Psychogeriatric organization in the medico-social network: Theexperience of the Canton of Vaud, Switzerland


J. Wertheimer
Bok Engelsk 1997
Utgitt
1997
Omfang
Side 143- 145
Opplysninger
In Switzerland (7 million inhabitants), the organization of healthcare is in the hand of the cantons and not of the Confederation. Thecanton of Vaud (600,000 inhabitants), in the south-west part of thecountry, counts 4 psychiatric sectors, each with a psychogeriatricservice. Otherwise the canton has 146 long-stay facilities with atotal of 6,000 beds, of which 600 are for psychogeriatric cases. Homecare is in charge of a network of 38 medico-social centres withmultidisciplinary teams including psychiatric nurses. Several nursinghomes, some specialized in psychogeriatrics, are equipped, besideslong-stay beds, by units for temporary care, for medico-socialemergencies and for medico-social observations. Moreover, in Lausanne(250,000 inhabitants) an 'Orientation Office of Medico-SocialEmergencies', with psychiatric nurses, assumes emergencies at homeand by-passes hospitalizations of medico-social cases in the GeneralHospital, by the resource of medico-social emergency beds in thenursing homes. The medico-social network thus designed in this way isprofoundly permeated with the reality of psychogeriatrics.
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