Intensive Care Units and Health Insurance Policies: Challenging and Life Saving Options

The Importance of ICU’s Intensive/Critically care facility cannot be denied in any good hospital. May it be a District General hospital or an Academic teaching hospital in a public or private sector? It is a challenging and life saving facility.

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Parameters of bed occupancy of intensive care units in Hungary

Orvosi Hetilap ◽

10.1556/oh.2011.29137 ◽

2011 ◽

Vol 152 (24) ◽

pp. 946-950 ◽

Cited By ~ 1

Author(s):

Miklós Gresz

Keyword(s):

Health Care ◽

Intensive Care Unit ◽

Intensive Care ◽

Health Insurance ◽

Intensive Care Units ◽

Emergency Care ◽

Present Author ◽

Bed Occupancy ◽

National Network ◽

Bed Capacity

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”. Author shows on the basis of data reported to the health insurance that not on 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. The data indicate that on the whole bed capacity is not low, only in some institutions insufficient. Thus, in order to improve emergency care in Hungary, the rearrangement of existing beds, rather than an increase of bed capacity is needed. Orv. Hetil., 2011, 152, 946–950.

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Evaluation of prenatal diagnosis of congenital defects by screening ultrasound, in Cali, Colombia.

Colombia Medica ◽

10.25100/cm.v45i1.1332 ◽

2014 ◽

pp. 32-38 ◽

Cited By ~ 2

Author(s):

Wilmar Saldarriaga-Gil ◽

Fabian Andres Ruiz-Murcia ◽

Andres Fandiño-Losada ◽

Manuel Enrique Cruz-Perea ◽

Carolina Isaza-de-Lourido

Keyword(s):

Intensive Care ◽

Health Insurance ◽

Prenatal Diagnosis ◽

Intensive Care Units ◽

Neonatal Intensive Care ◽

Maternal Education ◽

Demographic Data ◽

Prenatal Ultrasound ◽

Neonatal Intensive Care Units ◽

Congenital Defects

Introduction The study aim was to determine the frequency of prenatal ultrasound diagnosis of congenital anomalies in Newborns (NB) with birth defects hospitalized in two Neonatal Intensive Care Units (NICU) of Cali (Colombia) and to identify socio-demographic factors associated with lack of such diagnosis. Patients and methods It was an observational cross-sectional study. NB with congenital defects diagnosable by prenatal ultrasound (CDDPU), who were hospitalized in two neonatal intensive care units (NICU), were included in this study. A format of data collection for mothers, about prenatal ultra-sonographies, socio-demographic data and information on prenatal and definitive diagnosis of their conditions was applied. Multiple logistic and Cox regressions analyses were done. Results 173 NB were included, 42.8% of cases had no prenatal diagnosis of CDDPU; among them, 59.5% had no prenatal ultrasound (PNUS). Lack of PNUS was associated with maternal age, 25 to 34 years (Odds Ratio [OR]: 4.41) and 35 to 47 years (OR: 5.24), with low levels of maternal education (OR: 8.70) and with only a PNUS compared to having two or more PNUS (OR: 4.00). Mothers without health insurance tend to be delayed twice the time to access the first PNUS in comparison to mothers with payment health insurance (Hazard Ratio [HR]: 0.51). Among mothers who had PNUS, screening sensitivity of CDDPU after the 19thgestational week was 79.2%. Conclusions The frequency of prenatal diagnosis is low and is explained by lack of PNUS, or by lack of diagnostic in the PNUS. An association between lack of PNUS and late age pregnancy and low level of maternal education was found. In addition, uninsured mothers tend to delay twice in accessing to the first PNUS in comparison to mothers with health insurance. It is necessary to establish national policies which ensure access to appropriate, timely and good quality prenatal care for all pregnant women in Colombia.

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Experiences of Conscious Patients Undergoing Tracheal Intubation; A Qualitative Study

Archives of Anesthesia and Critical Care ◽

10.18502/aacc.v8i1.8237 ◽

2022 ◽

Author(s):

Ali Labaf ◽

Fariba Asghari ◽

Shahram Samadi ◽

Atefeh Abdollahi ◽

Seyran Zobeiry ◽

...

Keyword(s):

Intensive Care ◽

Tracheal Intubation ◽

Intensive Care Units ◽

Unmet Needs ◽

Physiological Stress ◽

Analysis Method ◽

Face To Face ◽

Content Analysis Method ◽

Life Saving ◽

Open Coding

Background: Tracheal intubation is a life-saving action in situations such as respiratory failure. However, this therapeutic approach may produce a series of side effects and physiological stress, such as pain, insomnia, anxiety, fear, etc. Methods: The present study is a qualitative research with a content analysis method conducted for a period of two years. This study's required information has been collected using non-structured face-to-face interviews with 22 patients hospitalized in emergency and intensive care units. The data were analyzed using open coding and MAXQDA 12. Results: Findings from the interviews' were divided into two main categories of mental and physical experiences. Mental experiences are divided into 12 sub-categories and physical experiences into 7 sub-categories, each of them is also divided into further categories. Inability to speak is the most frequent complaint of patients in this study. The pain was the most common physical complaint of patients, mostly due to pain in the organs and pain due to blood sampling. Conclusion: Despite special training of medical staff in emergency and intensive care units to take care of patients and to obviate their special needs, it is observing that some patients under certain conditions such as intubation still face many unmet needs.

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