It is fashionable for a hospital director to praise the capacity of his establishment to welcome at any time of the day and night, 365 days a year, all the misery in the world, social as well as medical distress. knocking on the emergency room door. However, this vision of the hospice hospital no longer corresponds to current needs: in the 21st century, wanting to ensure all medical, medico-social, teaching and research functions by the same professionals in the same places turns out to be a wishful thinking. . This idealistic vision clashes with reality of increased complexity as science and medicine advance. It is the bedrock of all the refusals of a review of the organization of public health care establishments in the name of an outdated, costly and inefficient vocation. Concretely, bet, in 2015, to carry out with the same quality the installation of an artificial heart in the operating room of the third floor and the reception on the ground floor of a brave tipsy who comes to show his lice, is a challenge.
A company is, without partisan consideration, a human community devoted to the production of goods and services. To be successful and to be able to invest in order to do better, it must concentrate its action instead of dispersing itself. We cannot confuse such different care circuits in the same place, with the same staff. The heart patient requires the most advanced care that technology can offer …
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