In connection with the move to New Karolinska Solna, there was a major reorganization. The classic clinical departments, where many different types of patients come to doctors with different specialities, were removed and replaced with narrower ”diagnosflöden” where doctors and nurses would only care for a certain type of diagnosis, and with its own budget. It has meant 30% more managers, increased administration and an economy that is no longer possible to control. A large group of patients does not fit anymore in.
the Permanent employees have resigned out of dissatisfaction over the working environment and salary, which has increased the cost of bemanningspersonal.
the New advanced technological equipment has also svajat. Smart, modern solutions, as a sterilcentral to clean all operationsverktyg, has been proven to not work.
Politicians and officials wanted to make everything state of the art: the construction, the contract with the new OPS solution, technology and organization. An untested, american concept of value-based care, was sold to the hospital by the Boston Consulting Group and was promised to make health care more efficient, cheaper and better. But the model has in several ways proved to not work.
Nurses are also difficult to maintain when they get better pay and working conditions from private health care providers in the choice of care.
in Addition to the notice of the 550 employees, there is a number of emergency saving measures, which the hospital administration set in. In addition, the organisation shall be reviewed. Chairman of the board do not reject the idea of taking back the old klinikmodellen.
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