OVERLEGEN 2-2022 56 skal gjøre arbeidsmengde noe mindre ved at de får ansvar får hvert sitt felt som f.eks. utdanning, forskning og klinikk. Overlegeforeningen spilte inn problemkompleks «underdimensjonerte sykehusbygg». Representantene ble enige om å utarbeide et felles nordisk «statement» eller opprop angående sykehusbygg og legeledere i sykehus. De nordiske landende som deltok har felles utfordringer selv om finansieringsordningen for sykehusbygg er noe ulik i de forskjellige land. - Statement om sykehusbygg er hovedsakelig ferdig og skal publiseres i løpet av kort tid. «Nordöl» har også begynt arbeidet med et annet statement om «legeledere / medical- leadership» in hospitals som skal ferdigstilles når vi møtes igjen i 2023. Etter møtes slutt på lørdag ble det arrangert en rib-tur til Vinga; øya lengst vest på Göteborgkysten. Turen gikk både innaskjærs og på åpent hav og det var behov for samhold og stå-på-vilje fra alle deltakere! Vi fikk høre historien til øya hvor Sveriges kjære visesanger, forfatter, komponist og maler Evert Taube, vokste opp. Neste år er det Norge som er vertskap for «Nordöl» -møte og vi gleder oss stort å fortsette med felles nordisk fagforeningsarbeid. • Statement from NordÖl (Council of Nordic Consultants) regarding planning of new hospitals Gathering at the annual meeting and on behalf of the hospital doctors from Sweden, Norway, Denmark and Finland, NordÖl would like to give a joint statement regarding the planning of new hospitals. The core task of a modern hospital is to provide high quality specialized healthcare with doctors and other professionals working closely together. That gives unique possibilities but also demands special leadership, scientific and economic plans. Many of the hospitals in the Nordic countries are old and the room facilities are not providing good working conditions for doctors and impair good patient flow. Often new hospitals are underfunded and many projects are put on hold. Healthcare also has a responsibility for health and disease prevention measures, which is why its buildings should have environments that promote health, a good working environment and promote sustainability with climate-smart solutions. NordÖl states that existing and future hospital projects are often impaired by insufficient financing and often the size of new hospital (units) is minimized during the planning process in order to fit the financing plan. That leads to the fact that new hospitals often are too small and dysfunctional in area and number of beds and lack important rooms such as offices for healthcare workers (doctors). NordÖl proposes that • Future hospitals are built with sufficient space. Doctors are mandatory and irreplaceable for patient care and they need to be provided with good working conditions. Physicians must have access to dedicated, undisturbed workplaces for safety and integrity. This is extra important for the doctors who work flexibly between different wards. Sufficient workspaces are necessary both for treatment, education, training and research. There must also be access to suitable on-call rooms and on-duty sleeping-rooms. • Design of the hospital building should support the best workflow. The planning process and decision making must focus on functionality and building design should promote health. Optimal environment for communication and physician-patient interaction must have highest priority. • Doctors’ and other healthcare professional unions are early and closely involved in the planning and building process of new hospitals and the representatives have to be provided with sufficient time and resources to be able to follow these processes. • Future hospitals must be built with a sufficient number of beds. That includes normal ward and ICU beds. • Future hospitals must have flexible solutions for multiple occupancy hospital rooms for increased need in case of as disasters, war, pandemics, etc. • Future hospitals are built with a patient hotel served by medical staff in order to avoid long travel early and provide post-procedure follow-up where necessary. • Future hospitals have to be built close to existing infrastructure in order to avoid unneccesary travel for patients and employees. • Hospital planning must have a long-term focus on future healthcare needs. Planning should promote flexible solutions when building so that both todays and future needs are met. As hospitals are a considerable producer of waste there should be a special focus on sustainability. • STATEMENT
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