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Wassim al-Ahmad, a member of the Muadamiyeh local council, said five UN investigators visited a make shift hospital, interviewing doctors and around a 100 patients.
"There's a kind of magic wish to shift hospital services into the community without any real discussion with the GPs as how this would be done.
These changes in discharge destination have previously been reported to shift hospital deaths to PACs [ 17, 20], long-term acute care facilities [ 17, 18] or other acute care hospitals [ 17, 19].
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If there are not sufficient community and social care services to support this shift, hospitals may need to delay discharging patients".
"While they can't contractually force you to cover the shift, hospitals aren't above using emotional blackmail on the doctors.
Sobieraj says it will be whether patients get better outcomes and become more engaged, but suggests there is far more to be done: "We need to look at how to shift hospitals to communities, and we need to support managers to take a risk.
The images show dozens of people being treated in make shift hospitals, suffering from - what opposition forces claim - are the effects of toxic substances launched by President Assad's forces.
The bottom floor had been turned into a make-shift hospital, with the in-house hotel doctor treating the effects of gas.
On all the shifts, hospital professionals from several areas had some type of contact with the dogs.
Cover image: A Syrian girl holds an oxygen mask over the face of an infant at a make-shift hospital following a reported gas attack on the rebel-held besieged town of Douma in the eastern Ghouta region on the outskirts of the capital Damascus on January 22 , 2018
It is therefore not surprising that nurses in the present study did not adapt as well to a night-shift hospital schedule as to a day-shift.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com