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For small acute care hospitals, the time is over

On Sunday to decide the Voters in the Knonaueramt about the fate of their small hospital. For the regional hospital, is some. The family doctors of the Region support it, you will have to work closely with him. This cooperation has a long Tradition and was coined in the Nineties and zero years ago, when Christian Hess, chief physician of Internal medicine. He has developed with his wife, the psychotherapist, Annina Hess-Cabalzar, the model of human medicine, whereby each Patient, and each patient in a holistic way is looked at. At the time, the psychiatry station originated Affoltern with a specialization in parent/child and palliative station – two special features of the hospital.

The networking between the doctors and the hospital is a big advantage. Information to be exchanged, therapies discussed. The patients feel taken care of, you have short ways. And moreover, it is cheaper, a simple Operation in the regional hospital than in the Unispital.

Against the hospital Affoltern speaks to the health of political reality. There are too many hospital beds, in Switzerland as in the Canton of Zurich. Here were already closed several small hospitals, 20 years ago. Affoltern survived at that time, not least due to its special orientation. Now, however, a further reduction is due because there are Overcapacities in the inpatient area, the grow in the foreseeable future, as more and more operations are performed on an outpatient basis. This excess capacity is unhealthy. The hospitals want to fill their beds. They have a financial incentive to treat more than necessary. Oversupply is a fact.

The long-standing liberal-minded health Director Thomas Heiniger has recognized the Problem. His recipe, however, minimum numbers were the case that Only those who reached with defined interventions, a predetermined number of operations, may also perform. Heiniger made hospitals increasingly stringent minimum case requirements. He put the screw in the opinion that the hospital market would clean up.

Whether his successor Natalie Rickli (SVP) leads this policy, is not yet known. You could also, as Verena Diener 1998, delete all hospitals from the hospital list. Stitch of the year is 2022, a new hospital list is to come into force.

Newcomers prefer Central hospital

one way or the other, it is clear: The beds in Affoltern it no longer needs. All round it has several hospitals, the sick Säuliämtler were well and happy. First of all, the Zurich city hospital Triemli with his oversized new bed for the house, but also the cantonal hospital of Zug in Cham, the hospital in Muri or the see Spital in Horgen and Kilchberg, are fighting against a declining utilization as the hospital Affoltern for yourself. Many Newcomers to the country prefer to have a Central hospital where all the specialists and equipment are available.

The hospital Affoltern can not continue as before. The people in charge already know for a long time. Unfortunately, there have been several times in recent years changes in the strategic and operational leadership, which has hampered the renewal process. Instead of developing a strategy together, argue the people in the Knonaueramt to the hospital. An example of the attitude of the district's main town of Affoltern is: As its city President, was head of the Operating Committee of the hospital, he fought for its Survival. Today, he wants to give up the acute hospital. Also at the regional care center and the regional Spitex, the city Council no longer wants to join in Affoltern.

This solidarity would be asked. A functioning health care requires networking, the longer, the more, as a corrective to the specialization of the medicine.

The current concept of hospital management is unrealistic: she wants to operate the acute care hospital and for the necessary renewal of 100 million Swiss francs to invest. This amount must later be written off, what is charged to the operating account solid. For a small hospital with less than 100 beds that is financially hardly bearable. The staff costs to operate a surgery, and Internal medicine around-the-clock, is disproportionately large.

Two opportunities for local medical supply

but There are Alternatives to provide the people in the Knonaueramt close to home, a meaningful medical care. Two possibilities: either a hospital in the the type of clinic, Susenberg in Zurich, she specialized in oncological and acute geriatric Rehabilitation and also has a palliative care unit or a health centre with a surgical day clinic, similar to how it was in Dielsdorf after the closure of the acute-care hospital. In cooperation with the surrounding hospitals, an outpatient surgery center would be in Affoltern even conceivable, in which both Doctors and Physicians as well as those from other hospitals in a lean organization structure to be able to operate.

The hospital market is currently in motion. In order to consolidate their Position, to search the hospitals to find new partners or planning a merger, such as Uster and Wetzikon. Also, the hospital Affoltern has stepped up its efforts in these directions recently. The Transfer of the Association in a non-profit AG and reject, would be premature. Something useful New can only arise, however, if the municipalities in the Knonaueramt get it together.


Created: 13.05.2019, 21:44 Uhr

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