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Since 2012, Geneva University Hospitals have been running a program called QuaP®, for Patient-Oriented Quality. This concept, originally from the US, consists of encouraging the sharing of experience between managers and care unit teams. One Friday a month, senior healthcare and administrative staff, in pairs, meet the teams from care units.
Understanding and accepting a chronic illness such as diabetes or obesity is a difficult road to go down, as it is fraught with pitfalls and psychological obstacles. Therapeutic education helps to overcome these obstacles. By becoming aware of their pathology, the patient learns to look after themselves, increasing their independence. Through this approach, they can manage their treatment better, reduce the risk of complications and improve their quality of life.
For the patient to start playing an active role in their care, it is essential that they are given clear information about their illness. Experience has shown that a well-informed patient is better able to monitor their treatment and will feel more satisfied with their overall care journey.
Each year about 1600 patients die at the HUG and many thousands of people learn that they have one or more serious or progressive diseases or conditions. The mission of the Palliative and Supportive Care Center is to promote the best possible quality of care for these patients and their loved ones in accordance with the WHO definition of palliative care.
Palliative care has a long history in Geneva and at the HUG and will continue to grow over the next few years (read the history of palliative care in Geneva). From these initiatives, the HUG Palliative Care Program was born in 1999, bringing together the newly created mobile palliative care teams and then the palliative care units. The aim of this multidisciplinary program is to promote and develop palliative care in different living and care environments. The goal is to promote continuity of care and to offer quality palliative care by fostering development of skills and harmonization of practices based on a common concept of palliative care.
The palliative care program brings together the specialized palliative care structures, but also participates in the quality of the palliative care received by outpatients or by inpatients at the HUG in all of the different care environments, as well as at home.
In October 2016, as an extension of this approach and further to the palliative care program, the HUG General Directorate accepted the project of creating a Center for Supportive and Palliative Care. The creation of this Center in 2018 marks the desire of the institution to strengthen the identity of specialized palliative care within the HUG and to contribute to the improvement of basic palliative care.
The objectives are to improve the continuity of care for patients treated by a palliative care consultation/structure in their care pathway at the HUG and after their discharge, to establish standards for patient care (coordination, relief of symptoms, asking about preferences, advanced directives), to participate in the training and sharing of skills of medical professionals, nursing staff, and multidisciplinary health professionals in the field of palliative care, to structure and offer a postgraduate training program that allows a newly created certificate of advanced training in palliative care to be obtained and to unify the programs and skills in palliative care developed in the different departments of the HUG.