Schweizer Spitäler pass the least failures for OPs

If the Spital has placed a single knee prosthesis in the year

Herz, Hüfte, Wirbelsäule: A new Auswertung said that the Kliniken gewisse Eingriffe sehr selten machen. It is sensible for patients – and the debate about Spitalschliessungen.

Published today at 8:08 PM

«The only thing that became stronger was control»: Die Fallzahlen wisser Kliniken alarmier Gesundheitsexperten.

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Thierry Carrel hangs a car. “A BMW that has driven more than 200,000 kilometers,” says the renowned heart surgeon. In the spring, the car is brought to the pneumatic workshop in a large workshop that repairs unreliable vehicles every day. “A routine job,” thinks Carrel and Fährt nach Hause. An anecdote has emerged from the ground: the power of the master, who is there. “The gold-plated is no longer for car mechanics, but also for the future.”

The professor must know this, there are more than 20 years at the Clinic for Heart and Bone Surgery of the Bernese Inselspitals and war over 10,000 Eingriffen bedeilit. “With more practical matters and an attempt at a surgical intervention, it was noticed that the operation was an unintended passion. There is no question of a problem, but the problem can occur. If you continue to follow the truth, it is a matter of letting go. » Finally come this routine of patients and patients, said Carrel.

«With more praxis responds to being a surgeon better»: Professor Thierry Carrel.

Photo: Silas Zindel

There is knowledge of the international study that consists of: research and research, the higher management, which yield a better result. When the Canton of Zurich is engaged in the development of a number of years, the Krankenhäuser can end up with various types of hereditary debts. The Conference of Cantonal Health Directors (GDK) works with the System Mittlerweile Schweizweit.

If a man in the Switzerland area has a Spitäler and that Zahlen is missing, then there is a Kliniken that is not working properly. That says a new Auswertung von SantésuisseThe Krankenkassenverband has made an analysis of the data of the Bundes, which are often involved in the year 2022 in obtaining a decisive hat. These statistics are based on the most important consequences of the work in Zurich. The result is incomprehensible.

The statistics of the Federal Office for Health are rounded: from 2500 years there is a fine reporting, with the Akutspital station having an entry that often runs through time. The current Australian bet in the year 2022. This fee is now with the Mindestfall fee, as the Canton of Zurich has the time for certain operations and Spitäler-vorgibt. Analyse the data of 21 medical performance groups. Where Santésuisse has only taken your Spitäler into the statistics, the most common entry in the jewelry category is made up. The calculations are so conservative that they were added together with the Spitalgruppen the fall of the individual locations. Dadurch became “the number one striker, although the minimum wages do not reach, but are undermined”, he is with Santésuisse. The Zurich health-oriented approach is a fact, which is not easy in the statistics of a single flight. The Kassenverband dies by the desired entries for an exit.

In total, 21 achievements were sought, from the blood stem cell transplantation to the removal of the prostate. If you say this, it is not even the case that in a simple operation the halving mechanism of the device has the most important consequences.

Zum Beispiel führten 76 Betriebe een spezialisierte Wirbelsäulensurgie durch. Now that there are 30 of these powers, there are many power differences in this area, which can arouse mental illness. It is very much an Anteil von 39 Prozent. Ungenügend war die Quote auch bei Hautkrebs (34 Prozent) of complexes Epilepsy-Behandlungen (33 Prozent). It is dramatic that the situation in plexus surgery has become dramatic when leaving the operation: Nur 9 von 53 Anbietern erreichten das Ziel.

Die Ergebnisse bereiten Verena Nold Sorgen. «The best quality quality will be achieved, if necessary with a thorough routine set-up», says the Director of Santésuisse (read See the interview here). If you have any criticism, this small kitchen utensil is a knittable palette and an interesting offer, that is special. «This is how we change in the whole of Switzerland. The quality guidelines and the costs.»

Finally, smaller operations are recommended treatments very rarely. The Clinica Santa Chiara in Locarno and Leistungen have carried out a number of analyses of categorical offers – I can not take a single step further in the Mindestfallzahlen. The image said that it is in Spital Oberengadin, that is the Direction in four of four categories passed. To part were the abductions deutlich. In the first prostheses for the knee, the mental fall in a year of 50 hours or more is rewarded. I am Oberengadin comb man 2022 only on a single. The treated muscle tissue has a gynecological tumor that is 20 years old.

Susanne Stallkamp, CEO of the Foundation for Health Care Upper Engadin, said about the question: “The Spital Oberengadin is a high-quality medical basic care in the Upper Engadin and in the southern Bündner.” They are visible on the special herausforderungen at the care security – some of the topographic low, others are already 20,000 years old. “Minimal costs, so targeted and which weight is as large as gauge and quality indicator in the Ballungszentren are, often show an incomplete picture in the periphery.”

For the Spital Upper Engadine with few people in the environment since Mindestfallzahlen a Herausforderung.

Photo: Stiftung Gesundheitsversorgung Oberengadin

The Clinica Santa Chiara will be sent out by the Moncucco Hospital Group in January 2023. There is a first step towards a state of affairs, as Director Christian Camponovo, who concentrated the medical Leistungen. There is concrete, the clinic is located in the health care that cantons can fulfill.

That data indicates, it is a small regional spitäler, which Mühe has, a number of eingriffe zu kommen. The heritage is evident in general and special health care centers for bundling. In dermatological onkology there are other problems with the treatment of the higher groups, which now endure 15 levels in a single treatment. Im Zürcher Universitätsspital was in Zeitraum 287. The situation at the spezialisierten of Wirbelsäulen Surgery and der bereits is erwähnten Plexus surgery.

The recognitions are political waste materials. When the costs of business operations are damaged by politics. The national Vorstösse is intended to hang the theme. You can thwart a cross-regional peak planning or a «bessere en betrouwbaar versorgung».

Zuletzt directed the grünliberale Nationalrat Patrick Hässig a motion one, a cost to save. Konkret sollen nicht mehr ausschliesslich de Kantone, onder de Bund de Spitalplanung übernehmen. “Bestimmte Leistungen würden daturch a weniger Standorten engeboten, was zur Kosteneinsparungen und einer gleichzeitigen Qualitätssteigerung führt,” writes Hässig im Vorstoss. The Bundesrat has submitted the motion for the warnings about the possible empfohlen. If you see an “Optimization Spontzial” in the coordination of the Spitalplanung, the Kompetenz der Kantone will never happen again.

Braucht is a Spitäler in Switzerland?

Braucht es am Ende weniger Krankenhäuser in der Schweiz – eh so that Fallzahlen zu erhöhen, dammit Ärztinnen and Ärzte die puny Routine erhalten? The Spitalverband H+ is aware of the Brisanz des Themas. “There are many factors that influence the quality of treatment within the environment,” said Director Anne-Geneviève Bütikofer. Be warned that you will do this, the dating will be politicized. “The quality and quality of one of the flächendeckenden Notfall- und Spitalbasierten Grundversorgung will not last longer than the Anwendung von Mindestfallzahlen were fährdet.” Auch H+ will now discuss the Frage der zukünftigen Spitalversorgung.

A Spitaler saw an accomplice in the Upper Engadin: “The establishment that the Swiss Spitallandschaft finds itself in the crisis and that a concentration of the outputs makes sense, a cost to save, could be counted as correct”, says CEO Susanne Stallkamp. The intention was to carry out the strategic analysis of the Spitals in more detail. “There is no question of an evaluation of the outputs, but of a joint venture with the Cantonal Spital Graubünden”, says Stallkamp.

The problem: if a clinic in the medical world will limit itself, as a rule, it will be so comfortable on the wider stand. The Spitalstandort Wolhusen des Kantonsspitals Lucerne is aimed at the Beispiel of the Anzahl Pflegetage für seine Intensivstation nicht meer. The man will also set up a Station for Intermediate Care. Damit konnten 98 Prozent der bisherigen Fälle later vor ort were treated. Now there are still a few swinging falls that can be enjoyed in Lucerne. Every day there is a real political change. In the past in the Cantonsparlament, the entire station was “greatly reduced”. An intensive station in Wolhusen is not close to the Security Greens.

The trick is that the Canton alone can solve the crisis. Thierry Carrel relies on statistics among other people in the responsibility of patients and patients: “It is always the case that I have a Spital auswählen, in the well of the Eingriff, how much I need”, said the heart surgeon. “Vielleicht ist man zu bequem, won’t it be so difficult? Do you want to know if you have a mix of one of the competences Eindruck macht?” Often there is a problem with the Wissen. “The Fallzahlen must remain on the websites of the Spitäler for a long time, and it is never valid again”, so Carrel. “It is likely that the control has become stronger and that the patients and patients are more transparent, with a gastrointestinal.”

Roland Gamp is a reporter at the Tamedia Investigation Desk. My research is done for all cases in Medizin, Justiz and Umwelt auf.More info

Olivier Zihlmann is Co-Leiter of the Investigation Departments of Tamedia. Sein Schwerpunkt is a very effective study. There is Mitglied des International Consortium of Investigative Journalists ICIJ. The workers with the investigation desk and the ICIJ are more involved in the country and in Australia.More info

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