Ron Sabar - Hospital at home, home care, palliative care

Recorded at the Family Doctors Europe 2020 Virtual Conference

As the medical needs of people are expected to increase substantially in the immediate future, health care policymakers and providers must rethink the currant modal of providing health care. Two hundred years after the modern hospital revolution, started by pioneers such as Florence Nightingale, the pendulum of place of care, is slowly shifting from the hospitals and clinics, back to our patients homes. Just like the biggest taxi company in the world has no taxi cars of its own (Ubber) and the biggest hotel company in the world has no hotel rooms of its own (Airbnb), so will the largest hospitals in the world, in the vary near future, have no hospital beds of their own. Health care is going back home, or rather to the homes of our patients. It is true for end of life care as it is for acute care. As primary health care providers we must re-define our role in this revolution. This process involves both the macro elements of care coordination, but also the micro process of learning all over again the art of taking care of people in their own home without them having the feeling that we have 'invaded their castles'. We call it 'Being a Professional Guest'. Because even though, it's still about patients, health care providers and medicine-they are not the same patients they were 200 years ago, we are not the same health care providers and it is certainly not the same medicine.