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Highly specialised, patient-oriented care and research

Örebro University Hospital is a development-oriented medical care centre with patients from many parts of central Sweden. A number of specialist areas have attracted international attention and research is conducted in many fields. There are also extensive general medical care facilities, primarily for the inhabitants of the county.
A good team spirit, the desire to develop professionally and an excellent care environment are just some of the features of the hospital and the people who work there.

A university hospital that offers both breadth and depth

Over 700 visits to the doctor, 400 X-ray examinations, 50 ambulance trips. This sums up a normal day at our hospital. We offer highly-specialised care at the majority of clinics, both for our own county and for other counties. The aim is to be as complete a hospital as possible, with leading edge expertise in strategic areas.

Patient-orientation is the best way to describe Örebro University Hospital. We have an excellent care tradition and the ambition is to always provide the patient with the best possible care and treatment. Our research profile is clinical, which means that it is patient-oriented. For the inhabitants of the county, distances are small and accessibility is comparatively good.

   Entrance, Örebro University Hospital

 

- “We are pleased to report that our waiting times are shorter than at other comparable hospitals,” states Hospital Director Tore Öberg.

Nine out of ten patients are ‘extremely’ satisfied with the quality of care at the hospital. This is demonstrated by our ongoing evaluations.
- “It is up to us to ensure that we retain the trust of our patients,” states Tore Öberg.

Örebro University Hospital is divided into eight organisational units.

Cardiac and diagnostic centre
Dept of Cardiothoracic Surgery
Physiology
Cardiology
Radiology
Medical Physics

Head and Neck, Dermatology, Oncology

Eye Clinic
Ear, Nose and Throat
Plastic Surgery
Dermatology
Oral Surgery
Speech Therapy
General Oncology
Gynaecological Oncology

Surgery
Urology
Orthopaedic Surgery
Anaesthesiology and Intensive Care
Surgery
Hand Surgery

Medicine
Emergency Service
General Medicine
Lung Clinic
Infections Deseases
Neurology

Rehabilitation
Geriatric clinic
Rheumatology
Rehabilitation Geriatrics
Physiotherapy

Laboratory Medicine
Clinical Microbiology
Clinical Chemistry
Transfusion
Pathology

Pediatric and women’s healthcare
Pediatrics
Obstetrics and Gynaecology

Research and development

Because of its special assignment, the Department of Occupational and Environmental Medicine is outside the organisational framework.

Expertise and advanced medical technology
Being close to highly-specialised care is a source of security for many people. The majority of our patients come from the Uppsala and Örebro region, mainly from our own county but also from the counties of Gävleborg, Dalarna, Södermanland, Västmanland, Uppland and Värmland. Around 1.8 million people live in the region.

Highly-specialised care requires experts in many fields and advanced technology. One of the ways of recruiting and developing personnel is to focus firmly on research. Co-operation with the Faculty of Health Sciences in Linköping in the training of doctors and in research and graduate programmes is another. Some sixty medical students receive their training each year with us. We also co-operate with Örebro University in the development of medical science.
- “The aim is of course to retain and develop the high quality of medical care and to be a reliable partner when we enter into medical care agree-ments with other county councils,” says Hospital Director Tore Öberg.

Many people highlight the special spirit that prevails within the hospital. This has contributed to the development of inter-disciplinary co-operation across clinical boundaries, which in some areas has put Örebro University Hospital at the very forefront, both within and outside the county.

Meeting point for research and development
Örebro University Hospital needs strong, academic course programmes within medical care alongside a scientific organisation. The Clinical Research Centre contributes to realising this. We call it a meeting point for education, research and care evaluation. The Clinical Research Centre also houses the Centre for the Assessment of Medical Techniques in Örebro (CAMTÖ), which is charged with the task of following up how diagnosis and treatment methods function in practice. We also have the Centre for Caring Sciences, which runs research projects for nurses, physiothera-pists and occupational therapists. Around SEK 55 million is invested each year in research.

The research conducted at our hospital is almost exclusively clinical. This means that research results can be put into practice quickly to the benefit of the patients.

Jens Schollin is responsible for co-ordination within research, development and education:
- “Our task is to find sources of funding to develop strong research profiles for the future and in doing so build up the medical science sector at Örebro University. In ten years we hope to have our own medical training programme as well as state-funded research. I would like to see a ‘Research Centre’ and a ‘Training Centre’ outside my window.”

European Development Centre for Radiology
Örebro University Hospital was among the first in the country to introduce digital radiography and was actually the first in the world to link up other hospitals in the same system. Together with the manufacturer of the radiography equipment, we now run the European Development Centre for Radiology and several European congresses in this field have already been held in Örebro.

A research project that led to a reduction in the radiation dose during X-rays has attracted national attention.

Swedish centre for retinal surgery
The Eye Clinic at Örebro University Hospital has for a long time been at the forefront in its field and has become a Swedish centre for retinal surgery. We have made considerable progress in laser surgery treatment and each year 800 retina patients undergo surgery. The clinic also has its own cornea bank, one of four in the country. Around 50 cornea transplants are performed each year at the hospital. We were also the first hospital in Scandinavia to introduce photodynamic treatment of age-related visual changes.

Strong on inflammation and infection
The hospital has several research teams working on inflammation and infection. An excellent example is the research into inflammatory intestinal diseases, which has aroused international interest in medical circles. We are also well to the fore in microbiology and immunology research.

Unique within laboratory medicine
On the laboratory side, we conduct research that will make it possible to make a correct microbiological diagnosis more quickly. Unique to Sweden is a project that can distinguish cell changes in the large intestine as well as a project dealing with the identification of the bacteria that cause meningitis.

We are a national reference centre for the classification of bacterial meningitis.

Active heart care
thoracic and cardiovascular surgery and coronary angiography are an important part of our highly-specialised care at the hospital. A great deal of pioneering work is being done in cardiology, focusing on treatment methods and development. Balloon expansion of vessels, echocardiograph diagnostics, defibrillator implants and other advanced treatment for dysrhythmia are just a few examples of our work.

Broad-based oncology
Örebro University Hospital is one of the most active hospitals in the country with regard to head and neck tumours. The Ear, Nose and Throat Clinic co-operates with plastic surgery, oral surgery and oncology. Gynaecological oncology is another important field.

Within oncology we make use of brachytherapy, a type of radiation treatment that involves the insertion of catheters directly into the tumour. Using this method, treatment takes less time and the results are good.

Advances in blood cancer
A research team at the Medical Clinic is working on ways of improving treatment for acute leukaemia and other forms of blood cancer. They are looking for methods for more effective treatment with cytotoxins, better control of infections and other side effects as well as improved methods for transplantation using blood stem cells.

The Medical Clinic is the largest clinic at the hospital and conducts research in the majority of areas.

Extensive research into neonatal diseases
Extensive research is also conducted at the Department of Paediatrics. This research has been directed at pain in neonates as well as infections during the neonatal period. At the Children’s Clinic, research has been conducted into diabetes in teenagers.

At the forefront in pain alleviation and surgery
The Anaesthesiology and Intensive Care Clinic carries out world-leading research into post-operative pain alleviation. Research into patient-controlled, post-operational pain alleviation has attracted considerable attention in medical circles, as have anaesthesiology and pain alleviation methods that prevent nausea and mean that the patient can avoid fasting both prior to and after surgery.

 

Development within pain alleviation and laparascopic surgery, allowing surgery to be kept to a minimum, have led to more and more patients leaving hospital the same day. At our Day Surgery Unit we have brought together specialists in a number of areas, such as orthopaedics, urology, hand surgery, anaesthesiology and intensive care. Shorter care times and reduced patient discomfort are the result. Day Surgery Unit, Örebro University Hospital

At the Surgical Clinic we are now operating on large blood vessels with just a local anaesthetic, also with the result that the patient can generally be discharged the same day.

Obesity surgery at the hospital is also a focus of attention as are the operating methods employed in serious lower arm fractures at the Hand Surgery Clinic.

Focus on urology
Our hospital is a national centre for penis cancer and houses the country’s quality register for this type of cancer. Extensive clinical research is conducted into prostate cancer, which could also change the approach to treatment on the international level.

Advanced laser treatment
Within specialisations such as eye, ear, nose and throat and neurology, we were among the first to use laser surgery and laser is now used extensively. The advantages are many and the surgical procedure is limited and quick to perform.

A good start for new doctors
Getting down to work directly and avoiding standing on the side is one of the reasons why many newly-qualified doctors choose Örebro to serve their compulsory internship. Many experience a positive climate without competition between the interns.

Michael Gubanski chose to work as an intern at Örebro:

- “Here you are allowed to be involved in specialised care. You also have the opportunity to follow research at close quarters as this goes hand in hand with work at the clinic. I have had good supervisors and it has been easy in every way to make contact with personnel at the clinics.”

All interns begin with an induction week and after that they attend seminars on a regular basis. We make considerable demands on our supervisors.

Örebro University Hospital is one of the largest workplaces in the county, with 3,500 employees. We aim to be an attractive workplace for everyone and we have over 50 different professional groups. Dialogue and learning are characteristic of the way we work.

At the hospital there is an extensive management training programme. As a leader you receive the support and supervision of a personal mentor. In addition we have a programme for training future leaders. The aim is to develop personal empowerment, promote an exchange of experience and contacts and to develop the participants’ knowledge of the hospital’s organisation and management.

Newly-trained personnel, including nurses, are also increasingly offered more mentorship. With a mentor, a person who is new in the job can air ideas and thoughts about duties and procedures.

Almost all personnel have some form of flexible working hours. At many departments there is a ‘request schedule’, where an employee can influence his or her work timetable. If, for example, a person has a leisure activity on a certain evening, or there is a particular weekend when he or she wants to be free, this can be taken into account in the planning process.

If you are interested in working for us you can find vacant positions (in Swedish) on our website.

Örebro University Hospital
SE-701 85 Örebro
Telephone +46 (0)19 602 10 00
www.orebroll.se/uso

 

Kortadress: http://www.orebroll.se/uso/english
Universitetssjukhuset
Örebro
701 85 Örebro
Tel: 019-602 10 00
Utskrivet den 2010-03-15 kl 12:38
Sidans adress: www.orebroll.se/uso/page____2834.aspx
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