Lim Chae-Man, Kwak Sang-Hyun, Suh Gee Young, Koh Younsuck
Department of Pulmonary and Critical Care Medicine, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School and Hospital, Gwangju, Korea.
J Korean Med Sci. 2015 Nov;30(11):1540-4. doi: 10.3346/jkms.2015.30.11.1540. Epub 2015 Oct 16.
Critical (or intensive) care medicine (CCM) is a branch of medicine concerned with the care of patients with potentially reversible life-threatening conditions. Numerous studies have demonstrated that adequate staffing is of crucial importance for patient outcome. Adequate staffing also showed favorable cost-effectiveness in terms of ICU stay, decreased use of resources, and lower re-admission rates. The current status of CCM of our country is not comparable to that of advanced countries. The global pandemic episodes in the past decade showed that our society is not well prepared for severe illnesses or mass casualty. To improve CCM in Korea, reimbursement of the government must be amended such that referral hospitals can hire sufficient number of qualified intensivists and nurses. For the government to address these urgent issues, public awareness of the role of CCM is also required.
重症(或强化)监护医学(CCM)是医学的一个分支,关注对有潜在可逆性危及生命状况的患者的护理。大量研究表明,充足的人员配备对患者的治疗结果至关重要。充足的人员配备在重症监护病房住院时间、资源使用减少和再入院率降低方面也显示出良好的成本效益。我国CCM的现状与发达国家不可比。过去十年的全球大流行事件表明,我们的社会对严重疾病或大规模伤亡没有做好充分准备。为了改善韩国的CCM,政府的报销政策必须修改,以便转诊医院能够雇佣足够数量的合格重症监护医生和护士。为了让政府解决这些紧迫问题,公众对CCM作用的认识也必不可少。