Fewer hospitals, but better equipment: a study by the Bertelsmann Foundation recommends reducing the number of clinics in Germany from 1,400 currently to around 600.
The remaining houses could then receive more staff and better facilities. Patients could be treated much better with less than half of hospitals. The scout of the city asked the two local hospitals and asked for an assessment of the situation.
How do you judge Bertelsmann's study in principle?
– Heinz-Werner Bitter, General Director of the Herne / Castrop-Rauxel Protestant Hospital Community gGmbH:
The study lacks many points of reference to reality. So would be for example. For the necessary restructuring of the hospital landscape, funds of about 3.3 billion euros are needed, which the NRW State should collect. But now, NRW hospitals lack about one billion euros in funding.
– Clemens Galuschka, Director General of St. Luke Catholic Society, to which Rochus Hospital belongs:
The study is unrealistic. This presentation does not really help because these "number games" have nothing to do with the specific situation of the field offer.
Care in large hospitals will not find many patients helpful for their recovery. Most medical conditions are more appropriate in the living setting and should be treated with family members.
Complex or complex clinical charts require care in specialized services. However, these diseases can also be treated in a decentralized way in hospitals of small size and of excellent quality.
In the end, such a structural change will probably require a very different health system, for example. would not give a free choice of doctor.
In addition, the necessary restructuring would cost billions of dollars.
How does the discussion about the future of clinics triggered by the study affect patients?
– EvK: With regard to patients, it is irresponsible from our point of view, as is done here with the confidence of people in the on-site clinics. We have always offered our patients the highest degree of transparency possible, by regularly informing them of our range of services, offering them the opportunity to talk to our doctors, nurses and therapists at events, conferences and meetings. guided tours.
– Rochus: Such a discussion only unnecessarily disrupts, especially since such studies ultimately have no relevance in reality, as they are inapplicable politically and economically.
What are the implications of the study results for the medical referral of your home for basic and special care? Currently, medium or long term?
– EvK: EvK has already achieved a high degree of specialization. The best example is our geriatric medicine, which covers everything from acute geriatrics to geriatric psychiatry and early rehabilitation. We have set up a geriatric network and ensure that care for the elderly is ensured even after the hospital stay. Or take our neurology clinic, which presents a unique selling proposition for Castrop-Rauxel. Anyone who follows the evolution of the EvK for years finds that we are always ready to innovate. One current example is the merger of two clinics in the largest internal medicine center in the city.
– Rochus: Already well before the study, we designed our medical orientation accordingly. We have significantly expanded the range of basic and standard care services in the areas of "special" care. For example, with plastic surgery and orthopedics (foot surgery), we have created two new departments with considerable regional reach. In the vast geographical environment, there are no competitors in these "special" zones.
Should patients be afraid of not being treated with many health problems in the European city?
– EvK: Castrop-Rauxeler hospitals offer a wide range of care services. The fact that both houses are certified proves that they meet all the required quality standards. At the same time, it is quite normal that each specialization has its limits. For example, in Castrop-Rauxel we have no urology clinic or neurosurgery.
– Rochus: Definitely "no"!
How do you see the prospect of your home in the years to come?
– EvK: The study focuses on the specialization and the construction of centers, on the quality and the large number of patients – we obviously have this offer to offer and we are not worried for the years to come.
– Rochus: since early 2019, the St. Rochus Hospital Castrop-Rauxel, the Katholische Krankenhaus Dortmund-West and the St. Joseph Hospital of Dortmund-Hörde form the St. Lukas-Klinikum.
As a result, these three hospital operations are considered planning hospitals.
St. Lukas-Klinikum, with 760 beds, is one of the largest hospitals in the region.
In addition, new surgical capabilities were created at Saint-Roch Hospital, which are extremely well used.
These measures, among others, guarantee the future of Saint Rochus Hospital in Castrop-Rauxel!