Speaking to newspaper Fréttablaðið, senior physician Dr. Kristín Jónsdóttir remarked: “If we got a chance to work in peace and made a concentrated effort, we could cut the waiting times down, but right now it’s like we’re always chasing our own tail.”This website uses cookies to improve your experience. Thoroughly unamused, Iceland’s nurses responded by resigning en masse.As summer drew to a close, an arbitration committee ruled in the nurses’ favour, determining that they deserved a 21.7% wage increase over the next four years. Some departments were particularly badly affected, such as the hospital’s gynaecology ward, which disclosed in November that a chronic shortage of surgical nurses meant they could only keep two out of three operating rooms running. In the last two weekly newsletters to his staff, University Hospital director Firstly, there is the exorbitant cost of maintaining the hospital’s 130,000 square metre facilities, which spread out over 100 buildings. By 2011, Iceland's out-of-pocket payments have become an important financial source for the universal health care system, which made up 18.2% of total health expenditures. She says that the contract benefits some wards more than others, with base rate wages increasing 11-27% over a three-year period.“What’s bad about this situation, however,” Dr. Íris says, “is that the payroll comes out of the hospital’s budget, and the directors say they didn’t receive increased funding to accommodate these changes. These services are provided by either private institutes or public services, and are funded through national budgets.Iceland does not have its own specialist medical training system, so Icelandic doctors typically spend 8 or 10 years working abroad before returning to the country. However, the damage was already done.“This staff shortage adds even more pressure onto the nurses working at the hospital,” he says, “and it will only get worse, as around 900 nurses countrywide will reach retirement age over the next three years.Retired GP Dr. Haukur S. Magnússon, who has practiced medicine since 1961, concurs, adding that both research and experience show that when the primary care and family medicine facets are well manned and easily accessible, general health improves across the board, alleviating pressure from the rest of the system.The eleven-week doctors strike led to the delay of 790 elective surgeries. Íris says this year has seen numerous outpatient appointments delayed, and the shelving of diagnostic operations such as X-rays and blood tests. They often use the relationship established in training for ongoing support.The country is divided into 7 healthcare districts which correspond to the 8 There are two hospitals in Iceland, both of which are general and specialised. She said: “Since the economic crisis started, healthcare professionals have been driven hard for a long time, and now they are tired and want something in return.”Dr. Doctors’ wages had stagnated after the economic crash, and following a bout of failed negotiations, they went on strike for the first time ever. Naturally, frustrations at Landspítalinn have been steadily growing, resulting, among other things, in its former director, Björn Zoega, resigning in protest two years ago, declaring that he refused to take part in running the hospital into the groundLast year, Landspítalinn’s operating budget was increased by one billion ISK, its first budget increase in over five years, with funds also allocated for the renewal of medical equipment and other functions. Iceland’s Universal Healthcare (Still) On Thin Ice One year ago, Iceland’s lauded universal healthcare system seemed to be teetering off the edge. Your essential guide to life, travel and entertainment in Iceland. Thirdly, payroll estimates from the Ministry of Finance seem to be the product of wishful thinking rather than the reality at hand, being routinely lower than the actual costs.Páll also made it clear that the system’s ever-growing waiting lists would not get any shorter without the allocation of additional funds.However, Páll praised the proposed budget for its stated intent of increasing funds for elderly care and the metropolitan healthcare clinics, which he believes will lessen the burden on Landspítalinn. There are roughly a million sheep living in Iceland, three times the human population. These includes personal assistance and domestic care, including nursing homes or child care. Iceland is also famous for its lamb. The spring strikes resulted in 900 more being postponed. They are therefore restructuring the shifts, as they can’t grant doctors the time off their contract commands.”Despite this, the word on the street is that doctors are happy with their new contract, Dr. Íris tells me, with number of doctors making arrangements to return from studies or positions abroad.While doctors were successful in their negotiations with the state, the rest of Iceland’s healthcare workers’ attempts to secure better wages and working conditions proved less fruitful.
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