" It destroys local hospitals under the pretext that they would be wrong for lack of activity. It is a false and infamous argument against people who have often given the best of themselves, but how unworthy whatsoever. It will never be possible for a human being to work more than full time. What a difference a surgeon operates two hundred appendicitis per year in a small hospital that three or six hundred surgeons operate in a larger facility?
Small regional hospitals are the backbone of any medical infrastructure proximity. The device keeps general practitioners, internists and pediatricians using the hospital as the fulcrum, as a base essential. Such proximity structure is essential to cope critical situations at times when everything is closed and there is no possibility to do even one X-ray, blood tests or urine tests. Close these structures implies that doctors should ensure guards without having the necessary means to establish a correct diagnosis. We will increase uncertainty and the number of errors. In a context of increasing judicial aggressiveness, many prefer to leave rather than become dangerous or inadequate. This is one reason these deserts medical constantly expanding.
It is perfectly possible to create partnerships for hospitals to close, or even a direct affiliation with the university hospitals to benefit all health care staff. Activity at two sites, each part-time. Then, we must define the mission of the hospital nearby, provide emergency care and the most common base population. Care requiring highly specialized equipment and training should be directed to the appropriate academic centers. It is nevertheless the responsibility of the hospital proximity as to stabilize and make these people transported in conditions as good as possible. Optimum training in emergency / MUG is therefore absolutely necessary. The best would be able to combine basic and mobile emergency hospital nearby. Rather than kill time to drink coffee while waiting for the next emergency, the ambulance might be more useful in care units!
pretext of fight against rising health care costs are killing the infrastructure of community care to the population. So we did not even understand the origin of the explosion of costs is too rapid progress of medicine in relation to funding opportunities. At least, that this is to create a vacuum in a "health market" that will provide small-buddy-SA, where they will be able to fill their excavations on the backs of the people? It would be naive to believe that a 'market' of hundreds of billions not going to stoke the greed of financiers. First eliminate competition, such is the initial step of all poor. "
"It makes no attempt to make them better community care, although this is the basis of the health system, but to remove them.
The proof of the phasing out of all local clinics without any seeking to improve and secondly, the measures that led to medical deserts continue to expand (Numerus clausus access to medical studies, financial and legislative measures making it ever riskier the survival of an emergency consultation closer to the people) "
of Elysium.
analysis in participatory discussions on the site Segolene http://www.desirsdavenir.org/
a response that is very relevant to my comment on "Disappearance programmed our local hospitals "
By Francoise
http://segolavie82.blogspot.com/
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