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Abstract
AimThe 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.MethodsWe 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.ResultsWe 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.ConclusionsIn 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.
Highlights
Thanks to the development of medical science and technology and the changing needs of the population the economic crisis of 2008 would probably enhance structural transformations that started in the healthcare system within all areas
Designing neurological inpatient care From the inpatient database of the OEP we identified the case numbers shown in Table 1 as acute stroke events in recent years, using a method not detailed here
Neurology wards operating at level III progressivity must attend to persons with care needs of level III progressivity, as well as cases resulting from the care needs of level II progressivity of a narrower segment of the population and the care needs of level I progressivity of an even narrower segment
Summary
Thanks to the development of medical science and technology and the changing needs of the population the economic crisis of 2008 would probably enhance structural transformations that started in the healthcare system within all areas. Hospitals as structures are quite resistant to changes (McKee and Healy 2002), but the current change affects especially those hospitals, which operate with advanced technology and trained human resources. Healthcare systems of the former socialist countries of Central Europe where the workforce drain has created a. How wide an area should be served by such a tertiary service is not defined and will differ for different disorders This type of care is distinct from supra-regional services, defined as ‘very specialised services’ that sometimes need to be provided in just one center, and are for very rare conditions with very low national case-load
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