A division of primary care in the largest and only public university hospital of a State in Switzerland must assume two missions: delivering chronic care to their patients and offereing emergency care 24/7 to the population. Organisation and recuperation of the staff delivering night and WE shift has a direct impact of the organization of delivering chronic care; it is desorganizing the agenda of healthcare professional taking care of chronic patients leading to discontinuity of the physician-patient relationship because of recuperation. Also the culture of chronic vs acute care is not the same and lead to a misalignment between healthcare professionals principles and their missions. How these two missions can be reconciled culturally and structurally ?
Addressing unnecessary ED use
A behavioral health crisis and its impact on community hospital emergency departments.
How shall we attempt to manage chronic disease in the era of the “Doc in a Box?”
Optimizing Physician handover: an important communication tool for patient safety.
The case/initiative described is all about creating time, attention and expertise to take better care of multi complex elderly people, create more value AND lowering costs by organizing this care in a better way. I am very curious for your experiences, ideas and feedback on this initiative!