More political pressure on incidental operations – Switzerland: standard



Surgeons and surgical teams that operate their patients despite inadequate practices have caused concern for years. The health insurance company Santesuisse is now calling on the federal government to establish binding minimum numbers for complex operations. To this end he presents an analysis of four sample areas: hip replacements, knee prostheses, complex operations on the lungs and bronchi and cardiac surgery. For everyone, the situation in Switzerland is far from recognized. Particularly noteworthy are hospitals that perform complex operations only a handful of times a year.

The Conference of Cantonal Health Directors (GDK) has been trying for a long time to enforce minimum numbers for highly specialized interventions in transplantation medicine, abdominal surgery and pediatric oncology. The resistance is sometimes bitter. Not infrequently all legal options have been exhausted to postpone the withdrawal of a performance mandate and to continue working with insufficient case numbers. Studies have shown that this usually leads to more deaths and complications. In the Canton of Zurich, the Health Directorate also uses case numbers to check the hospital, among other things. There, too, the opposition is large.

Yet something moves slowly. The situation has improved in Zurich and in highly specialized medicine. Still, it is good if Santésuisse increases the political pressure with his question. This could increase the willingness of some cantons and hospitals to come together. However, if the federal government actually intervened, it would not be very useful. It is unlikely that Alain Berset and his department would have it easier than anyone else working on the minimum numbers. Fundamental opposition and time-consuming legal transactions would also be safe for him. (Tages-Anzeiger)

Created: 23.08.2018, 21:26 clock


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