Gresz M. [Some more parameters of utilization of intensive care units in Hungary].
Orv Hetil 2011;
152:1813-7. [PMID:
22011368 DOI:
10.1556/oh.2011.29172]
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Abstract
According to the "Semmelweis plan for saving health care", "the capacity of the national network of intensive care units in Hungary is one but not the only bottleneck of emergency care at present". In an earlier report the author showed, on the basis of data reported to the health insurance that not in a single calendar day more than 75% of beds in intensive care units were occupied. There were about 15 to 20 thousand sick days which could be considered unnecessary, because patients occupying these beds were discharged to their homes directly from the intensive care unit. This study examines the functioning of intensive care units partly at the institutional level. The author shows how the number of days using mechanical ventilation and the number of direct discharges to the home of patients have changed, and proves that those institutions where the proportion of direct discharge to home so overnursing of patients was high, the rate of mechanically ventilated patients was low.
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