Heathcare update

[Lorenzo102]

The current healthcare system seems a little odd with the division into healthcare, deathcare, childcare and eldercare as it just doen't mirror realstic healthcare.

I'd suggest - for a more realistic approach - the follwing changes:
1. Move "childcare" to Education and change it into kindergarden
2. Split "healthcare" into multiple categories:
2a: Doctors -> amubulant (healthcare);
2b: Hospitals -> stationary (healthcare) or even 2 subcategories namely basic stationary (healthcare) and specialised stationary (healthcare);
2c: gymnasium, swimming pool, yoga garden, soccer fields, etc. -> sports (healthcare)
3. change "eldercare" into carehomes

in short: new healthcare categories: ambulant, stationary (possibly basic and specialised stationary), carehomes, sports, deathcare

Let me know what you think about this suggestion!

 

[cityrailsaints]

It does make snese for kindergarten and child health care to be different. It also makes sense for eldercare to be different from nursing homes. I know people in their 90's who live outside of residental care homes, but they still need specific health care centres and geratric health is its own catagory, even without living in a nursing home. Also, it's not just old people who live in nursing homes- it's rare, but some young people do too. A nursing home is a place where old people go to help move around, get bathed and fed, and sometimes get their diapers changed. A nursing home is also a place to stop dimensia patients from escaping and getting lost and/or injuring themselves/others. An eldercare centre is a place meant to doagnose and treat illness. Different things.

Also, no. Early child learning and child medicine are completely different things. They don't even compare. One is there to look after sick children and help treat illnesses, whilst the other is there to look after children in the form of baby sitting or to educate them. The two don't even compare. Pediatric medicine is its own thing in and of itself

 

[Lorenzo102]

Hi there, thanks for your reply!
You are right that child healthcare and kindergarden are not the same thing, as far as I am aware, Citites Skylines does not make such a differentiation, e.g. there is no kindergarden/ child day care. All I suggested, was to replace child health care by kindergarden which should then belong to the education category. Reason for this is that the primary structure in education of most societies I looked into is approximately: kindergarden, elementary school, high school, university/ college. The latter 3 are included in CS, the first one not. On the other hand, I am not aware of societies that align their primary health structure to age, which is the current structure in CS, rather than by supply degree.
The last sentence also holds for eldercare, which is why I deem it ill suited and would replace it with far more general nursing homes/ carehomes. So far, CS does again not distinguish between eldercare and nursing homes so my suggestion was just to replace the first with the latter.
Hope this makes sense!

 

[cityrailsaints]

I'm not saying that there shouldn't be kindergartens, I'm saying that we should have BOTH early childhood AND paediatric healthcare. As for eldercare, yea, it's quite niche and with the exception of niche things like dementia, most of geriatric healthcare is handled by regular health professionals. Still, some specific types of geriatric healthcare is best handled by specific doctors (not just dementia, but other things too), and some hospitals have entire wings dedicated to geriatric health care. Therefore, it makes more sense as far as Cities:Skylines is concerned, to concentrate all specific geriatric health care into one centre. My point is that child care centres and kindergatens should exist ALONGSIDE child care hospitals, not replace them, and that eldercare health centres should exist ALONGSIDE nursing homes, rather than replacing them. There's no reason why we can't have all those facilities, rather than replacing one with an other

 

[cityrailsaints]

What I would suggest is that child care centres and elder care centres also have ambulances, and, in addition to ambulances, hospitals ALSO have non-emergency patient transport

 

[Lorenzo102]

Surely, one could opt for implemeting both each time (kindergarden & child health care; nursing home & eldercare) as it's the most realistic (I absolutely agree) but it might render the game very complicated in that regard. Looking at high schools for comparison, CS does not distinguish between different types of high schools (e.g. in UK there are comprehensive & selective secondary schools; in India upper secondary schools & polytechnic schools) or even universities/ collleges even though that would be most realistic. They roughly just stick to the primary structure of education according to the ISECD. So I thought taking the principle healthcare structure as mentioned in the first post would be a good compromise between simplicity of game and accuracy in the healthcare sector.

 

[cityrailsaints]

But eldercare is health care and child care is healthcare, whilst kindergartens/preschools are a kind of education, so I can't see it being too complicated

 

[cityrailsaints]

There could also be a women's hospital, where women go to give birth, but condering that this is a service avaliable in most hospitals, then there only needs to be one or so

 

[armandopoolheco19]

But eldercare is health care and child care is healthcare, whilst kindergartens/preschools are a kind of education, so I can't see it being too complicated

it seems that even there it is not very complicated, but it would be nice to have the possibility to change this independently, as we please.

 

[Lorenzo102]

it seems that even there it is not very complicated, but it would be nice to have the possibility to change this independently, as we please.

I'm not sure if I get you correctly, but my initial suggestion did only aim at a restructuring of health care and thus, creating a kindergarden category in eduction was just one suggestion which might be considered in case child health care would be abondoned. So I agree, the decision for kindergardens can be made independently!

 

[Lorenzo102]

But eldercare is health care and child care is healthcare, whilst kindergartens/preschools are a kind of education, so I can't see it being too complicated

With regard to the health sector a combination of my suggestion and the current structure in whose favour you argue one would result with 8 categories: ambulant healthcare, general stationary healthcare, specialised stationary healthcare, carehomes/ nursing, child healthcare, eldercare, sports and deathcare. My point was that this would be too much.
Thus, I would argue that carehomes/ nursing and eldercare can be combined into one building. For child health care and birthing stations, I'd assume them to be covered with just general ambulant & stationary health care. This does not mean that I deny them to be existend but rather implicitely included in other bulidings since the game should - in my opinion - only feature categories for the primary segmentation of health services.