Page 49 - Rebrame - 2022 - Ed. 1

Revue E

In the rest of the country, it is the general practitioners who
organize themselves to guide patients day and night. A
model that has relieved emergency services and inspires
the French government bogged down in the hospital crisis.
But who remains perfectible and under pressure. Today,
Danes are no longer supposed to go to the hospital on their
own initiative. Faced with the same lack of resources and
saturated hospital emergencies, in 2007 the State, which
devotes 10.4% of its GDP to health 432, spent nearly 6 billion
euros over ten years in its hospital transformation plan. The
regions, responsible for primary care and emergencies,
had to find solutions to compensate for the closure of
hospitals. Go to the emergency room... by appointment
On the front line, general practitioners have become the
cornerstone of the Danish health system . Patients must
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Figure 8: Pre-hospital care and emergency department. go through a doctor before going to the emergency room.
“Outside the opening hours of the practices, the general
With a number of visits of around 1,000 to 2,000 practitioners take turns answering a medical assistance
emergency patients over 24 hours in Istanbul, where number and, if necessary, receive consultations or visit
Ankara Turkey holds the record for the number of patients. more serious», explains Jonatan Schloss, president
emergency patients. of the Organization of General Practitioners. Denmark
is recognized as the “sweet spot” for innovation 32.33.
The emergency organization combines a system of Denmark was a pioneer in telehealth, and today e-health
paramedics and doctors are trained in all areas of pre- is established, becoming a success. Every Danish patient
hospital and hospital emergency medicine, particularly in enjoys the benefits of an electronic health record that he
disaster medicine. and his doctor can access. In addition, many digital services
Turkish universities are developing teaching models based encourage patients to be more proactive in decisions about
on American universities. their health and improve health outcomes. For example, the
Telecare North project implemented home care monitoring
Despite its relatively short history, emergency medicine for patients with COPD or psychiatric conditions 32,33. health.
residency training in Turkey has developed rapidly in order According to The health care in Denmark (2008), this
to meet the demand for such services. project improved the quality of life of patients and reduced
the number of hospitalizations by 11% 32,33.
The very first step in the development of emergency
medicine residency programs began with the efforts of Thanks to their digital health strategy, Danish hospitals have
emergency physician John Fowler, a native of the United reduced the number of outpatient consultations by 75%.
States, where emergency medicine was born, following his
invitation to join the service department of Dokuz Eylul CONCLUSION:
University Hospital (Izmir, Turkey) in 1990 .
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The organization of pre-hospital and hospital emergency
A MODEL OF ORGANIZATION - DENMARK: services varies from one country to another and in particular
has been adapted to the typology of patients.
• Speciality: 2018
The use of ED, whether organized by medicalization of
• N of Doctors/inhabitant: 4.01‰ the call or by paramedics, does not offer an ideal prospect,
because the overcrowding proble remains in almost all
• Health system based on MG countries with multifactorial causes.

• Special features: patients no longer have to go to the The world record for the number of ED visits remains in Turkey.
emergency room on their own.
Apart from the Danish model based on education of the
In Denmark, patients no longer have to go to the emergency population and an organization based on general medicine,
room on their own Since 2014, residents of the Copenhagen no other model has been developed to better organize the
area have had to call the emergency number instead of use of emergencies.
going directly to the hospital in the event of illness or injury.

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