Szentes Tamás, Kovács László, Óváry Csaba
National Healthcare Service Center, Budapest, Hungary ; National Public Health and Medical Officer Service, Budapest, Hungary ; Department of Public Health, Faculty of Medicine,, Semmelweis University, Budapest, Hungary ; ÁNTSZ Országos Tisztifőorvosi Hivatal, Albert Flórián út 2, 1097 Budapest, Hungary.
IFUA Horváth & Partner's, Stuttgart, Germany.
Springerplus. 2016 Nov 29;5(1):2039. doi: 10.1186/s40064-016-3710-3. eCollection 2016.
The determination of the necessary capacity and number of neurology wards of level III progressivity that can be defined in the system of criteria detailed in this article and which possess optimal operating conditions in Hungarian terms.
We used the National Health Insurance Company's database to calculate case numbers and capacity for different levels of neurological and stroke care. We also revised the allocation of advanced diagnostic and therapeutic technologies, and proposed changes, based on health insurance data. We also discussed these propositions with clinical experts to test their viability.
We determined the adequate number of organisational units capable of providing special neurological healthcare services on the basis of the basic data of the Hungarian healthcare system, specifying this number as 6 instead of the current 11.
In our study, we have identified significant bias in the nationwide level of neurological and stroke care organisation, which needs revised allocation of healthcare resources. Naturally, this can only be carried out through the restructuring of the emergency care system and the expansion of pre-hospital care.
确定根据本文详述的标准体系能够界定的、在匈牙利条件下具备最佳运营条件的三级渐进性神经科病房的必要容量和数量。
我们利用国家健康保险公司的数据库来计算不同级别神经科和中风护理的病例数量及容量。我们还根据健康保险数据对先进诊断和治疗技术的配置进行了修订并提出变更建议。我们还与临床专家讨论了这些提议以检验其可行性。
我们基于匈牙利医疗体系的基础数据确定了能够提供特殊神经科医疗服务的适当组织单位数量，将该数量确定为6个，而非当前的11个。
在我们的研究中，我们已确定全国神经科和中风护理组织水平存在显著偏差，这需要对医疗资源进行重新配置。当然，这只能通过重组急救系统和扩大院前护理来实现。
