No, in the original proposals they wanted some hospitals to close all inpatient wards or not having them an “On-Duty-Doctor” anymore there during night hours. That’s not anymore a hospital in the classic sense anymore.
It’s just that the Bundesrat made it abundantly clear that this won’t pass, and the hospital planning is their competence, and none of the federal state.
Also for 08/15 diseases in Internal Medicine or General Surgery you don’t need big specialized centres. They can handle a Pneumonia, or the usual decompensated heart insufficience just fine. In the big university hospitals there is also a lot of shit going on, which drags down patient care (like stupid internal fights between departments over who is responsible for Patient X or Condition Y, shitty to nonexistent teaching of Assistant Doctors who are getting burned through and learn hardly any practical skills etc…)
We also have already minimum yearly requirements for some procedures where it’s clear that more experience in the centre leads to vastly better outcomes
No, in the original proposals they wanted some hospitals to close all inpatient wards or not having them an “On-Duty-Doctor” anymore there during night hours. That’s not anymore a hospital in the classic sense anymore.
It’s just that the Bundesrat made it abundantly clear that this won’t pass, and the hospital planning is their competence, and none of the federal state.
Also for 08/15 diseases in Internal Medicine or General Surgery you don’t need big specialized centres. They can handle a Pneumonia, or the usual decompensated heart insufficience just fine. In the big university hospitals there is also a lot of shit going on, which drags down patient care (like stupid internal fights between departments over who is responsible for Patient X or Condition Y, shitty to nonexistent teaching of Assistant Doctors who are getting burned through and learn hardly any practical skills etc…)
We also have already minimum yearly requirements for some procedures where it’s clear that more experience in the centre leads to vastly better outcomes