Hard criticism of regional leadership – Pages

"We have a way to work here, another one in Norrköping and a third way to Motala.It will not be effective with completely different processes in different parts of the emergency care chain and is not compatible with the 39, idea of ​​equal care, says Rönnersten.We believe in the specialty to know what is good and work.The organization and work practices that we are aiming for in the US are the way in which the care 'urgency have been taken in the Anglo-Saxon world for 40 to 50 years, and there is good support for more effective treatment, less malpractice and satisfied patients.

The focus put by the American emergency on its own emergency medical specialists is a great success. Everything is united and that's something Andreas Rönnersten is proud of.

– We have in principle a study visit every week, other Swedes and our neighbors, who wish to see how we have solved the problem. The basic idea of ​​emergency medical care is simple: you need a specially trained staff to handle the emergency services. Imagine opening a delivery service. In this case, you probably would not open it to general practitioners and orthopedic surgeons. You would probably choose obstetricians because they excel there. So when you open an emergency room, it is probably best to do it with specially trained staff.

"Our business idea in this clinic is that all staff groups must be specially trained in emergency care instead of having, for example, doctors who come here and work temporarily. doing something better every day than doing it less often.The fact that Swedish emergency care is often as bad as unfortunately is largely due to the fact that there is no incentive to develop them when doctors come in. They are rarely interested in medical development, they have other interests.

US Acute is the emergency hospital in Sweden with the best medical staff in the sense of most of the own doctors with the highest level of competence.

"The advantage of our organization is that our doctors are routine, know how acute works, have the same work schedules, the same room, the same meetings and the same education as the other team. This is how the teams get bored.

So, who is responsible for making a change?

"It's the regional direction that decides our work, but in the long run, the problem is political if all residents have equal access to care.

Andreas Rönnersten also sees how emergency conditions change compared to other care departments.

"We take care of 80% of our patients and prepare them, 20% go elsewhere in another specialty, the group of patients, those who move on, we have to do more and more every year. always, for medical reasons, but because the hospital is getting smaller and there are fewer places to treat patients.This increases the thresholds to get there. Surveys are needed to show that this patient really needs to be taken care of by such clinic.

"The trend is therefore to study more and more in acute care, which means that patients stay longer with us than is good for them, because the number of patients they go to is complete. We know that for patients who need care in other clinics, the predictions are worse, and the longer they have to wait for care, the better the search will be.

So, how do you solve that?

– The availability of care facilities can only solve clinics with care facilities, which for us in emergencies often creates helplessness.