NEW HOME CARE APPROACHES

Think Tank Meeting September 3 , 2016



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

RIGHTS AND OBLIGATIONS IN HEALTH CARE

THINK TANK MEETING

April 9, 2016

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

HEALTH CARE SYSTEMS IN TRANSITION

THINK TANK MEETING

November 21, 2015

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

WORKING GROUP MEETING Zofingen May 9th 2015

Programme :

Ambulatory Care using SWISSpsy-5-D-Concept and Technique

Multi-disciplinary Care Teams and Task Sharing

The Role of Health Professionals' Associations

Health Professionals, Pharma Industry and Pharma Marketing

Research on paradigms

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.    

GENERAL RIGHTS OF DOCTORS

 DOCTORS’ RIGHTS


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.

GENERAL RIGHTS OF PHYSICIANS

1. To be freely chosen by their patients as a repository for their health and confidence.

2. Receive dignity and respect.

3. Have access to continuing medical education and be considered on equal opportunities for professional development.

4. Have the availability and timely human and material resources necessary for the proper performance of his career.

 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.

6. To receive extra compensation for professional risks.

7. - Receive compensation for their professional obligation to assist anyone in any situation anywhere in the world.

8. To receive a fair fee or salary, commensurate with their dignity, responsibility and preparation, regardless of the outcome of their work.

 9. Protection, preservation and restoration of their professional standing.

10. Getting associated for the defense of their professional interests and  not receive differential or discriminatory treatment.

11. Autonomy of practice.

12. Participate freely in patient care.

13. Access to research and teaching in the field of their profession.

14. Get evaluation of their practice in all areas by doctors with equal or superior knowledge.

15. To participate on equal terms in commissions on development and establishment of budgets, rates and scales of their health care.

16. To participate on equal terms in the planning, development and management of health systems.



SWISSpsy / ASPROMEL, Madrid, October 26, 2014

Health professionals' health and labour policy

France : 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.

Italy : The European Commission ( EC ) refers Italy to Court for not respecting the European Working Time Directive ( EWTD ) in the public health system.

Spain : The European Commission requests Spain to respect forensic doctors' rights to maximum working hours and and minimum rest periods.

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.   

HEALTH SYSTEMS AND THE LAWS OF THERMODYNAMICS

  Health systems are social and living systems

• Social and living systems are networked and highly nonlinear

• Such systems are governed by the laws of thermodynamics

• Power is work ( energy expenditure ) per time- unit

• Endurance capacity of man and his health systems is determined by the factor of

the " effort " that can be resumed to discomfort in the form of "fatigue" .

• 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 )

• 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.

• 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  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.

• 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  be cooled to absolute zero . ( its particle velocity magnitude is zero )

• 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.