tag:blogger.com,1999:blog-19460381689744614742024-03-13T19:56:13.431-07:00health professionals' health SWISSpsy INSTITUTEPermanent Working Group 2 of the SWISSpsy INSTITUTE " Health aspects in health systems "André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.comBlogger18125tag:blogger.com,1999:blog-1946038168974461474.post-3333751766286226112020-10-11T00:09:00.001-07:002020-10-11T00:11:00.947-07:00COVID - 19 : 10 POINT - META - ANALYSIS<p><span class="tlid-translation translation" lang="en"> </span></p><p><span class="tlid-translation translation" lang="en"><b>COVID - 19 : 10 POINT - META-ANALYSIS </b> <br /></span></p><p><span class="tlid-translation translation" lang="en"></span></p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-3eEiX8yiJNE/X4KtgrzMxKI/AAAAAAAAA2k/uje7_YkYXGsJI1bw66-8hbQK3JeHQ58BACLcBGAsYHQ/s377/images.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="133" data-original-width="377" src="https://1.bp.blogspot.com/-3eEiX8yiJNE/X4KtgrzMxKI/AAAAAAAAA2k/uje7_YkYXGsJI1bw66-8hbQK3JeHQ58BACLcBGAsYHQ/s320/images.jpg" width="320" /></a></div><br /><p></p><p><span class="tlid-translation translation" lang="en">RESILIENCE AND RESISTANCE OF HEALTH SYSTEMS IN THE FACE OF A PANDEMIC SUCH AS COVID-19<br /><br />The meta-analysis carried out by SWISSpsy / ASPROMEL / EANA is extracted from the data collected at the European level of the CPME (Permanent Committee of European Doctors), of EANA (European Association of Free Exercise Physicians), of which ASPROMEL has the Vice-Presidency, as well as well as from ASPROMEL's own database.<br /><br />THE STRENGTH OF A SANITARY SYSTEM IS BASED ON<br /><br />1. PUBLIC-PRIVATE INTEGRATION </span></p><p><span class="tlid-translation translation" lang="en">2. PRIORITY OF THE AMBULATORY SECTOR<br /><br />3. CULTURE OF COOPERATION<br /><br />4. AUTONOMY OF THE MEDICAL PROFESSION<br /><br />5. NATIONAL RESERVES OF MATERIAL, MEDICINES AND VACCINES<br /><br />6. CLEAR DIRECTIVES AND GUIDELINES<br /><br />7. NATIONAL PRODUCTION OF MATERIAL, MEDICINES AND VACCINES<br /><br />8. EFFECTIVE AND SYSTEMATIC MONITORING<br /><br />9. NETWORKING<br /><br />10. INTEGRATING AND CROSS-BORDER APPROACH<br /><br /> <br /><br />1. Health Systems of the "Bismarck" type, based on public-private integration, have proven to be better prepared and more resistant (e.g. Germany, Austria, Switzerland, Luxembourg, Eastern European countries) compared to National Health Systems of the type "Beveridge", based on a public monopoly (eg Spain, UK, Italy, Sweden).<br /><br />2. Systems focused on outpatient care (eg Germany, Switzerland, Austria) have proven to be more resistant than systems focused on hospitals (eg France, Spain, United Kingdom).<br /><br />3. Health Systems in cultures of cooperation have proven to be more resistant than Health Systems in a culture of confrontation. There are great differences between the two cultures in the field of health personnel planning, in their financial remuneration and in general working conditions. As an example serve Switzerland on one side and Spain on the other.<br /><br />4. Health Systems based on the autonomy, competence and authority of the medical profession have proven to be more resistant than Health systems based on the civil service of medical personnel.<br /><br />5. Health Systems with national reserves of means of protection, material and medicines for emergencies, "just in case of", have proved more resistant than Health Systems that operate with few reserves pointing to the agility of logistics "just in time".<br /><br />6. Health Systems with clear directives "guidelines" have proven to be more resistant than Health Systems with full individual and local freedom of action.<br /><br />7. Countries with national production of the essential material for a case of pandemic have proven to be more resistant than countries that opt for outsourcing production abroad.<br /><br />8. Health Systems operating with systematic local and central monitoring have proven to be more resistant than Health Systems without monitoring or with poor monitoring.<br /><br />9. Health Systems based on networking have proven to be more resistant than Health Systems based on exclusion and monopoly.<br /><br />10. Health Systems with a cross-border and integrative approach have proven to be more resistant than Health Systems with a focus on itself.</span></p>André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com0tag:blogger.com,1999:blog-1946038168974461474.post-71420333162038319892018-01-27T11:10:00.001-08:002018-01-27T11:12:47.961-08:00CLINICAL EXCELLENCE IN PSYCHIATRY AND MEDICAL PSYCHOTHERAPY<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-NhaXERifmcE/WmzNb9WTY4I/AAAAAAAAApU/Q26oEkYr9IwTX6McaK7YheZPv_SsSrNaQCLcBGAs/s1600/madrid.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="283" data-original-width="424" height="213" src="https://4.bp.blogspot.com/-NhaXERifmcE/WmzNb9WTY4I/AAAAAAAAApU/Q26oEkYr9IwTX6McaK7YheZPv_SsSrNaQCLcBGAs/s320/madrid.jpg" width="320" /></a></div>
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New working-group in Spain : SWISSpsy - ASPROMEL/EANA - ASEPP</div>
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Clinical Excellence in free practice of Psychiatry and Medical Psychotherapy</div>
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by means of the SWISSpsy 5- D technology</div>
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First meeting January 27-2018 in Madrid</div>
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Next meeting probably march 2018 in Barcelona</div>
André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com0tag:blogger.com,1999:blog-1946038168974461474.post-23244582459767341202017-07-20T10:32:00.002-07:002017-07-20T10:32:37.133-07:00NEURO-LEADERSHIP AND E-HEALTH<div style="text-align: center;">
NEUROLEADERSHIP IN HEALTH SYSTEMS</div>
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E-HEALTH IN PSYCHIATRIC OUTPATIENT CARE</div>
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( PSY-SPITEX - SWITZERLAND )</div>
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Think Tank 29.04.2017</div>
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André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com1tag:blogger.com,1999:blog-1946038168974461474.post-31990808209497416972016-09-06T05:46:00.000-07:002016-09-06T05:55:13.866-07:00NEW HOME CARE APPROACHES<div style="text-align: center;">
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Think Tank Meeting September 3 , 2016<br />
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<a class="rg_l" href="https://www.google.ch/imgres?imgurl=http%3A%2F%2Fwww.epda.eu.com%2FEasysiteWeb%2Fgetresource.axd%3FAssetID%3D10978%26type%3Dfull%26servicetype%3DInline&imgrefurl=https%3A%2F%2Fn415son17.wordpress.com%2F&docid=GiK_8eA4A81HJM&tbnid=MJwHi7fRbFTtkM%3A&w=600&h=450&client=firefox-b&bih=626&biw=1280&ved=0ahUKEwjpk6_W4frOAhWCXhQKHUDSAnIQMwggKAIwAg&iact=mrc&uact=8" jsaction="fire.ivg_o;mouseover:str.hmov;mouseout:str.hmou" style="height: 174px; left: 44px; width: 247px;"><img alt="Bildergebnis für multiprofessional care teams" class="rg_ic rg_i" data-sz="f" jsaction="load:str.tbn" name="MJwHi7fRbFTtkM:" 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" 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Programme : Health System of the Netherlands - Buurtzorg - Health System of Switzerland - Curarete - SHURP Swiss Nursing Homes Human Resorces Project by the University of Basle - Analysis with the SWISSpsy 5 - D Technique</div>
André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com1tag:blogger.com,1999:blog-1946038168974461474.post-53956561407991893472016-04-25T13:05:00.001-07:002016-04-25T13:06:51.608-07:00RIGHTS AND OBLIGATIONS IN HEALTH CARE<div style="text-align: center;">
THINK TANK MEETING</div>
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April 9, 2016</div>
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<a href="http://1.bp.blogspot.com/-U_Wyu0SHkc8/Vx52OrX-IhI/AAAAAAAAAiI/WoczQaIBX-EQRfkQEvyAy5DoHPuq7ciSgCK4B/s1600/images-1.jpg" imageanchor="1"><img border="0" src="https://1.bp.blogspot.com/-U_Wyu0SHkc8/Vx52OrX-IhI/AAAAAAAAAiI/WoczQaIBX-EQRfkQEvyAy5DoHPuq7ciSgCK4B/s400/images-1.jpg" /></a></div>
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Program : fundamental trust and mistrust - 2nd Life after a stroke - project Buurtzorg NL-CH - Right to health and commitment to health - personal health as economic factor in community health - health of health systems begins with the individual</div>
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André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com1tag:blogger.com,1999:blog-1946038168974461474.post-45551592363725009712016-04-25T12:29:00.001-07:002016-04-25T12:30:04.933-07:00HEALTH CARE SYSTEMS IN TRANSITION<div style="text-align: center;">
THINK TANK MEETING</div>
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November 21, 2015</div>
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Program : Fundamental rights of health professionals - evolution in Swiss ambulatory health care - European Patients' Forum - European Observatory on Health Systems - Health Care Systems in transition : Switzerland - Charta of SAMW</div>
André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com0tag:blogger.com,1999:blog-1946038168974461474.post-41447580335708730082015-08-11T05:13:00.002-07:002015-08-11T09:14:34.013-07:00WORKING GROUP MEETING Zofingen May 9th 2015<div class="separator" style="clear: both; text-align: center;">
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Programme :</div>
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Ambulatory Care using SWISSpsy-5-D-Concept and Technique</div>
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Multi-disciplinary Care Teams and Task Sharing</div>
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The Role of Health Professionals' Associations</div>
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Health Professionals, Pharma Industry and Pharma Marketing</div>
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Research on paradigms</div>
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The meeting was centered on a 5-D analysis of correct and healthy relationships between health professionals and their task sharing, of the relationship between Health Professionals' Association and other actors in the health sector as well as the society. The not always transparent relationships between Health Professionals, Pharma Industry and drug marketing was explored in depth. Of special interest for the working group is research on paradigms in medicine and the health sector. </div>
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<br />André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com0tag:blogger.com,1999:blog-1946038168974461474.post-13882996221765549682015-02-24T10:52:00.000-08:002015-02-24T10:53:16.565-08:00GENERAL RIGHTS OF DOCTORS<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-Ad3hqSn9bv0/VOzHnBXDgII/AAAAAAAAAZs/jFL_Ok5uZQ4/s1600/images-4.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-Ad3hqSn9bv0/VOzHnBXDgII/AAAAAAAAAZs/jFL_Ok5uZQ4/s1600/images-4.jpg" /></a></div>
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The medical service rendered to society, the ethical guidelines of the
profession and the health legislation with its penalties for infringement of
the relevant rules and obligations, as well as the patients’rights, generate corresponding
rights for physicians.<o:p></o:p></span></b></div>
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<!--StartFragment-->
<br />
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<span lang="EN" style="font-size: 14pt;">GENERAL RIGHTS OF
PHYSICIANS<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;">1. To be freely chosen by their patients as a repository
for their health and confidence. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;">2. Receive dignity and respect. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;">3. Have access to continuing medical education and be
considered on equal opportunities for professional development. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;">4. Have the availability and timely human and material
resources necessary for the proper performance of his career.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;"> 5. To receive
protection and compensation for health damage and harm that they cause, arising
and / or resulting from acts proper to the practice of their profession. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;">6. To receive extra compensation for professional risks. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;">7. - Receive compensation for their professional obligation
to assist anyone in any situation anywhere in the world. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;">8. To receive a fair fee or salary, commensurate with
their dignity, responsibility and preparation, regardless of the outcome of
their work.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;"> 9. Protection, preservation
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<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;">10. Getting associated for the defense of their
professional interests and not receive differential
or discriminatory treatment. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;">11. Autonomy of practice. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;">12. Participate freely in patient care.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;">13. Access to research and teaching in the field of their
profession.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;">14. Get evaluation of their practice in all areas by
doctors with equal or superior knowledge. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;">15. To participate on equal terms in commissions on development
and establishment of budgets, rates and scales of their health care. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN" style="font-size: 14pt;">16. To participate on equal terms in the planning,
development and management of health systems.<br />
<br />
</span><span lang="EN" style="font-size: 10pt;"><br />
<br />SWISSpsy / ASPROMEL, Madrid, October 26, 2014<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<!--EndFragment--><br />
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com0tag:blogger.com,1999:blog-1946038168974461474.post-24237269501067903522014-04-23T00:25:00.000-07:002015-08-11T09:13:39.864-07:00Health professionals' health and labour policy<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-1a39E54RkY0/U1dmAW7s7jI/AAAAAAAAAXc/b6t9Lq1OAPI/s1600/Unknown-1.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-1a39E54RkY0/U1dmAW7s7jI/AAAAAAAAAXc/b6t9Lq1OAPI/s1600/Unknown-1.jpeg" /></a></div>
<br />
<br />
<div style="text-align: justify;">
<b>France </b>: due to massive mobilizations of health professionals, the French Labour Ministry created a working group on burnout syndrome in health professionals. Suicide rate among health professionals is significantly higher than in general population.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b>Italy </b>: The European Commission ( EC ) refers Italy to Court for not respecting the European Working Time Directive ( EWTD ) in the public health system.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b>Spain</b> : The European Commission requests Spain to respect forensic doctors' rights to maximum working hours and and minimum rest periods.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
The SWISSpsy INSTITUTE advocates by means of its working groups for a sound analysis and a re-equilibration between the current paradigms in medicine to guarantee health professionals's health in healthy health systems, which are the key- conditions for patients' safety and public health. </div>
André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com0tag:blogger.com,1999:blog-1946038168974461474.post-76526381275406806732013-12-08T11:13:00.002-08:002013-12-08T11:15:29.501-08:00HEALTH SYSTEMS AND THE LAWS OF THERMODYNAMICS<!--[if gte mso 9]><xml>
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systems are social and living systems<!--[if !supportLists]--><o:p></o:p></b></div>
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<o:p><b><br /></b></o:p></div>
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<o:p><b><br /></b></o:p></div>
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<br /></div>
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• Social and living systems are networked and highly
nonlinear<o:p></o:p></div>
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<br /></div>
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• Such systems are governed by the laws of thermodynamics</div>
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<o:p></o:p></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-6Uu5BYmBndA/UqTEdZ1dmxI/AAAAAAAAAU4/kreIRV0Vtm4/s1600/13.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="320" src="http://3.bp.blogspot.com/-6Uu5BYmBndA/UqTEdZ1dmxI/AAAAAAAAAU4/kreIRV0Vtm4/s320/13.JPG" width="265" /></a></div>
<br />
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• Power is work ( energy expenditure ) per time- unit<o:p></o:p></div>
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<br /></div>
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•
Endurance capacity of man and his health systems is determined by the factor of
<o:p></o:p></div>
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the
" effort " that can be resumed to discomfort in the form of
"fatigue" .<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
•
Zeroth Law of Thermodynamics : If a system A (service provider ) is in thermal
equilibrium to a system B ( service consumer ) and B ( service consumer) to a
system C ( service financier ) , then also A (service provider ) is in balance
with C ( service financier ) . The state quantity , which is coincident within
these systems is the temperature ( the higher the temperature of a body , the
larger is the average speed rate of its particles )<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
•
First law of thermodynamics : The energy of a closed system (human, health
systems ) remains unchanged. Various forms of energy can therefore interconvert
, but energy can neither be created out of nothing , nor can it be destroyed.
No system does work without supplying any other form of energy and / or without
reducing its internal energy.<o:p></o:p></div>
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<br /></div>
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•
Second law of thermodynamics : heat can not pass by itself from a lower body
temperature ( lower rate of speed of its particles ) to a body of higher
temperature ( higher speed rate of its particles). For example, heat can not
pass by itself from <span style="mso-spacerun: yes;"> </span>service providers to
more and more demanding service consumers. Or: heat can not pass by itself from
service consumers to increasingly demanding service financier ( insurances ).
The inflation spiral and cranking the economy needs energy.<o:p></o:p></div>
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<br /></div>
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•
Third law of thermodynamics : it is not possible to cool a system to the temperature
of absolute zero. A person , or a health care system can not <span style="mso-spacerun: yes;"> </span>be cooled to absolute zero . ( its particle velocity
magnitude is zero )<o:p></o:p></div>
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<br /></div>
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•
From all that follows that one-sided money exploitation and profit maximation
of the health systems through the financial industry while ignoring the laws of
thermodynamics leads to overheating and burning out of people, to non-renewable
yield of the energy content and reserves of the systems and to the eventual
collapse of the health systems.<o:p></o:p></div>
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<!--EndFragment-->André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com0tag:blogger.com,1999:blog-1946038168974461474.post-39735487242427897892013-08-05T08:42:00.001-07:002013-08-05T08:55:04.094-07:00WORKING GROUP ON LINKEDIN<div style="text-align: justify;">
This working group has extended its activity by creating a group on www.linkedin.com <a href="http://www.linkedin.com/">health professionals'health</a><br />
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André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com0tag:blogger.com,1999:blog-1946038168974461474.post-68100838025904478342013-07-03T23:02:00.002-07:002013-07-04T01:08:14.197-07:00ITINERARY TO BURNOUT IN HEALTH PROFESSIONALS<!--[if gte mso 9]><xml>
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<span class="Apple-style-span" style="font-size: 19px;"><br /></span>
<span class="Apple-style-span" style="font-size: 19px;">Definition : burnout is</span></div>
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<div style="text-align: justify;">
<!--[if !supportLists]--><span style="font-size: 14.0pt; mso-bidi-font-family: Cambria; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Cambria; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 14.0pt;">an experience of
physical, emotional and mental exhaustion, caused by long-term involvement in
situations that are emotionally demanding. <o:p></o:p></span></div>
</div>
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<div style="text-align: justify;">
<!--[if !supportLists]--><span style="font-size: 14.0pt; mso-bidi-font-family: Cambria; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Cambria; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 14.0pt;">The index of
dislocation between what people are and what they have to do. It represents an
erosion in values, dignity, spirit and will and erosion of the human soul. <o:p></o:p></span></div>
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<br /></div>
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<span style="font-size: 14.0pt;">Manifestation : <o:p></o:p></span></div>
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<br /></div>
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<div style="text-align: justify;">
<!--[if !supportLists]--><span style="font-size: 14.0pt; mso-bidi-font-family: Cambria; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Cambria; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 14.0pt;">Emotional
exhaution<o:p></o:p></span></div>
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<div style="text-align: justify;">
<!--[if !supportLists]--><span style="font-size: 14.0pt; mso-bidi-font-family: Cambria; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Cambria; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 14.0pt;">Depersonalisation<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-size: 14.0pt; mso-bidi-font-family: Cambria; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Cambria; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 14.0pt;">Lack of personal
accomplishment<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt;">Itinerary to burnout<o:p></o:p></span></b></div>
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<br /></div>
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<span style="font-size: 14.0pt;">Motivation to study medicine:<o:p></o:p></span></div>
</div>
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<div style="text-align: justify;">
<br /></div>
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<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">Humanistic values and ethics
are the main motivators for students in medicine. </span><span class="Apple-style-span" style="font-size: 19px;">During medical training there
is still insufficient focus on health aspects in the health systems concerning
health professionals. There is insufficient training in conflict - management,
business management, team-work and job-sharing. There is insufficiency in
intervisions and supervisions.</span></div>
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<div style="text-align: justify;">
<br /></div>
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<span style="font-size: 14.0pt;">Once finishes university
training the young doctors are exposed to :<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">1. daily contact with
illness, pain and death<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">2. excessive work load<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">3. increasing lack of social
support ore even hostilities and </span><br />
<span style="font-size: 14.0pt;"> attacks </span><span class="Apple-style-span" style="font-size: 19px;">increasing ( 20% in 10 years ) in a context
of </span><br />
<span class="Apple-style-span" style="font-size: 19px;"> feminisation of medical </span><span class="Apple-style-span" style="font-size: 19px;">profession.</span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">4. often working with
colleagues who suffer already burnout </span><br />
<span style="font-size: 14.0pt;"> síndrome<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">5. excessive bureaucratic
load<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">6. increasing penetration of
health systems by the market </span><br />
<span style="font-size: 14.0pt;"> society and </span><span class="Apple-style-span" style="font-size: 19px;">its beliefs</span></div>
</div>
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<br /></div>
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<br /></div>
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<span style="font-size: 14.0pt;">confronted to that reality
young doctors with their humanistic motivations and ideals too often enter into
the process of burnout which goes through the following phases :<o:p></o:p></span></div>
</div>
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<div style="text-align: justify;">
<br /></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">1. phase of illusion and
enthusiasm<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">2. phase of dis-illusionment
and disappointment<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">3. phase of profound
frustration<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">4. phase of despair </span><span class="Apple-style-span" style="font-size: 19px;">then falling apart and
getting sick </span><br />
<span class="Apple-style-span" style="font-size: 19px;"> or entering </span><span class="Apple-style-span" style="font-size: 19px;">the following </span><span class="Apple-style-span" style="font-size: 19px;">phases</span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">5. phase of cynisme and
detachment<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">6. phase of making money<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">7. phase of being eaten up by
the market society<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<br /></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">In the sake of healthy health
systems, of healthy health professionals, of quality of care, of
cost-effectiveness, of patient security, of motivated future young doctors and
last but not least healthy society, the following preventive mesures are a
must, whereby continuity of the process is of paramount importance.<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<br /></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<br /></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">1. redefinition of health
professions in the context of </span><br />
<span style="font-size: 14.0pt;"> society and social </span><span class="Apple-style-span" style="font-size: 19px;">security systems</span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">2. systematic and continued
analysis, identification and </span><br />
<span style="font-size: 14.0pt;"> updating of </span><span class="Apple-style-span" style="font-size: 19px;">health aspects in health systems</span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">2. structuring
multiprofessional care-teams<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">3. prevention and assessment
concerning burnout risks<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">4. training of health
professionals in social competence </span><br />
<span style="font-size: 14.0pt;"> and </span><span class="Apple-style-span" style="font-size: 19px;">networking</span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">5. training in conflict -
management<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">6. training in management of
change ( change as an </span><br />
<span style="font-size: 14.0pt;"> opportunity rather </span><span class="Apple-style-span" style="font-size: 19px;">than a threat )</span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">7. intervention of trained
coaches in health systems<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">8. intervision and
supervision for health professionals<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">9. tutoring of medical
students <o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">10. enhancing job-sharing for
a better job-family balance<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">11. enhancing personal
development plan to foster </span><br />
<span style="font-size: 14.0pt;"> personal growth<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;">12. training in human
sciences<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-size: 14.0pt;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<br /></div>
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<div style="text-align: justify;">
<br /></div>
</div>
<div class="MsoNormal" style="text-align: center;">
<div style="text-align: justify;">
<br /></div>
</div>
<!--EndFragment-->André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com0tag:blogger.com,1999:blog-1946038168974461474.post-20347486923850696802013-06-14T23:49:00.002-07:002013-06-15T00:19:41.213-07:00<div style="text-align: center;">
<span class="Apple-style-span" style="color: #0b5394; font-size: large;"><b>Health of Spanish Health Professionals </b></span></div>
<div style="text-align: center;">
<span class="Apple-style-span" style="color: #0b5394; font-size: large;"><b>attacked by a highly disfunctional health system</b></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span class="Apple-style-span" style="color: #0b5394; font-size: large;"><br /></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span class="Apple-style-span" style="color: #0b5394; font-size: large;"><a href="http://2.bp.blogspot.com/-Sf24-i6kZFE/UbwIWQInDJI/AAAAAAAAAKo/AL5Pz27JVp8/s1600/IMG_0894.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="239" src="http://2.bp.blogspot.com/-Sf24-i6kZFE/UbwIWQInDJI/AAAAAAAAAKo/AL5Pz27JVp8/s320/IMG_0894.jpg" width="320" /></a></span></div>
<span class="Apple-style-span" style="color: #0b5394; font-size: large;"><br /></span>
<br />
<div style="text-align: justify;">
<span class="Apple-style-span" style="color: #0b5394; font-size: large;">Due to a highly disfunctional health system, characterized by the absence of professional development reducing health professionals to simple civil servants and executors of state- dictated labour rules and on the other side characterized by insurance-dictated miserable contract conditions, Spanish Health Professionals suffer the highest rate of burnout syndrome in Europe. Research shows rates of 35-85% of Health Professionals presenting serious signs of burnout syndrome. Consequently over 10'000 doctors already emigrated to other countries in search of respect, dignity and human work conditions. Considering that a medical training costs the society about 200'000 € this loss of physicians represent a destruction of capital of 2000'000'000 ( 2bn € ). SWISSpsy in collaboration with ASPROMEL ( Spanish Professional Association of Doctors in free practice ) insist on health aspects in health systems being an absolute priority to garantee sustainable health systems and secure health care. </span></div>
André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com0tag:blogger.com,1999:blog-1946038168974461474.post-29229827271423637222013-06-05T05:48:00.001-07:002013-07-04T02:15:38.415-07:005-D Application for health systems and for health professionals'health<a href="http://www.blogger.com/blogger.g?blogID=1946038168974461474" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><br />
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt;"><span class="Apple-style-span" style="color: #0b5394;">Abstract<o:p></o:p></span></span></b></div>
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<span class="Apple-style-span" style="color: #0b5394;"><u><span style="font-size: 14.0pt;">Background :</span></u><span style="font-size: 14.0pt;">
The concept of health is defined according to WHO as a psycho-somatic-social
wellbeing. Each of these three fields has developed in medicine, <span style="mso-spacerun: yes;"> </span>the sector’s own diagnosis, therapy and
forecasting processes. A cross-sector understanding and for the healing process
essential integration often proves difficult in the absence of an integrated
navigation system. <o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="color: #0b5394;"><u><span style="font-size: 14.0pt;">Objective :</span></u><span style="font-size: 14.0pt;">
To close this gap and thus to provide the practitioner and the patient
orientation, support, quality and safety, our institute aimed to develop,
according to the WHO definition of health, an integrated navigation system,
that should allow sharp diagnostic, therapeutic and forecasting processes in
all three areas simultaneously.<o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="color: #0b5394;"><u><span style="font-size: 14.0pt;">Issue </span></u><span style="font-size: 14.0pt;">: We
asked ourselves whether, how and what of<span style="mso-spacerun: yes;">
</span>already existing technologies would be possible to integrate into such a
navigation system, and how, where and when each of the technologies should come
into play.<o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="color: #0b5394;"><u><span style="font-size: 14.0pt;">Procedure </span></u><span style="font-size: 14.0pt;">:
We assumed that this would be best achieved if we started with our own field,
the mental one, developed the dimensions one after another, matching
relationships between them and proceded only in a second step to the next
field, namely the somatic one, integrating it to the multi-dimensional
structure of the mental health. From our long experience we knew that the human
psyche as the human body is three dimensional, but we had up to then not named
the tree axes and not attributed to diagnostic and therapeutic techniques, and
above all we did not have the axes assembled together. <o:p></o:p></span></span></div>
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<span style="font-size: 14.0pt;"><span class="Apple-style-span" style="color: #0b5394;">In a third phase, we would join the three social axes
to our 3-D navigation system. <span style="mso-spacerun: yes;"> </span>As an
illustrative model, we would use the cube model. <o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="color: #0b5394;"><u><span style="font-size: 14.0pt;">Description </span></u><span style="font-size: 14.0pt;">:
The mental cube consists of axis 1 ( horizontal ) on which we move from left to
right, along the time evolution and maturity with its distinctive phases (
autistic, symbiotic, paranoid, schizoid, altruistic-narcisstisic,
selfish-narcissistic, borderline, and last of all to the far right, the phase
of internal object constancy ). Diagnostically to guide us along this axis are
the classifications according to J.F.Masterson, the diagnostic manuals ICD and
DSM, as well as classifications from developmental psychology.<o:p></o:p></span></span></div>
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<span style="font-size: 14.0pt;"><span class="Apple-style-span" style="color: #0b5394;">Axis 2 ( vertical ) shows from bottom to top the level
of awareness that a person has about his or her mental health and developmental
situation. Diagnostically and therapeutically<span style="mso-spacerun: yes;">
</span>Psychoanalysis and Psychoanalytic Psychotherapy will guide us on this
axis.<o:p></o:p></span></span></div>
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<span style="font-size: 14.0pt;"><span class="Apple-style-span" style="color: #0b5394;">Axis 3 ( horizontal perspective ) is the kind of focus
that a person can set on the various issues of development. Diagnostically and
therapeutically we are here in the field of cognitive behavioral therapy and
neuro linguistic programming NLP. Now, this 3-D navigation system is for both
the patient and for the therapist. Both are to each other in a therapeutic
relationship, what constitutes Axis 4 ( type of bond or attachment ) . On this
axis we are diagnostically and therapeutically in the field of object
attachment theory, with techniques of M.Mahler, Ainsworth, M. Balint, J.F.
Masterson and others. This axis 4 is our real endoscope, through which we can
perceive where the patient stands on the various three axis. Through this we
also <span style="mso-spacerun: yes;"> </span>introduce our psychotherapeutic and
coaching techniques and control how and where the effect of the intervention
took place. This is very similar to the surgical endoscopy. Prerequisite of
this technique is that the therapist knows his own axes and dimensions
perfectly.<o:p></o:p></span></span></div>
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<div style="text-align: justify;">
<span style="font-size: 14.0pt;"><span class="Apple-style-span" style="color: #0b5394;">The somatic cube<span style="mso-spacerun: yes;">
</span>consists of : axis 1 ( horizontal ) from left to right, the somatic
evolution of the person. Here we are in the field of embryology and anatomy.
Axis 2 ( vertical ) from bottom to top, expresses the physiology of the human
body. Here we are in the physiological control-loops. Axis 3 ( depth )
represents the chemical focus of the body. Here we are in the field of
endocrinology and pharmacology. Axis 4 ( type of attachment ) expresses the
physical coming into contact with another body. This includes also with
inanimate bodies. <o:p></o:p></span></span></div>
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<div style="text-align: justify;">
<span style="font-size: 14.0pt;"><span class="Apple-style-span" style="color: #0b5394;">The social cube in turn consists of : axis 1 (
horizontal ) the phases of social development of the person with its known
phases ( intrauterine, birth, infancy, early childhood etc until death ). Here
we are in the range of descriptive developmental psychology. Axis 2 (
vertically ) from bottom to top, the depth of the social roots. Here we are in
the field of sociology and education. Axis 3 ( focussing ) reflects the social
focus of the person in life. This is the field of meaningfulness of life, of
religiosity and of ethics, as well as philosophy. <o:p></o:p></span></span></div>
</div>
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<span style="font-size: 14.0pt;"><span class="Apple-style-span" style="color: #0b5394;">Axis 5 is more tan an axis, it is rather a dimension,
namely the superposition of the psychological, somatic and social cube. On this
fifth dimension, the WHO’s definition of health<span style="mso-spacerun: yes;">
</span>is based. Here it becomes clear how und where any health problem is located
and how it is diagnosed and treated according to the WHO’s definition. <o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="color: #0b5394;"><u><span style="font-size: 14.0pt;">Basic assumptions</span></u><span style="font-size: 14.0pt;"> : Illness is for us not defined as presence of one or more symptoms,
and personality disorder is not defined for us as a collection of certain
personality traits. What characterizes disease, is getting stuck in a phase of
development or a collection of symptoms. This means for people always a loss of
inner freedom, on each of the four axes and also in the 5th dimension. The loss
of inner freedom and entanglement in useless attemps to break out or to
compensate<span style="mso-spacerun: yes;"> </span>are what make people sick.<o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="color: #0b5394;"><u><span style="font-size: 14.0pt;">Technology </span></u><span style="font-size: 14.0pt;">:
Both , diagnosis and<span style="mso-spacerun: yes;"> </span>treatment, make use
of the endoscope, i.e. the axis 4. By best knowledge of his own axes and
dimensions<span style="mso-spacerun: yes;"> </span>the practicioner becomes an
expert in the illumination of the different axes of the patient. Through his
years of training and refinement of the intervention technique, he is an expert
in medical psychotherapy, psychiatry and psychosomatic medicine. Each of the
axes requires a specific technology that must be mastered, and they are
specifically tuned to the phases on axis 1. Inappropriate technique can lead to
iatrogenic injury. Advanced technical skills are an integral part of this 5-D
endoscopy and navigation system. On the other hand, precisely because of this
system, accumulated technical errors are detected immediately and razor-sharp
and corrected.<o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="color: #0b5394;"><u><span style="font-size: 14.0pt;">Benefits</span></u><span style="font-size: 14.0pt;"> :
Thanks to this 5-D endoscopy and navigation technology<span style="mso-spacerun: yes;"> </span>disorders with a character of illness can be
differentiated from those without. This allows to do either therapy with the
consequent funding by health insurance, or coaching for further personality
development, with the consequent funding from other sources. The concept of
health by the WHO is applied with this technique in each individual
intervention. <o:p></o:p></span></span></div>
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<div style="text-align: justify;">
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<div style="text-align: justify;">
<span class="Apple-style-span" style="color: #0b5394;"><u><span style="font-size: 14.0pt;">Results</span></u><span style="font-size: 14.0pt;"> : In
the four years we have used specific and daily this technique, we observed the
following : faster and more accurate diagnosis and treatment, lower session
frequency, shorter total duration, transparency and quality, increased safety
for both patient and therapist, lower overall costs, no double – diagnoses and
treatments, no treatment interruptions, flowing transition from therapy to
coaching with a clear differentiation of the respective funding sources, rapid
social reintegration, very low rate of chronicity. These results were confirmed
repeatedly by the patients, the relatives and the referring physicians and
institutions.<o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="color: #0b5394;"><u><span style="font-size: 14.0pt;">Conclusion </span></u><span style="font-size: 14.0pt;">:
Since four years we are working at our institution with a 5-D Endoscopy and
Navigation Technology that is simple and straightforward, which is tailored to
the human structure, which is from a diagnostic and technical point of
view<span style="mso-spacerun: yes;"> </span>razor-sharp, but requires high
technical skills and experience from the practitioner, whithout which this
technology would certainly not be developed.<o:p></o:p></span></span></div>
</div>
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<div style="text-align: justify;">
<span class="Apple-style-span" style="color: #0b5394;"><u><span style="font-size: 14.0pt;">Outlook</span></u><span style="font-size: 14.0pt;">
:<span style="mso-spacerun: yes;"> </span>with increasing experience in the
application of our technology encreases our expertise and efficiency, which
leads to<span style="mso-spacerun: yes;"> </span>sustained <span style="mso-spacerun: yes;"> </span>improving of quality, safety and major
cost-benefit ratio. As for the research, our technology opens new approaches,
such as we have seen in the field of neuroscience and criminal law. Psychopaths
seem to be therapeutically accesible only endoscopically ( axis 4 ) in the 5th
dimension of axis 3 ( focusing ). Mentally they are focused on this axis to
narcissistic ( axis 1 ) acting out their claim to rule and their hatred.
Somatically they have been found to have decreased neurotransmitter in the amygdala
( chemical focus on axis 3 ) and socially they are focused to manipulation and
destruction as the meaning of life ( philosphy focusing ). A 5-D integrated
psycho-socio-educational and psycho-pharmacological approach involving a clear
and solid structure from criminal law could be prepared and implemented for
this serious mental disorder.</span></span></div>
</div>
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<span class="Apple-style-span" style="color: #0b5394;"><u><span style="font-size: 14.0pt;">Extended application</span></u><span style="font-size: 14.0pt;"> : As people live and work in structures and systems that were created
by them, the structural elements of human psyche can be found within these
social structures. The social structures have a life of its own, and this in
turn implies that such structures themselves are either healthy or sick. In the
treatment of patients the sick elements of social structures in which they live
and work , again and again come to the fore and must be treated. As in recent
years, depression, anxiety, burnout conditions, but also the use of violence in
connection with family, business, schools, neighbourhood, etc. accumulate, our
institute has put together interdisciplinary working groups, with the theme of
health issues<span style="mso-spacerun: yes;"> </span>concerning : 1. Companies,
organizations and systems , 2. Health systems,<span style="mso-spacerun: yes;"> </span>3. education, pedagogy and
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André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com0tag:blogger.com,1999:blog-1946038168974461474.post-48828212937768002372013-05-21T12:12:00.001-07:002013-07-04T02:16:54.439-07:00Health Professionals' Health in Europe<div style="text-align: center;">
<span class="Apple-style-span" style="color: #0b5394; font-size: large;">Healthprofessionals' Health in Europe</span></div>
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<span class="Apple-style-span" style="color: #0b5394; font-size: large;">EANA MEETING<o:p></o:p></span></div>
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</span><br />
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<span class="Apple-style-span" style="color: #0b5394; font-size: large;">17-18 May 2013 in Prague<o:p></o:p></span></div>
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</span>
<br />
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During
the spring-meeting of EANA ( European doctors in free practice ), held in
Prague, on May 17-18,<span style="mso-spacerun: yes;"> </span>Dr. André
Bolliger, Director of the SWISSpsy INSTITUTE, President of ASPROMEL ( Spanish
Associaton of doctors in free practice ) and Treasurer elect of EANA, exposed
the elements which lead to burnout sindrome in health professionals.<o:p></o:p></div>
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<br /></div>
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Along
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the dramatic situation Spanish doctors are going through. As the two doctors
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to the highest rate of burnout among health professionals of Europe and to growing
emigration of physicians trained in the country, which means a huge economic
loss <span style="mso-spacerun: yes;"> </span>for Spain. Until today more than
10,000 Spanish doctors have sought better working conditions outside the
country. EANA is aware of the dramatic situation and decided to develop under
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situation in Spain.<o:p></o:p></div>
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During
the Prague meeting EANA also took measures to protect and defend the interests
of physicians in free practice of other member countries of the European
platform. The health of doctors and other health professionals has proved a
matter of highest priority in this time of increasing political and economic
pressure. Healthy societies need healthy health systems with <span style="mso-spacerun: yes;"> </span>transparent and balanced economic accounts in
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<a href="http://4.bp.blogspot.com/-R5eLmpGHYBs/UZvGWDDIzAI/AAAAAAAAAIk/sxPG6UnXozU/s1600/S3010148.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="312" src="http://4.bp.blogspot.com/-R5eLmpGHYBs/UZvGWDDIzAI/AAAAAAAAAIk/sxPG6UnXozU/s320/S3010148.JPG" width="320" /></a></div>
<o:p></o:p><br />
<!--EndFragment--></span>André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com0tag:blogger.com,1999:blog-1946038168974461474.post-24186090276199507192013-05-14T03:12:00.000-07:002013-07-04T02:17:27.965-07:00The Complexity of Health Care<div style="text-align: center;">
<span class="Apple-style-span" style="color: #0b5394; font-size: large;">The Complexity of Health Care</span></div>
<div style="text-align: center;">
<span class="Apple-style-span" style="color: #0b5394; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span class="Apple-style-span" style="color: #0b5394; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span class="Apple-style-span" style="color: #0b5394; font-size: large;">
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<span class="Apple-style-span" style="color: #0b5394; font-size: large;"><span style="font-size: 16.0pt;">The complexity of the nursing profession <o:p></o:p></span></span></div>
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</span><br />
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<span class="Apple-style-span" style="color: #0b5394; font-size: large;"><span style="font-size: 16.0pt;">in the educational landscape<o:p></o:p></span></span></div>
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The
diversity of the nursing profession has been visible in the educational
landscape in recent years more and more. How can now be strengthened mutual
understanding and acceptance between educational establishments, institutions
and nursing staff? Is there a gap between VET and higher education in nursing?
And if so, how could this be overcome?<o:p></o:p></div>
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<br /></div>
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This
is a question we are interested in this paper. Inspired<span style="mso-spacerun: yes;"> </span>by the article in the magazine SBK No. 11
2012, "Well equipped for the job - and beyond" we want to share our
thoughts.<o:p></o:p></div>
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For
many years we work as nursing professionals in various<span style="mso-spacerun: yes;"> </span>areas, levels and institutions. So we look
closely at the development of nursing as a profession. We investigate how
healthyly health systems and institutions evolve. From the perspective of Neuro
Linguistic Programming NLP and insights from neuroscience, we are creating
interesting new aspects. At the annual symposium "Tower of the
Senses" in Nuremberg we receive inputs, which we try to translate in order
to make them useful for the nursing profession. It creates new perspectives,
which may be provocative and new at the same time. In order to identify further
opportunities for the development of the nursing profession, we also want to
shake existing ways of thinking.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
Our
concern is a discussion at all levels and training levels to stimulate the
nursing department in order to meet upcoming challenges.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
The
transition from nurse and guard to specialized professionals of care <span style="mso-spacerun: yes;"> </span>suggests a long and varied history. The job
titles and professional identity <span style="mso-spacerun: yes;"> </span>have
adapted to the present day. The job description, i.e. the new job profiles are
probably not yet fully known in society. The variety of different professions
and denominations has increased and varied, sometimes dramatically which
explains <span style="mso-spacerun: yes;"> </span>the complexity of care.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
It
is challenging to describe the profession of nursing and to explain to the
society what we do all day at work. The term "care" <span style="mso-spacerun: yes;"> </span>includes countless activities, not only in our
profession, but also in many other areas of the world of work, or in everyday
life. A customer relationship for instance needs to be cared, my car needs
care, or even the garden wants to be cared for and much more.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
But
the term “nursing” with respect to executive tasks such as washing, providing
food, or making injections is too simplified a term. The situation is similar
for the expression of "care". Maybe it needs new terms and
expressions in order to make our work comprehensible and visible and thus<span style="mso-spacerun: yes;"> </span>strengthen it further.<o:p></o:p></div>
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<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
To
make this possible care needs to go its own way, developing further self-awareness,
self-confidence and self-determination. Usually our profession is defined as
distinct, <span style="mso-spacerun: yes;"> </span>compared to the medical profession.
The proximity to the medical corresponds to the nature of things, sometimes
more, sometimes less. However, tasks, knowledge, skills and abilities are
different. More targeted care can create their own professional identity. An
orientation that is based on differentiation from other professions, is in
danger of getting lost in the disorientation.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
The
core of the nursing work is the relationship design, depending on the setting
of course, of various kinds. In areas where we both worked, the geriatric
psychiatry and long-term care, it needs an intensive, long-term relationship
formation. In the acute hospital on an emergency department, it needs a
different shorter form of relating. Relationship creates trust and acceptance,
the basis for nursing actions.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
In
this context, we also deal with the question of why nursing requires a high
school education and how a connection can be ensured for training. To bring the
acceptance and understanding of higher education to the base, it still needs
further efforts. The care has its own science and that makes sense. Nursing
science is not an exact science. (If there is some absolutely exact science.,
The perception and interpretation of the viewer flow into all results. The
Symposium in Nuremberg tells us that intuition is a serious skill, based on
years of experience. Neuroscience can also confirm this. Tower of the senses
Symposium 2009, see www.turmdersinne.de / en / symposium)<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
We
know, a lot of care is based on empirical knowledge, is done by feeling and
intuition. Exact parameters and measurement capabilities in nursing is not an
easy task to establish. The relationship work and design as the most important
pillar is difficult to measure. From higher education, we wish further
development of theories and models for practice. In parallel, we require a
mutual understanding, a togetherness, an integration of all nursing professions
associations and educational institutions.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
In
professional training, theory and practice are strongly interrelated and one
goes from the beginning to the front. At university level <span style="mso-spacerun: yes;"> </span>accademic studies are centerstage and the
connection to practice comes later. We call this "limbic" and
"cognitive" learning, or right hemisphere and left hemisphere
learning. Of course, both have their share of the other. Higher education is
weighted higher in society and politics. Not only in nursing, in many
professions. But why? This is also the case in collaboration between care and
medicine. Medicine determines, Care executes. In recent years, much has
changed, but Care is still not an independent legal profession. We are
challenged. And also at the base, we need to refresh and increase our knowledge
regularly. Training courses today<span style="mso-spacerun: yes;"> </span>are
many and very good ones, near to practice, offered from different educational
institutions and universities.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
But how
does one teach and learn <span style="mso-spacerun: yes;"> </span>relationships,
communication and empathy? "Limbic" learning is different from
"cognitive" one. Therefore we need new teaching methods in order to
learn also these limbic<span style="mso-spacerun: yes;"> </span>aspects . This
is already partly possible. Also the acquiring of cognitive knowledge,<span style="mso-spacerun: yes;"> </span>learning facts is a challenge. We wish here
more connection from "cognitive" to <span style="mso-spacerun: yes;"> </span>"limbic". This requires to go into
practice and to get in touch with the people. In profesional training as<span style="mso-spacerun: yes;"> </span>FAGE for example, this is <span style="mso-spacerun: yes;"> </span>lived learning. It is important that trainees
are well supported, which requires resources and time. Trainees need a
counterpart to reflect on their development. Our brain is a social organ. That
is, it can only develop when it communicates with other brains.<o:p></o:p></div>
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<br /></div>
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The
professionalization of nursing is a very exciting process. We are aware that
there is also a very complex journey. In order to give the profession its due
place in health care and society, it needs many efforts. It is gratifying how
much work was already done. We will continue to deal with our exciting
profession and its development, and try to incorporate new findings.<o:p></o:p><br />
<br />
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<div class="MsoNormal">
Joe Goldener<o:p></o:p></div>
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Care professional RF<o:p></o:p></div>
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Rolf Bolliger<o:p></o:p></div>
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Care professional RF<o:p></o:p></div>
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SWISSpsy working group " Health Care"<o:p></o:p></div>
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André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com0tag:blogger.com,1999:blog-1946038168974461474.post-81071052683216525142013-05-13T10:14:00.001-07:002013-06-15T00:21:51.242-07:00<div style="text-align: center;">
<span class="Apple-style-span" style="color: #0b5394; font-size: large;">Burnout in health professionals</span></div>
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André Bolligerhttp://www.blogger.com/profile/14295805194233888316noreply@blogger.com0tag:blogger.com,1999:blog-1946038168974461474.post-47989713632189026762013-05-13T09:26:00.000-07:002013-06-15T00:22:22.016-07:00<div style="text-align: center;">
<span class="Apple-style-span" style="color: #0b5394; font-size: large;"> Permanent Working Group Nº 2</span></div>
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<span class="Apple-style-span" style="color: #0b5394; font-size: large;">SWISSpsy INSTITUTE</span></div>
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<span class="Apple-style-span" style="color: #0b5394; font-size: large;">"Health aspects in health systems "</span><br />
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