The Consorci Sanitari del Maresme (CSM) has been forced to promote various strategies that would alleviate the closure of the old Santa Jaume i Santa Magdalena hospital in Mataró, and take on the patients admitted there, without this entailing a serious impact on the Hospital. from Mataró. The novelty of the pioneering intermediate care home hospitalization service (HaDAI) stands out, which together with other devices such as the transfer of patients to another area of the city, in Hèstia Maresme – former Alliance – and the implementation of a new convalescence unit at the Mataró Hospital, until 2027, the scheduled date for the construction of the new hospital.
The closure of the Sant Jaume Social and Health Hospital, which had to be carried out this year due to non-compliance with structural safety regulations, has caused the Consorci Sanitari del Maresme teams to look for alternatives for the 76 patients hospitalized in the old building, the vast majority of them people. elderly and with chronic illnesses, but also look for a professional outlet for the 117 workers in the space that has closed.
A benchmark with 244 beds
The future Intermediate Care Hospital will have 244 beds for patients who require functional recoveries or cures and for others with advanced chronic illness or in the process of end of life. In addition, there will be 72 day hospital places. With an area of 18,000 square meters, “it will be the second largest in Catalonia and a benchmark, to respond to the needs of the region,” said the manager of the Consorci, Rafael LLedó.
A critical situation that, on the other hand, has streamlined the procedures of the competent administrations so that the new Intermediate Care Hospital (HAI) becomes a reality starting in 2027, according to Lledó. On the other hand, until the new hospital is built, the old Sant Jaume continues to provide outpatient and day hospital services in part of the first floor.
Plans for the new social-health hospital.
One of the solutions implemented, a pioneering measure in Catalan healthcare, only applied in the Pere Virgili healthcare complex, is the home hospitalization of acute patients who are classified as “unstable, but who can be monitored from home,” explained Andreu Aloy, Director of Planning and Quality, if they have a skilled caregiver. For this type of hospitalization, it is necessary to have suitable housing, within a 30-minute radius of the Mataró Hospital.
Users of home hospitalization have a 24-hour telephone number and a professional team made up of a doctor, eight to ten nurses, a physiotherapist, a social worker, a nutritionist and a pharmacy person – who nourishes the paramedics’ backpacks – in the hospital. Each team – at the moment there is only one – takes on 15 patients, of which only a third can be visited. The service is provided every day of the year from eight in the morning to nine at night. According to the simulation prepared by the CSM, “30% accept the new service and “only 3% of patients in this modality have complications and must return to the hospital,” according to Aloy.
No beds are lost at the Mataró Hospital, they have been reorganized
One of the measures promoted, as detailed by David Barrachina, director of Corporate Services of the CSM, has been the leasing, after public bidding, of 28 beds for psychogeriatric patients in the Hèstia Maresme center, located in the old Aliança building in Mataró , on Lepanto Street, which are attended by professionals from Consorci itself, which has signed a three-year contract during which Hèstia rents the fourth floor of the private clinic.
In another order, as reported by Vanesa Quiroga, care director of the CSM, about 20 beds have been set up in the reference center for patients from the closed health care facility who were pending admission. The patients will be located on the first floor. “There are no beds lost in the Hospital,” Quiroga clarifies, but rather they have come “from an internal reorganization.”
In all areas, the members of the management team have been grateful for the willingness of the Works Committee of the Consorci workers and especially those of Sant Jaume, who have been relocated to other departments, to whom they have been able to access due to preferences and antique. “The workers’ help on such a sensitive issue is appreciated,” the manager noted.
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The parking lot on the site where the new hospital center will be built.
Uncertain future
A new hospital without parking
The new Mataró Intermediate Care Hospital will be built on the site that is now used as a vehicle parking lot. Although those responsible for the project assure that “there is time” to think of a solution for the more than three hundred vehicles that park for free daily in the space to be built, since the new building will not have underground parking. Although the authorities are now avoiding addressing this problem, it is foreseeable that the current paid parking lot could be collapsed and that situations may arise around the hospital center that will complicate traffic. Having a new hospital center, without facing the parking problem that is implicit in the new infrastructure, is political recklessness.
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