In her study, Gabriela Rohrer presented the doctor as a gray-haired, chronically revised and ex-husband in Manchester pants. Today, it is doctors the President of the young House doctors in Switzerland (JHAS), a country practice, in Flühli LU, and presented in front of the media encouraging signs of a turnaround. Rohrer is part of a new in-house generation of doctors, the majority female, and usually works part-time.
for Too long the house of a doctor was among the medical students but as dusty. The long hours of work, the General status and dominated in comparison to the specialists below-average merit of the Image. Therefore, Switzerland faces in the next few years, serious gaps in basic medical care. Ten years ago, ten percent opted for the training to primary care providers. The consequences would have to feel the patient now slowly, says Rohrer.
practice assistant as an entry level
But signs of improvement in the medium term. Ten years ago, the Association JHaS now has over 1100 members, and 350 of them are already entered in a family doctor practice, a further 500 are currently working as interns. The most likely to be found in the next few years the way in the practice. "The trend reversal", says Sven Streit, a Professor at the Institute for family medicine of the University of Bern. Meanwhile, 20 percent of the students opted again for the in-house doctor, and a further 40 per cent were interested in. The dispute is working even in a part-time basis as a doctor, and hopes that the proportion will continue to increase. Thus, Switzerland can be offset by 2045, the house shortage of doctors, would have to decide, however, half of the medical students for primary care.
As the actual stirrups for the doctor's medical dispute sees the so-called practical assistance. In this model, Doctors work for the state exam in a doctor's office as an assistant. Funded these positions in large part by the cantons. 80 percent of these practice assistants take according to the dispute, in fact, the house doctor. About 40 per cent, a rise in the practice of the assistant have completed. Overall, in Switzerland there are meanwhile 230 Assistants in doctor's offices. The leader of the Canton of Berne, has recently increased the number of Posts from 21 to 35. According to Vlasenko 50 Points would have to be in the Canton, however, necessary to resolve the house shortage of doctors.
As before, it will turn no more
Also Philippe luchsinger, President of the Association of General practitioners and paediatricians, Switzerland, is happy about the trend. "However, we will not achieve, in spite of increasing interest in the supply of family doctors, as in previous times." So should lack to 2025 in Switzerland, 4000 to 5000 utilities. The gap should be filled through new models of cooperation. Such as pharmacists, Practice assistants, nurse specialists or nursing expert would take a single Work.
Luchsinger is convinced that basic medical care can be ensured. Positive is the fact that the medical offspring generated not only in cities, but also in the country. The dispute created, the study shows that the offspring balanced on the residential population is distributed. "It is clear, however, that it will not enter into any village of a doctor," says Luchsinger. More and more frequently would be incurred on the medical centers that adopted for several municipalities surrounding the supply.
Only 10 percent in a single practice
armed-and-white from patients to on the way to his practice in Konolfingen, BE, five orphaned land doctor's offices over. Of the young house doctors, nearly three-quarters work in group practices with two to five Physicians, almost one out of every five in a center with more than five physicians. Only ten percent lead to a single practice. Also part-time work among the young doctors the rule. Of the 350 House surgeons and house physicians 40 percent of the 3.5 to 4 days, a further 40 per cent 3 days or less. Around a quarter has a quota of 4.5 or more per week working days.
a country doctor's practice to bring such as those in Flühli long work days, says Rohrer. Although you have a 90-percent workload, get you to 60 to 70 hours a week. In addition, the medical responsibility, especially in remote areas, especially large, since it takes in case of emergencies, under certain circumstances, for 40 minutes until an ambulance arrived. Also you experience as the village, the social consequences of a medical decision by a doctor first-hand, such as when you leave a fireman sick, which was then in the village. (Editorial Tamedia)
Created: 25.04.2019, 20:41 PM