Joannidis M, Klein S J, Metnitz P, Valentin A
Gemeinsame Einrichtung internistische Intensiv- und Notfallmedizin, Department für Innere Medizin, Medizinische Universität Innsbruck, Anichstraße 35, 6020, Innsbruck, Österreich.
Klinische Abteilung für allgemeine Anästhesiologie, Notfall- und Intensivmedizin, Medizinische Universität Graz, Graz, Österreich.
Med Klin Intensivmed Notfmed. 2018 Feb;113(1):28-32. doi: 10.1007/s00063-017-0391-9. Epub 2018 Jan 9.
In Austria, the reimbursement of intensive care services is based on a Diagnosis-Related Groups (DRG) system which has been adapted to the Austrian framework conditions. Compared to Germany where economic considerations had led to personnel cuts, mandatory targets outlined in both the LKF ("Leistungsorientierte Krankenanstaltenfinanzierung", Performance-oriented Hospital Financing) and ÖSG ("Österreichischer Strukturplan Gesundheit", Austrian Health Care Structure Plan) plans ensure a high level of medical and intensive care. A clearly defined minimal nurse-to-bed ratio should ensure adequate care of critically ill patients. However, such a staffing ratio is still lacking for intensive care unit physicians. The following article is meant to outline the fundamental structures of the Austrian intensive care units and provide consideration about further optimization of intensive care medicine provided in Austria to ensure the high level of care in the future.
在奥地利，重症监护服务的报销基于一种适应奥地利框架条件的诊断相关分组（DRG）系统。与德国不同，在德国经济因素导致人员削减，而在奥地利，“LKF”（“绩效导向型医院融资”）和“ÖSG”（“奥地利医疗保健结构计划”）计划中概述的强制性目标确保了高水平的医疗和重症监护。明确规定的最低护士与床位比例应确保对重症患者的充分护理。然而，重症监护病房医生的人员配备比例仍不足。以下文章旨在概述奥地利重症监护病房的基本结构，并对奥地利提供的重症监护医学的进一步优化进行思考，以确保未来的高水平护理。
