Health
One in Three European Health Workers Suffer from Depression, WHO Warns
A third of doctors and nurses across Europe are experiencing depression, and one in ten have had suicidal thoughts, according to a major new report from the World Health Organization (WHO). The findings have raised alarm over what the agency calls a growing “health security crisis” within Europe’s medical workforce.
The WHO survey, which gathered responses from more than 90,000 doctors and nurses across the European Union, Iceland, and Norway, paints a bleak picture of life inside the region’s hospitals and clinics. Many health workers are struggling under long hours, workplace violence, and job insecurity — all of which are worsening their mental health.
“This is an unacceptable burden on those who care for us. It doesn’t have to be this way,” said Dr Hans Henri Kluge, WHO’s Regional Director for Europe.
The report found that one in three health professionals had faced bullying or violent threats at work during the past year, while 10 percent reported being physically assaulted or sexually harassed. A quarter of doctors said they work more than 50 hours per week, and around one in three are employed on temporary contracts, leaving them uncertain about their futures.
Health workers exposed to violence, long hours, and night shifts were significantly more likely to experience depression, anxiety, or suicidal thoughts. The WHO warned that these conditions are not only harming workers but also endangering patient care. Between 11 percent and 34 percent of respondents said they were considering leaving their jobs — a worrying trend given that Europe already faces a severe shortage of healthcare professionals, with a shortfall projected to reach 940,000 by 2030.
“When health workers leave or take time off due to burnout, the entire system suffers,” said Dr Kluge. “Patients face longer waiting times and reduced quality of care.”
The report also highlighted evidence from France, where two-thirds of medical students have experienced a depressive episode and 21 percent have had suicidal thoughts — rates three times higher than in the general population. “We are physically and mentally exhausted, which unfortunately can sometimes lead to medical errors,” said Mélanie Debarreix, a radiology resident quoted in the report.
Dr Kluge urged governments and hospital systems to take immediate action to protect health workers. He called for stronger enforcement of zero-tolerance policies against workplace violence, reforms to limit excessive overtime, and better access to mental health support.
“Ultimately, the mental health crisis among our health workers is a health security crisis,” Kluge said. “We cannot afford to lose them to burnout, despair, or violence.”
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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