문제로 인식해야 한다는 의견이 압도적이다.

    St. Boniface Hospital 응급실 대기가 가장 길었던 대기시간은 90 퍼센타일 (90%ile: 대기시간을 가장 긴 시간에서 가장 짧은 시간으로 순서별로 나열했을 때, 100분의 90에 해당하는 수치를 의미) 기준으로 2023년 10월 13.6 시간이었는데, 2024년 10월에는 약간 늘어난 13.9 시간이었다.

    St. Boniface Hospital 응급실 대기시간이 늘어난 이유는 환자가 늘어나지 않은 것이라는데 문제가 있다.
    WRHA가 최근 발표한 연례 보고서 (WRHA Annual Report 2023-24)에 따르면, St. Boniface Hospital 응급실 방문자는 2019-20년 46,920명에서 2023-24년에는 39,405명으로 줄었다. 이것은 거의 매년 줄어들고 있다는 것으로 보아야 한다는 것이 일반적인 의견이다.

    St. Boniface Hospital 병실에 입원해야 할 정도로 아픈 환자의 숫자도 해당 기간에 9,715명에서 8,928명으로 줄었다. 그러나 늘어난 것은 St. Boniface Hospital 응급실에 도착했지만, 의사의 진찰을 받지 않고 떠난 사람의 숫자이다. 2019-20년 3,130명에서 2023-24년 7,025명으로 늘어났다.

    상황이 이런데도 불구하고, St. Boniface Hospital 응급실의 대기시간이 늘어난 이유는 불분명하다. 병상의 숫자는 지난 3년간 464개로 동일하고, 병상 점유율은 5년만에 최고치인 94.4 퍼센트를 기록하고 있다.

    병원에서 급성 질환 환자를 더 많이 진료하거나, 병원이 아닌 곳에서 치료해야할 장기 환자를 더 많이 치료하고 있거나, 병원 인력이 부족하기 때문이라는 의견이 제시되고 있는 상황이다. 중앙 대기시간이 6.2 시간이라는 것은 이해할 수 없는 시간이므로, 어느 쪽이든 면밀하게 조사할 필요가 있다는 것이 WRHA 보고서 의견이다.

    Grace Hospital 응급실 대기시간은 2023년 10월 5.6 시간에서 2024년 10월은 5.67 시간으로 큰 차이가 없다. NDP 정부가 올해초 Grace Hospital에 더 많은 병실을 추가하겠다고 발표를 했음에도 불구하고 응급실 대기시간이 줄어들지 않았다는 것이 문제이다. St. Boniface Hospital의 응급실과 마찬가지로, Grace Hospital에서도 지난 5년간 응급실 방문자가 감소했다. 병원에 입원한 환자 숫자도 감소했다.

    전체적으로, 위니펙 병원과 어전트-케어 응급실 방문자 (Shared Health에 별도로 보고하는 Health Sciences Centre는 제외) 숫자는 COVID-19 팬데믹 이전에 비해 감소한 것으로 나타났다(2019-20년 199,066명에서 2023-24년 180,108명으로 감소). 그리고 입원 환자 숫자도 감소했다 (2019-20년 21,925명에서 2023-24년 19,240명으로 감소)

    Health Sciences Centre 응급실 방문자 숫자도 2019-20년 118,590명에서 2023-24년 103,997명으로 줄어들었고, 해당 기간에 직원이 배치되는 병상의 숫자는 773개에서 781개로 늘어났다.

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