title: [Impact of reorganization of the Hungarian system of intensive care units in 2012].
abstract: BACKGROUND
  In 2012, the Hungarian system of intensive care units was reorganized. During this process, multidisciplinary units were separated from observation units.
  
  
  OBJECTIVE
  The author analysed certain indicators of the remaining intensive care units.
  
  
  METHODS
  The study was based on reports of National Health Insurance Fund between 2000 and 2015.
  
  
  RESULTS
  After reorganization the number of the multidisciplinary intensive care units decreased by 20% and the number of beds decreased by 10%. Due to the reorganization, both the case-mix index and the days of mechanical ventilation increased significantly in the multidisciplinary intensive care units. In 2000, 12% of the patients were discharged directly from the intensive care units to home, but by 2014, this figure decreased to 3%. The bed-occupancy rate of the intensive care units did not change fundamentally and it was under 80% in each calendar day. In addition to the ICD leading groups I and J, the rate of "Sine morbo" (U9990) diagnosis decreased from 0.7% to 0.2%. Similarly, the ratio of R group which describes only symptoms decreased from 1.7% to 1.1%. In contrast, between the interventions the number of fluid and electrolyte imbalances and respiratory monitoring showed more than twofold increase.
  
  
  CONCLUSIONS
  These results suggest that the reorganization was effective. The activity of the intensive care units has improved significantly, without disturbing patient care. The author suggests further analysis on the basis of the same criteria for other departments and the consistent continuation of the reorganization process. Orv. Hetil., 2016, 157(44), 1757-1761.
authors: Állami Egészségügyi Ellátó Központ Budapest, Fogaskerekű u. 10., 1125.
authors: Miklós
authors: M
authors: Gresz
mesh_terms: D001509:Bed Occupancy / Q000706:statistics & numerical data*; D003422:Critical Care / Q000458:organization & administration*; D006301:Health Services Needs and Demand / Q000458:organization & administration*; D006801:Humans; D006814:Hungary; D007362:Intensive Care Units / Q000458:organization & administration*
keywords: ICU; bed occupancy rate; intenzív osztály; kihasználtság; professional work; reorganization; szakmai munka; átalakítás