Things They Should Invent: use hospital volunteers to eliminate the need for patients to have support people

I recently blogged about the problem of the medical system requiring patients to provide their own support people.  In the comments of that post, I realized the solution: use existing hospital volunteer programs to provide support people for patients who don't have their own.

Many, if not most, if not all hospitals already have volunteer programs, complete with established recruitment, screening and training mechanisms, and one or more people whose whole job is to coordinate volunteers and generally make all this happen. They have a whole existing network and infrastructure for finding people who are able and willing to do non-medical tasks in a medical setting at no cost, and they do this every single day as an intrinsic part of the daily operations of the hospital.

Patients don't have anything like this at their disposal. Most people spend only a minute fraction of their lives receiving medical care, so their lives and their networks are not set up to find someone to fill this need.  Some people may well have someone who is able and willing and available, but that's really a fluke convergence of factors and in no way a sound basis for policy.

For the hospital to wash their hands of providing a helper and leave it entirely up to the patient fall under this kind of assholic risk-shifty behaviour we've been trying to coin a good name for.

At this point, some people are probably thinking "But you can't just have some random taking drugged patients home! They could hurt them or abduct them!"  But hospitals already have screening mechanisms for people who work directly with vulnerable patients, as evidenced by the existence of baby cuddling programs. There have been cases of people trying to abduct newborns from hospitals, so the hospital must have a way to screen these volunteers for trustworthiness.  And, again, the hospital, which does this all the time, would most likely have better screening mechanisms than a desperate patient.

And some people are probably thinking "But not all medical procedures are performed in hospitals - some of them are performed in clinics or doctors' offices."  I have three thoughts about that. First, even if hospital volunteers were just used for procedures done in hospitals, that would be an improvement over the status quo of every patient having to find a support person or they can't get their procedure. Second, some doctors and clinics are associated with a certain hospital, so that hospital's volunteers could help those doctors and clinics. Third, they could set up a volunteer program to take care of this need (and any others where volunteers might be helpful) in non-hospital medical contexts. Perhaps this could be done at the LHIN level, by hiring an experienced hospital volunteer coordinator to set up the program.

Of course, there's also the question of whether this should actually be unpaid labour. And I certainly have no objection to making this (and other volunteer duties) a paid role, and being cared for at every step of the process by fully trained, well-paid professionals.  However, the current status quo is that patients are being left to find their own volunteers, and a significant improvement over that status quo would be to use existing volunteer infrastructure rather than leaving patients at the mercy of the vagaries of their personal networks.  People who need medical care don't have time to wait until the government can be convinced to create more jobs.