Deklaration guter Pflege und Medizin
Auch hier im Forum geht es ja hin und wieder um die Fehlentwicklungen, die im Gesundheitssystem in Deutschland um sich greifen, wo Markt, Wettbewerb und betriebswirtschaftliche Maxime im Vordergrund stehen.Hier nun eine Deklaration, die in den USA vorbereitet wurde und mit der sich Medizinerinnen und Mediziner, Ärztinnen, Ärzte und Pflegepersonal für eine humanere Medizin und Gesundheitsversorgung aussprechen, u.a. für mehr Prävention plädieren.
Ich habe diesen Textausschnitt in einem ärztlichen Fachmediumgefunden, in dem auf die Zeitschrift The Lancet verwiesen wird mit Hinweis auf folgenden Internetauftritt, den "Right Care Blog" des Lown Institutes:
http://therightcareblog.word … -because-we-need-a-movement/
"Bernard Lown's legacy: from avoidable care to right care
The Lancet
Last week, the second conference on avoidable care was convened by the Lown Institute in Boston, MA, USA. Whereas its first conference held in April, 2012, focused specifically on overtreatment, the emphasis this time was on understanding the drivers and consequences of overuse, underuse, and misuse of health care. The ultimate goal is to achieve a just, effective, affordable, and above all humane health-care system that puts patients and people at its centre. Such a movement and campaign, led by US physicians, health-care workers, civil society, and religious leaders is inspiring and timely, especially because the USA has the world's most expensive health-care system with relatively poor outcomes. Where markets lead, care is often influenced by monetary considerations with unnecessary medical tests and ineffective treatments that might even cause harm to patients. Other countries, the UK included, should take note.
At the conference, Bernard Lown himself, who is Chairman Emeritus of the Lown Institute and won the Nobel Peace prize for International Physicians for the Prevention of Nuclear War in 1985, gave an impressive passionate and thoughtful speech. He argued strongly that we should restore humanism into medicine and regain the lost art of listening to, and having compassion with, patients. Currently, we have a hospital-centred sickness system driven by financial incentives—this is a broken system. The money saved by curbing overtreatment should be invested into preventive medicine and palliative care. Medicine should be a calling not a business—the selection and education of medical students needs to reflect this.
With finite resources, changing demographics, and an increasing burden of non-communicable diseases, a new patient-centred strategy with integration of prevention and care and with a stronger role of community-based care is universally critical. In a forthcoming Series, The Lancet, in partnership with the Lown Institute, will examine the extent and consequences of unnecessary care. In the meantime, those who agree should sign the Lown Institute's declaration of principles for right care to start nothing short of a health-care revolution."
The Lancet
Last week, the second conference on avoidable care was convened by the Lown Institute in Boston, MA, USA. Whereas its first conference held in April, 2012, focused specifically on overtreatment, the emphasis this time was on understanding the drivers and consequences of overuse, underuse, and misuse of health care. The ultimate goal is to achieve a just, effective, affordable, and above all humane health-care system that puts patients and people at its centre. Such a movement and campaign, led by US physicians, health-care workers, civil society, and religious leaders is inspiring and timely, especially because the USA has the world's most expensive health-care system with relatively poor outcomes. Where markets lead, care is often influenced by monetary considerations with unnecessary medical tests and ineffective treatments that might even cause harm to patients. Other countries, the UK included, should take note.
At the conference, Bernard Lown himself, who is Chairman Emeritus of the Lown Institute and won the Nobel Peace prize for International Physicians for the Prevention of Nuclear War in 1985, gave an impressive passionate and thoughtful speech. He argued strongly that we should restore humanism into medicine and regain the lost art of listening to, and having compassion with, patients. Currently, we have a hospital-centred sickness system driven by financial incentives—this is a broken system. The money saved by curbing overtreatment should be invested into preventive medicine and palliative care. Medicine should be a calling not a business—the selection and education of medical students needs to reflect this.
With finite resources, changing demographics, and an increasing burden of non-communicable diseases, a new patient-centred strategy with integration of prevention and care and with a stronger role of community-based care is universally critical. In a forthcoming Series, The Lancet, in partnership with the Lown Institute, will examine the extent and consequences of unnecessary care. In the meantime, those who agree should sign the Lown Institute's declaration of principles for right care to start nothing short of a health-care revolution."
In einer bestimmten Gruppe von Fachärzten kursiert dieser Text jetzt, inkl. der eigentlichen Deklaration. Vielleicht übernimmt ihn hier jemand und bringt die Deklaration auch in ihre / seine Fachkreise.
