The US has found the solution to its hospital staff shortage: Filipino virtual nurses

In a hospital ICU, the staff remains attentive to the vital signs of all admitted patients, ready to act if necessary, or at least that is what we think it is. In many American hospitals, some of that work is being monitored in real time and thousands of miles away by nurses in the Philippines. Welcome to healthcare outsourcing. What is happening. They tell it in Rest of World. The United States has a deficit of almost 80,000 nurses and the way they have found to cover that lack is to outsource the service to independent contractors located in the Philippines. From there, thousands of nurses and assistants monitor patients and perform administrative tasks for a fraction of the salary they would earn if they were working in person. This is how it works. One of these virtual nurses says that he managed to monitor up to ten ICU patients at the same time, but highlights that “We did not make decisions about medical care, we only informed the staff nurses.” The virtual nurses cannot administer medication or perform procedures, but rather they are dedicated to monitoring the patients’ vital signs and notifying them if they notice anything strange or if they have forgotten to give them the medication. They also carry out other more administrative tasks such as giving discharges, filing records or making appointments. Much cheaper for the hospital. A virtual nurse is much cheaper at the hospital than an in-person one. In the United States, the average hourly wage for a registered nurse is $45, while working remotely from the Philippines is between $5 and $10 per hour. According to the Philippine Health Information Management Association (HIMAPfor its acronym in English) hospitals that outsource this service can save up to 70% in personnel costs. In addition to saving, a Mount Sinai Hospital study concluded that integrating this remote service benefits staff nurses, who perceived “a reduction in administrative burden, uninterrupted completion of clinical tasks, and the feeling that their overtime hours had been reduced.” And more profitable for the worker. The other side of the coin is that, in the Philippines, it is more profitable for a worker to be a virtual nurse than in person. They tell the story of Alice, a nurse who earned $100 a month working in a Filipino hospital and, after starting to work for a telehealth company, has quintupled her salary. HIMAP estimates that there are 210,000 Filipinos working full time for the US healthcare sector and the sector already moves $4.5 billion a year. Nursing shortage. In the US, the problem worsened after the pandemic with exhausted staff who have been leaving the profession. In addition to remote nursing, laws have also been put in place that recognize platforms that offer on-demand nursing services such as Clipboard Health or Nursa. But the shortage also affects the Philippines, which is one of the countries that has “exported” the most nurses since the 1960s. It is estimated that a quarter of immigrant nurses in the US are Filipinos. This remote format does not force them to emigrate, but it is still a way to divert work and feed domestic shortages. Why Philippines. From the Philippines they do all kinds of tasks such as control robots remotely either bring LinkedIn to Western managers. That the country has become a powerhouse in the outsourcing of services responds to several factors. The main one is that almost half of the citizens have a very good level of Englishbut it is also because they have a long history in outsourcing customer service for Western companies and there is already an entire industry created around it. And of course the economic issue: these workers are much cheaper than hiring someone in person. Image | Xataka with Magnific In Xataka | This humanoid robot promised to do our housework. For now it’s a $20,000 puppet

Public health needs to recruit 100,000 nurses

Training professionals implies an important effort, not only on the part of people who dedicate much to study and train to develop a certain profession, but for the whole of society that has dedicated public resources to provide them with that training. For that reason, the talent leak formed in Spain, in any field, always It’s bad news. The worst part is that, as in the case of nursing, that talent leak It is contextualized in a paradox: while the General Nursing Council records record figures in nursing requests to leave Spain for their bad working conditions and high temporality, public health Recognize a deficit of 100,000 nursing professionals. Nursing makes the bags. Spain lives a black year for nursing. According to published The reason Based on data from the General Nursing Council (CGE), more than 1,000 nurses have requested documentation to leave to work abroad only in the first six months of 2025. This figure could mark a historical record at the end of the year. The CGE data They point out that, in all 2023, the figure of output requests was 1,473, while in 2024 they added a total of 1,350 requests. According to Daniel Ayuso, general secretary of the General Nursing Council (CGE): “We are training them and in the end they are migrating elite professionals abroad because the working conditions of our country are not being adequate.” The reasons for the talent escape. The causes of this migration have a name: precarious contractshigh temporality and low wages. According to The latest data Facilitated by the CGE, in 2024 10,824 new contracts for 5,802 nurses were signed, of which 77.7% (8,408 contracts) They were temporary. According toGuadalupe Fontán, coordinator of the Spanish Nurse Research Institute, “over the years, the number of contracts has been increasing, but instead the number of people hired is significantly lower than the number of contracts. This is due to the fact that, to the same person throughout the year, many short -term contracts are made. In addition, although indefinite contracts have grown, the percentage of partial days are maintained.” It is estimated that around 50% of professionals of the health sector is located in Interinity situation. These data draw a scenario in which the migration of nursing staff is contemplated as a way to obtain a stability and working conditions that do not find in Spain. Destination countries. In 2023, the main countries of destination for Spanish professionals They were Norway (336 professionals) and the United States (226 nurses). Since the entry into force of Brexit, the United Kingdom has progressively reduced its interest and now registers 92 applications. Ireland, France or Canada are among the new destinations for nursing staff formed in Spain. The paradox: Spain urgently needs them. This massive output coincides with the Official recognition In the report “Current situation and estimate of the need for nurses in Spain, 2024” by the Ministry of Health, of a structural deficit: it is estimated that, to achieve the European standard, Spain I should hire to 100,000 more professionals in the coming years. Currently, the Spanish ratio is 6.36 nurses (nurses, in female, because 85.5% are women) For every 1,000 inhabitants, far from the European average located at 8.19, According to the latest data national and European. Experts warn that this shortage not only overloads professionals, but also reduces The quality of care and puts patient safety at risk. Ayuso argues that, to reverse this situation, it is necessary to “invest in nurses, in training, in creating new places in universities, in retaining talent so that it does not go out of our borders, in recovering those who have left out.” The deficit is greater depending on where you live. The president of the CGE has put the focus on the inequality Territorial of the situation: “Citizens cannot be allowed to receive better attention than others based on the autonomous community in which they reside.” There are regions such as Navarra, with 8.92 nurses per 1,000 inhabitants, which are located above the European average. Below the 8.19 in Europe, there is a Basque Country (8.09), Canary Islands (7.55), Castilla y León (7,49), Aragon (7,4), Asturias (7,34), Melilla (7,24), Extremadura (7,15), Ceuta (7,10), Cantabria (6,77), Madrid (6.54), La Rioja (6,51) Catalonia (6.5). In the welfare vagon with the lowest ratio of nurses per 1,000 inhabitants are Murcia, which barely reaches 4.99, Galicia (5.16), Valencian Community (5.56) and Andalusia (5.56) In Xataka | Talent scarcity has chronified to an extreme point: 75% of companies do not find what they are looking for Image | Unspash (Craig Pattenude)

Log In

Forgot password?

Forgot password?

Enter your account data and we will send you a link to reset your password.

Your password reset link appears to be invalid or expired.

Log in

Privacy Policy

Add to Collection

No Collections

Here you'll find all collections you've created before.