I’m deciding what type of clinic should I open in a very competitive environment.
Information as in enclosed file….
Innovation meets Reality of Fee for service, re-imaging primary care is quite the challenge…..
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
In order to be ahead of the ACA, we need to grow our primary care base.