Current Status of Neurosurgical and Neurointensive Care Units in Korea : A Brief Report on Nationwide Survey Results
Autor: | Taek Hyun Kwon, Do Sung Yoo, Tae Hee Kim, Sang Weon Lee, Hoon Kim, Young Woo Kim, Dong-Keun Hyun, Kwang Wook Jo, Byung Moon Cho, Hae Kwan Park, Jin Hwan Cheong, Bong Jin Park, Insoo Han |
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Rok vydání: | 2020 |
Předmět: |
Clinical Article
Intensive care units business.industry General Neuroscience Neurosurgery Neurointensive care medicine.disease Nationwide survey Prognosis Patient care 030218 nuclear medicine & medical imaging 03 medical and health sciences Critical care 0302 clinical medicine Republic of Korea medicine Surgery Neurology (clinical) Medical emergency business 030217 neurology & neurosurgery Residency training |
Zdroj: | Journal of Korean Neurosurgical Society |
ISSN: | 2005-3711 |
Popis: | Objective The purpose of this study is identify the operation status of the neurosurgical care units (NCUs) in neurosurgical residency training hospitals nationwide and determine needed changes by comparing findings with those obtained from the Korean Neurosurgical Society (KNS) and Korean Society of Neurointensive Care Medicine (KNIC) survey of 2010. Method This survey was conducted over 1 year in 86 neurosurgical residency training hospitals and two neurosurgery specialist hospitals and focused on the following areas : 1) the current status of the infrastructure and operating systems of NCUs in Korea, 2) barriers to installing neurointensivist team systems, 3) future roles of the KNS and KNIC, and 4) a handbook for physicians and practitioners in NCUs. We compared and analyzed the results of this survey with those from a KNIC survey of 2010. Results Seventy seven hospitals (87.5%) participated in the survey. Nineteen hospitals (24.7%) employed a neurointensivist or faculty member; Thirty seven hospitals (48.1%) reported high demand for neurointensivists, and 62 hospitals (80.5%) stated that the mandatory deployment of a neurointensivist improved the quality of patient care. Forty four hospitals (57.1%) believed that hiring neurointensivist would increase hospital costs, and in response to a question on potential earnings declines. In terms of potential solutions to these problems, 70 respondents (90.9%) maintained that additional fees were necessary for neurointensivists' work, and 64 (83.1%) answered that direct support was needed of the personnel expenses for neurointensivists. Conclusion We hope the results of this survey will guide successful implementation of neurointensivist systems across Korea. |
Databáze: | OpenAIRE |
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