{"id":1288,"date":"2018-05-02T20:54:01","date_gmt":"2018-05-02T18:54:01","guid":{"rendered":"https:\/\/blog.ki.se\/rektor\/?p=1288"},"modified":"2018-05-09T21:26:16","modified_gmt":"2018-05-09T19:26:16","slug":"okad-dialog-for-att-starka-klinisk-forskning-utbildning-och-samverkan-med-halso-och-sjukvarden","status":"publish","type":"post","link":"https:\/\/blog.ki.se\/rektor\/2018\/05\/02\/okad-dialog-for-att-starka-klinisk-forskning-utbildning-och-samverkan-med-halso-och-sjukvarden\/","title":{"rendered":"\u00d6kad dialog f\u00f6r att st\u00e4rka klinisk forskning, utbildning och samverkan med h\u00e4lso- och sjukv\u00e5rden"},"content":{"rendered":"

In English below<\/strong><\/p>\n

Vi i Karolinska Institutets ledning f\u00f6ljer naturligtvis noga de f\u00f6r\u00e4ndringar som sker inom h\u00e4lso- och sjukv\u00e5rden i Stockholm och vi \u00e4r ocks\u00e5 medvetna om de kortsiktiga utmaningar dessa f\u00f6r\u00e4ndringar leder till f\u00f6r den forskning och utbildning som \u00e4r KI:s ansvar. De flesta strukturomvandlingar och omorganisationer leder till s\u00e5v\u00e4l positiva som negativa konsekvenser och av m\u00e5nga sk\u00e4l \u00e4r det l\u00e4tt att fr\u00e4mst fokusera p\u00e5 s\u00e5dant som kan ses som f\u00f6rs\u00e4mringar.<\/p>\n

Nya utmaningar<\/h4>\n

Det vi ser \u00e4r en omflyttning av sjukv\u00e5rdsuppdraget inklusive specialistsjukv\u00e5rden. Det inneb\u00e4r nya utmaningar f\u00f6r den kliniska forskningen och translationsforskningen, men ocks\u00e5 n\u00e4r det g\u00e4ller f\u00f6ruts\u00e4ttningarna f\u00f6r den utbildning som KI bedriver. V\u00e5r k\u00e4rnverksamhet \u2013 forskningen och utbildningen \u2013 har hamnat i ett sv\u00e5rt l\u00e4ge d\u00e4r befintliga samarbetslinjer bryts och d\u00e4r nya samarbetsformer m\u00e5ste byggas upp. Situationen riskerar att tillspetsas \u00e4n mer av personalbrist, nya patientfl\u00f6den, f\u00e4rre v\u00e5rdplatser, problem med ombyggnation och en organisatorisk v\u00e5rdstruktur som bygger p\u00e5 andra principer \u00e4n tidigare.<\/p>\n

Beh\u00f6ver g\u00e5 djupare<\/h4>\n

Vi f\u00f6r en aktiv och kontinuerlig kommunikation med ledningarna f\u00f6r landstinget och f\u00f6r Karolinska Universitetssjukhuset, och \u00e4ven med de andra stora akutsjukhusen liksom prim\u00e4rv\u00e5rden, om dessa utmaningar. Men vi k\u00e4nner nu ett behov av att g\u00e5 djupare in i fr\u00e5gorna.<\/p>\n

Sedan jag tilltr\u00e4dde som rektor i augusti 2017 har jag tillsamman med resten av ledningen bes\u00f6kt KI:s samtliga 22 institutioner. Jag har haft m\u00e4ngder med mindre och st\u00f6rre m\u00f6ten med olika medarbetare inom s\u00e5v\u00e4l forskning som utbildning. Alla dessa m\u00f6ten har gett mig mer kunskap och f\u00f6rst\u00e5else f\u00f6r de problem och utmaningar verksamheterna st\u00e5r inf\u00f6r.<\/p>\n

Nya bes\u00f6k f\u00f6r att lyssna<\/h4>\n

Med tanke p\u00e5 situationen f\u00f6r KI:s kliniska forskning och utbildning \u00e4r det dags att ta n\u00e4sta steg: Vi kommer att planera in nya bes\u00f6k med KI:s kliniska institutioner. Min ambition \u00e4r att dessa bes\u00f6k ska kunna genomf\u00f6ras f\u00f6re sommaren. Syftet \u00e4r enkelt: Jag vill lyssna p\u00e5 vad medarbetarna har att s\u00e4ga om de f\u00f6r\u00e4ndringar som nu sker och om det finns n\u00e5got ytterligare som vi i KI:s ledning kan g\u00f6ra f\u00f6r att v\u00e5ra medarbetare ska kunna f\u00e5 s\u00e5 goda f\u00f6ruts\u00e4ttningar som m\u00f6jligt. Jag vill f\u00e5 en uppdaterad bild av l\u00e4get och f\u00f6rs\u00f6ka finna en konstruktiv v\u00e4g fram\u00e5t b\u00e5de p\u00e5 kort och p\u00e5 l\u00e5ng sikt.<\/p>\n

I samband med den nyligen publicerade utv\u00e4rderingen av de s\u00e5 kallade Alf-medlen<\/a>, som utf\u00f6rdes av Vetenskapsr\u00e5det, fick Stockholmsregionen h\u00f6gsta betyg n\u00e4r det g\u00e4ller den vetenskapliga forskningens kvalitet. F\u00f6r forskningen kliniska betydelse och samh\u00e4llsnytta, var omd\u00f6met \u201dgod-h\u00f6g kvalitet\u201d, det vill s\u00e4ga sn\u00e4ppet under. I utv\u00e4rderingens sammanfattande text konstaterades att \u201ddock befinner sig flera av akt\u00f6rerna i regionen i en tidig fas av ett stort omvandlingsprogram d\u00e4r de arbetar tillsammans f\u00f6r att f\u00f6rst\u00e4rka implementeringsprocesserna och s\u00e4kerst\u00e4lla att h\u00f6gkvalitativ klinisk forskning f\u00e5r maximal samh\u00e4llsnytta. Om det lyckas f\u00f6rv\u00e4ntas detta ambiti\u00f6sa program att ge betydande vinster under de kommande \u00e5ren\u201d.<\/p>\n

St\u00e4rkt samarbete<\/h4>\n

F\u00f6r\u00e4ndringar inneb\u00e4r utmaningar, men ocks\u00e5 nya m\u00f6jligheter. Vi p\u00e5 KI har v\u00e4l upparbetade och fungerande kanaler till f\u00f6retr\u00e4dare f\u00f6r h\u00e4lso- och sjukv\u00e5rden, och samarbetsytan ska st\u00e4rkas ytterligare genom v\u00e5r nya organisation. Det \u00e4r min \u00f6vertygelse att vi tillsammans kan se till att de p\u00e5g\u00e5ende f\u00f6r\u00e4ndringarna faller s\u00e5 v\u00e4l ut som m\u00f6jligt. Genom de kommande samtalen med v\u00e5ra ber\u00f6rda medarbetare kommer vi att st\u00e5 \u00e4nnu b\u00e4ttre rustade i den fortsatta dialogen med v\u00e5r viktigaste samarbetspartner.<\/p>\n

 <\/p>\n

Improved dialogue aimed at strengthening clinical research, training and cooperation with the health service<\/strong><\/h2>\n

Those of us who work in Karolinska Institutet\u2019s management naturally closely follow the changes taking place within the health service in Stockholm, while at the same time being aware of the short-term challenges resulting from these changes for the research and training that are the responsibility of KI. Most structural changes and reorganisations result in both positive and negative consequences, and it is easy, for numerous reasons, to focus primarily on those changes that are perceived to be for the worse.<\/p>\n

New challenges<\/h4>\n

What we are seeing is a reorganisation of the healthcare role, including specialist medical treatment. It entails new challenges not only for clinical research and translational research, but also with respect to the prerequisites for the training that we provide at KI. Our core activity \u2013 research and training \u2013 has ended up in a difficult position, with existing lines of cooperation broken and a need to build up new forms of cooperation. There is a risk that the situation will be made even more acute as a consequence of staff shortages, new patient flows, fewer beds, problems with reconstruction and an organisational care structure that is based on different principles to those that existed previously.<\/p>\n

Needing to go deeper<\/h4>\n

We are conducting active and continuous communication about these challenges with the management teams for the county council and Karolinska University Hospital, and also with the other major emergency hospitals as well as the primary care institutions. However, we now feel that there is a need to consider these issues in greater depth.<\/p>\n

Since becoming the rector of KI in August 2017, I, together with the rest of the KI\u2019s management, have visited all twenty-two of its departments. I have had numerous large- and small-scale meetings with various employees in both research and training, and all of these meetings have given me a greater knowledge and understanding of the problems and challenges faced by the various operational units.<\/p>\n

New visits in order to listen<\/h4>\n

In view of the situation for KI\u2019s clinical research and training, it is now time to take the next step: We will be scheduling new visits to KI\u2019s clinical institutions. My ambition is that these visits can take place before the summer. The objective is simple: I want to listen to what KI\u2019s employees have to say about the changes that are happening now and to find out if there is anything else that we in KI\u2019s management can do to ensure that conditions for our employees are as good as they can be. I want to get an up-to-date picture of the situation and try to find a constructive way forward in both the long and short terms.<\/p>\n

In connection with the recently published assessment of the so-called ALF<\/a> funding [ALF = Medical Training and Research Agreement<\/em>], which was carried out by the Swedish Research Council, the Stockholm region received top marks for quality of scientific research. The grading for the clinical significance and social benefit of the research was \u201cgood-high quality\u201d, in other words slightly down. The assessment\u2019s summary confirmed that \u201cmany of the actors in the region are however in the early stage of a transformational programme in which they are working together in order to strengthen the implementation processes and to ensure that high-quality clinical research has maximum social benefit. If this ambitious programme is successful, it is expected to generate significant gains over the years ahead.\u201d<\/p>\n

Strong cooperation<\/h4>\n

Changes entail challenges, but also new opportunities. We at KI have well-constructed and functioning channels to representatives in the healthcare sector, and our new organisation will result in the further strengthening of the cooperation interface. I am convinced that together we can ensure that the current changes will produce the best possible results. As a result of the coming discussions with those of our employees who are affected, we will be even better equipped in the continuing dialogue with our most important collaboration partner.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

In English below Vi i Karolinska Institutets ledning f\u00f6ljer naturligtvis noga de f\u00f6r\u00e4ndringar som sker inom h\u00e4lso- och sjukv\u00e5rden i Stockholm och vi \u00e4r ocks\u00e5 medvetna om de kortsiktiga utmaningar […]<\/p>\n","protected":false},"author":100,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[39,33,26,159,162,161],"tags":[43,193,83,102],"class_list":["post-1288","post","type-post","status-publish","format-standard","hentry","category-collaboration","category-health-care","category-research","category-samarbete","category-samverkan","category-utbildning","tag-health-care","tag-medarbetare","tag-stockholm-county-council","tag-stockholms-lans-landsting"],"acf":[],"yoast_head":"\n\u00d6kad dialog f\u00f6r att st\u00e4rka klinisk forskning, utbildning och samverkan med h\u00e4lso- och sjukv\u00e5rden - Ole Petter Ottersen, president Karolinska Institutet 2017-2023<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blog.ki.se\/rektor\/2018\/05\/02\/okad-dialog-for-att-starka-klinisk-forskning-utbildning-och-samverkan-med-halso-och-sjukvarden\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00d6kad dialog f\u00f6r att st\u00e4rka klinisk forskning, utbildning och samverkan med h\u00e4lso- och sjukv\u00e5rden - 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