Fwd: FK-Unpad> Digest Number 3631

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Date: 2013/9/13
Subject: TRS: FK-Unpad> Digest Number 3631
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Subjek: FK-Unpad> Digest Number 3631


There are 2 messages in this issue.

Topics in this digest:

1. Fwd: Medical experts propose hospital doctors treat patients at home   
    From: Billy N.

2a. Re: RSUD Terancam Bangkrut   
    From: Johny Sulistio


Messages
________________________________________________________________________
1. Fwd: Medical experts propose hospital doctors treat patients at home
    Posted by: "Billy N." bi...@mediator.web.id yahrapha
    Date: Wed Sep 11, 2013 6:19 pm ((PDT))

http://www.theguardian.com/society/2013/sep/12/plan-hospital-doctors-treat-patients-home
Medical experts propose hospital doctors treat patients at home
Meet rising care demand by minimising ward stays and sending doctors
on home visits, advises Future Hospital Commission

Patients could in future be treated at home by hospital doctors under
plans for a revolution in the way healthcare is delivered which are
being published on Thursday.
Hospitals will lose much of their central role in the NHS, with more
care and treatment being provided in homes and care homes, under
radical proposals drawn up by a landmark inquiry instigated by
hospital doctors themselves, which has been broadly welcomed by the
government.
If implemented, the report of the Future Hospital Commission (FHC)
would lead to a major shift towards caring for the sickest patients at
home for longer and out of hospital, unless absolutely necessary, by
having health professionals come to them instead of them having to
attend regular appointments.
The commission, a panel of medical experts, warned that hospitals will
not survive unless they dramatically overhaul how they handle the
growing number of medical patients, whose more serious illnesses draw
heavily on NHS services.
"Our hospitals are struggling to cope with the challenge of an ageing
population and increasing hospital admissions. All too often our most
vulnerable patients � those who are old, who are frail or who have
dementia � are failed by a system ill-equipped and seemingly unwilling
to meet their needs," says the report, which was commissioned by the
Royal College of Physicians (RCP), which represents 28,000 hospital
doctors.
The report says hospital doctors should increasingly work as part of
multi-disciplinary teams of health- and social-care professionals,
such as GPs, district nurses and mental-health staff, to help patients
stay at home as much as possible, minimise their stay in hospital and
receive "seamless", integrated care wherever they are.
It also recommends two big changes which are either already underway �
the NHS's move towards operating a much fuller range of services on
Saturdays and Sundays � or have been demanded by health secretary,
Jeremy Hunt, such as a named doctor being in charge of every older
patient's overall care.
Hunt welcomed the plans saying: "[FHC's] focus on patient experience
and a 'buck stops here' approach for senior clinicians is bold and
refreshing."
However, serious questions were raised about how the FHC's ideas could
be implemented in the light of comments by Sir Michael Rawlins, a
professor and the inquiry chairman, and the RCP president, Sir Richard
Thompson, that the plans were drawn up on the assumption that the NHS
would receive no real increases in its funding in the near future.
The British Medical Association (BMA), the doctors' union, said the
plan would need "a commitment of resources if it is to work".
Mark Porter, leader of the BMA, which opposes NHS England's
determination that patients be able to access the same range and
quality of services at weekends as on weekdays, added that "with many
parts of the current healthcare system at capacity, and some areas
like emergency medicine nearing crisis point, how we provide
round-the-clock care needs to be carefully detailed and costed."
He added: "A move to routine seven-day services, for example, would
require significantly more investment in staffing and resources,
requiring not just more doctors but also specialist nurses, diagnostic
services and additional support staff."
Thompson and Professor Tim Evans, an intensive care specialist who led
much of the commission's work, denied that hospitals would have to
close or shrink if more healthcare was delivered elsewhere.
However, that view was contradicted by the Royal College of Surgeons
president, Professor Norman Williams. "Delivering the commission's
recommendations will require the reshaping of hospital services and a
move towards greater centralisation," he said, mentioning the
"undeniable clinical case" for fewer, larger, centres of expertise.
But Candace Imison, acting director of policy at the King's Fund
thinktank, said the report could help hospitals avoid losing key units
because it "challenges the notion that the only solutions to the
problems faced by many hospitals are merger or closure, and provides
ideas and opportunities to sustain more services locally".
Thompson warned hospitals against reducing their total stock of beds
any further because pressure on them was great and unlikely to
diminish.
Many hospitals often have trouble finding a bed immediately for a
patient who enters through A&E and needs to be admitted, because they
have no spare capacity. But improving the transfer of patients to
their homes, care homes or other facilities should ease that pressure,
he added.
The College of Emergency Medicine, which represents A&E staff, said
the proposals should help relieve the growing pressure on A&E which
has forced Hunt to find �500m to help improve services.
Michelle Mitchell, Age UK's charity director general, said: "It is
vital that the NHS gets better at caring for older people, removing
the barriers many older people face in accessing treatment and ending
the all too common experience that they leave hospital in worse health
than when they arrived."





Messages in this topic (1)
________________________________________________________________________
________________________________________________________________________
2a. Re: RSUD Terancam Bangkrut
    Posted by: "Johny Sulistio" johny.s...@yahoo.com johny.sulistio
    Date: Thu Sep 12, 2013 12:27 am ((PDT))

yang mesti nya dibangkrutkan / dipailitkan adalah pemkot bekasi dong ya
j





Messages in this topic (2)



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