de Torrenté A, Chioléro R, Suter P M
Unité de Soins Intensifs, Hôpital Communal, La Chaux-de-Fonds, Switzerland.
New Horiz. 1994 Aug;2(3):345-9.
Thanks to Switzerland's very favorable economic situation over the last 20 yrs, intensive care medicine in the country has reached a very satisfactory level. The country is covered by a dense network of ICUs certified by the Swiss Society of Intensive Care Medicine (SSICM). Bed allocation is generous, technological equipment plentiful, and nurses are well trained in a specialized certification program. Rules imposed on physician training by the SSICM have recently become more stringent. A large supply of money in Switzerland has made cost containment efforts a low priority; no well defined program to reduce intensive care costs is in effect. Due to an increasingly difficult economic situation in the future, Switerland's near optimal healthcare system may change; cost containment will probably have to be dealt with seriously in the near future.
得益于瑞士过去20年非常有利的经济形势，该国的重症监护医学已达到非常令人满意的水平。瑞士有一个由瑞士重症监护医学协会（SSICM）认证的密集重症监护病房网络覆盖全国。床位分配充足，技术设备丰富，护士在专门的认证项目中接受了良好的培训。SSICM对医生培训施加的规则最近变得更加严格。瑞士大量的资金供应使得成本控制工作成为低优先级；目前没有有效的明确计划来降低重症监护成本。由于未来经济形势日益困难，瑞士接近最优的医疗体系可能会改变；成本控制可能在不久的将来必须得到认真处理。
