Page 217

Geneeskundeboek-Opmaak Binnenwerk-ENG.indd

Figure: The manpower helicopter by Panamarenko. Acquisition of the art collection of the academic hospital Maastricht. 1990. | Archive azM Left below: The manpower helicopter by Panamarenko in the entrance hall of the academic hospital Maastricht. | Archive azM 215 concentration area of intramural care involved particular diversion. In the new building, azM achieved a stable position attention to clinical epidemiology and medical technology as a medium-sized Dutch academic hospital in the year 2000. assessment (MTA). The number of beds had increased somewhat to 715, and there The decision to prioritise top reference areas of were 22,000 admissions, of which forty per cent were patients concentration faced azM with a long lasting dilemma. AzM was from outside the nearby Heuvelland region, 950 open heart the only academic hospital in the Netherlands that fulfi lled and procedures, 780 percutaneous transluminal coronary continues to fulfi l a role as town, regional and academic angioplasty procedures, over nine thousand haemodialysis hospital as a direct consequence of taking over the beds of the procedures and 450 IVF treatments. Sint Annadal hospital in the 1960s. As a result of this AzM was one of the largest employers in the town and combination of functions, azM attracted patients with a wide the region with 3,800 employees, including 580 specialists and range of diseases, which had advantages for education and residents. The annual budget far exceeded six hundred million training and research and also fi t very well with the guilders. After a visitation by the Netherlands Institute for concentration area of intramural care. But the combination also Accreditation of Hospitals (NIAZ) azM was the fi rst Dutch brought diffi culties and tensions. An area of tension that was hospital to receive accreditation in 1999. This position enabled immediately noticeable was the shortage of beds, causing azM to take the next step in its development: creating a waiting lists. Comparable tension was created by the question University Medical Center with a plus (Maastricht UMC+). for which type of care medical staff was to be made available. During a period of shortage of beds and diminishing budget, the choice between further strengthening often costly top reference care on the one hand and the hospital's regular town and regional role had to be made almost daily. The growing, and fi nancially needed, 'production' of regular care occasionally went at the expense of the academic role in research and top reference care. The new azM building proved to be an asset. The architecture of the high light hall, the functional lay-out of the building with relatively short distances between clinic, outpatient clinic, laboratories and function departments, and patient rooms overlooking the Meuse and the hills around Maastricht gained much praise. High up in the hall the artistic contrivance of Panamarenko fl oated and in the board room colourful works by Defesche and Van Eyck offered a pleasant


Geneeskundeboek-Opmaak Binnenwerk-ENG.indd
To see the actual publication please follow the link above