CommunityBased Specialist Dr Richard Everts Infectious Diseases Specialist
Community-Based Specialist Dr Richard Everts Infectious Diseases Specialist
What is a Specialist? H H • Inpatient care (ward rounds) • Surgery/procedures • Advice/consultation • Primary care (GPs, nurses, Pharmacists) • Hospital doctors H • Outpatient care (clinics) • Face-to-face • Virtual H • Committees and meetings • System development • Guidelines H H • Audit • Education of others • Primary care • Hospital staff • Education of self • Research
The Problem with Hospitals • The fortress • Ambulance at bottom of cliff • KPI illogical • ‘ 80% clinical’ • Limited space and resources • Patients don’t like hospitals • Parking • Bad things happen in hospital • Long wait for appointments, Doctor
The Advantages of Being Community-Based • Focus on prevention and early intervention • • More available to 10 care by phone Rapid-access face-to-face clinics Guidelines, audit and education for 10 care Research in 10 care • More virtual outpatient care • Patients attend clinic in community • Co-location with other community teams (e. g. District Nurses, HPO)
The Advantages of Being Community-Based • Supportive Managers • Nourishing work environment
Which Specialists could be Community-Based? • Infectious Diseases is ideal • 90% of antibiotics prescribed in the community • 90% of consults require urgent action • 90% of work does not require location in hospital • Others • • • Hepatitis C Rheumatology Diabetes Skin Heart failure Respiratory
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