The hospital reform, which has been a political bone of competition for years, has now been determined: it was solely this week that additional changes got here into pressure, which additionally have an effect on the clinics Lower Saxony ought to present extra planning safety.
Appropriately, Decrease Saxony’s Well being Minister Andreas Philippi (SPD) just lately laid the muse stone for the brand new East Frisian Sea Central Clinic in Südbrookmerland. A challenge that matches the development of centralization of hospitals. The place does Decrease Saxony stand in relation to the renovation of the clinics – and what does it imply for affected person care? An summary.
What number of hospitals are there at present in Decrease Saxony?
There are at present 161 hospitals from the North Coastline to the Harz Mountains. That is what it says within the hospital plan for this yr.
Will there be fewer clinics on account of the reform?
The variety of hospitals in Decrease Saxony has fallen considerably in recent times: in comparison with 2006, nearly one in 5 has now closed. At the moment there have been nonetheless 195 hospitals, ten years in the past there have been nonetheless 182 hospitals nationwide.
With the Hospital reform This development is more likely to proceed, as in lots of locations former areas are being merged to kind new central clinics.
Larger focus and specialization of the clinics are expressly desired. “For instance, hospitals may also shut as a part of mergers,” explains the Federal Ministry of Well being.
Why are hospitals centralized?
“Bigger amenities with a excessive variety of circumstances and specialization normally have higher structural circumstances, well-established processes and intensive expertise” – and this normally has a optimistic impact on high quality, says the Ministry of Well being in Hanover. The objective is to make sure the identical high quality of care as doable all through Decrease Saxony.
The Decrease Saxony Hospital Society (NKG) emphasizes that hospitals in any respect ranges of care have to be accessible in all areas at affordable instances. It’s not a particular quantity that issues, however somewhat the regional distribution. “Closures and mergers have taken place and can proceed to happen,” says affiliation director Helge Engelke.
Many double buildings have already been dismantled in Decrease Saxony. “This course of continues to be on an excellent path, whatever the present hospital reform.”
The place are central clinics constructed?
Along with the East Frisian Sea Central Clinic within the Aurich district, new central clinics are additionally being constructed within the Heidekreis and Diepholz districts. In line with the Ministry of Well being, the tasks every substitute two to a few “outdated” areas. The primary commissioning is deliberate for the tip of 2028.
An extra central clinic has already been utilized for, and much more may comply with after the coordination and planning on website has been accomplished.
Particularly, the Emden, Norden and Aurich areas for the Georgsheil Central Clinic in Südbrookmerland shall be deserted. For the central clinic within the Diepholz district, the Bassum, Sulingen and Diepholz hospitals in Twistringen shall be merged, whereas the Walsrode and Soltau areas shall be eradicated for the Heidekreis central clinic in Fallingbostel.
The seek for a location is underway for a central clinic that may serve the Friesland district and the town of Wilhelmshaven. In line with the NKG, the plans are to desert the Nordwest Hospital Sande and Klinikum Wilhelmshaven areas.
What function do regional well being facilities play?
The state authorities sees the regional well being facilities, or RGZ for brief, as an vital issue, particularly for care in rural areas. Sufferers may very well be handled there by a specialist on an outpatient foundation however, if obligatory, may additionally obtain inpatient look after a number of days. Small operations are additionally doable. As well as, short-term care or physiotherapy affords may very well be built-in into the RGZ.
There are at present 4 RGZs in Decrease Saxony: within the north (LK Aurich), Holzminden, Unhealthy Gandersheim (LK Northeim) and Ankum-Bersenbrück (LK Osnabrück). It’s nonetheless unclear what number of there shall be nationwide.
What does Decrease Saxony hope to attain from the hospital reform?
“The hospital reform goals to strengthen high quality, transparency and cost-effectiveness and on the similar time permits exceptions to make sure complete, accessible care, particularly in structurally weaker areas,” explains the ministry in Hanover.
The NKG emphasizes that it is very important make sure the accessibility and regional traits of hospitals. Schematic nationwide standards fall quick – dependable state planning, clear profit allocations and monetary safety are due to this fact vital
The place does the nation nonetheless see a necessity for change?
Well being Minister Philippi criticizes the truth that the federal authorities has linked the allocation of hospital service teams to strict compliance with minimal staffing limits within the quick time period. Falling beneath these limits in a care-sensitive space would end in all reviews from the medical service at a location changing into damaging.
“That might have an effect on many hospitals, particularly our massive hospitals and our college clinics, which within the worst case would now not be capable of supply companies,” warned Philippi. He due to this fact expects short-term clarifications or transitional laws from the federal authorities with out creating extreme paperwork.
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