Is the level of care in a hospital's critical care unit representative of the level of care in that hospital? Why?
Is the level of care in a hospital's critical care unit representative of the level of care in that hospital? Why?
There is an order of hearing, and there are specialties. The level of treatment in intensive care unit cannot fully represent the level of a hospital. For example, Fuwai and Anzhen are the most famous cardiovascular hospitals in China, but their intensive care units do not necessarily have ECMO.
Lao Liu believes that the technical level of a hospital mainly depends on the hospital's Department of Intensive Care Medicine, the Department of Intensive Care Medicine is a reflection of the hospital's level of treatment of critically ill patients. Why do you say so? The following old Liu will give you a popularization of this knowledge.
What is Critical Care Medicine
Critical care medicine is the study of the characteristics and regularities of the process of progression of the organism towards death as a result of any injury or disease, and the treatment of critically ill patients according to these characteristics and regularities. Critical care medicine serves and studies critically ill patients.
What is ICU
ICU is the abbreviation of Intensive Care Unit, which is called Intensive Care Unit or Intensive Care Unit in Chinese. ICU is the base for treating patients in the Department of Intensive Care Medicine, where critically ill patients are centralized and given the best guarantee in terms of manpower, material and technology with a view to obtaining a good treatment effect.
Why Critical Care Medicine Is So Important
The Department of Intensive Care Medicine mainly admits and treats all kinds of critically ill patients, such as critically ill patients after major surgeries, trauma, post resuscitation of cardiac arrest, post resuscitation of electroshock and drowning victims, poisoning, organ failure and other patients. It creates the time and possibility of resuscitation for critical patients, so that some original poorly treated or untreatable diseases can be effectively controlled and satisfactorily treated. In major public health events such as the SARS pandemic in 2003, hand-foot-mouth disease and Wenchuan earthquake in 2008 and this new coronary pneumonia epidemic, the Department of Intensive Care Medicine has played a very important role in saving lives.
First of all, all the hospitals we have in the country now are general hospitals. Being a general hospital means that you are responsible for things like public health, primary care, clinical care, clinical teaching, and so on. Being an intensive care medicine department is only part of your medical scope, not all. Of course, hospitals can promote and publicize their hospitals with the help of people who have been rescued alive by critical care medicine. But you can't say that just because you have a high level of critical care medicine, that you have a high level of hospitalization.
The level of treatment in the intensive care unit does not represent the overall level of treatment in the hospital. The specialization of "DRG Ranking" adopted by Beijing is that it can realize the evaluation of medical service capacity, medical service efficiency and medical safety in three aspects. The construction of national key disciplines of hospitals also reflects the comprehensive diagnosis and treatment and scientific research ability.
The main evaluation standard of a hospital's level of medical treatment is the level of comprehensive diagnosis and precise treatment for "patients with difficult diseases, emergency and critical illnesses" who enter the hospital! One of the "ICU" that is, Intensive Care Unit (ward) is to "emergency, critical care patients" to provide centralized advantageous resources, centralized excellent experts, centralized and unified management of the diagnosis and treatment mode, the purpose is to completely reduce the death rate, improve the hospital's comprehensive diagnosis and treatment The purpose is to completely reduce the death rate and improve the comprehensive diagnosis and treatment level of the hospital!
The Critical Care Unit is supposed to be a selection of the hospital's physicians with strong overall capabilities. At the same time, there are also experts from various specialized departments as well as subject leaders to do some think-tank team for them. Therefore, according to this theory, the higher the medical level of a hospital's intensive care unit, the higher the professional quality of the entire hospital team will be.
But again, this seems a bit of a stretch. Different doctors in a department handle patients in different ways and methods. The results are not the same either. What's more, it's not scientific for us to judge the level of medical care simply in this way.
I judge the level of care in hospitals from a personal point of view, based solely on geographic location. For example, we are located in the 28th line city medical level can not be compared to places like Beijing, Shanghai. They have the advantage of all aspects of resources. Instruments and equipment, highly sophisticated talent team are cutting their heads to drill. There are even scientific research teams. The research is fine enough to study the field of diagnosis and treatment and the division of specialties.
Plus, all sorts of difficult patients from all over the country go to them for diagnosis and treatment. The accumulated experience is also more than just a little bit more.
I don't know if everyone agrees.
Large hospitals have many specialized sub-specialties, each with its own professional characteristics and technical expertise. Intensive Care Unit (ICU) is only one of these specialties, and its level only represents the level of Intensive Care Unit, but not the technical level of other specialties in the hospital. With the improvement of medical equipment, many large hospitals have their own ICUs.
I think to a certain extent, it can be. Because, with the exception of major internal medicine, acute and critical care is more of a test for doctors.
General hospitals set up a lot of departments, the larger the general hospital specialties are divided into the more detailed, intensive care unit is one of the departments, each section has the specialists and technical expertise of each section. Critical care department first of all its facilities, resuscitation, support the patient's life of the machine is more complete, and these equipment other departments do not have, in the hospital in all other departments of the critically ill patients, will be transferred to the Department of Intensive Care through the dangerous period, through the dangerous period, and then transferred to the Department of the general wards. Doctors in the Department of Intensive Care Medicine have their unique clinical experience in the treatment of critically ill patients, but more importantly, they are equipped with a variety of medical facilities for the treatment of critically ill patients. If the Department of Critical Care Medicine of a certain hospital, which is at the top of the list in this hospital, can be considered as the highest level of medical care in this hospital, it cannot be said that the Department of Critical Care in all hospitals represents the level of medical care in the hospital. The level of medical technology of other departments, in its own hospital performance is particularly outstanding, can also be considered to represent the hospital's best medical technology water. All hospitals should have departments in their own hospitals that have outstanding medical technology, reflecting the highest level of medical care in the hospital. However, in evaluating the level of a hospital's medical level, the level of a certain department should not be considered to represent the overall level of the hospital, but rather a comprehensive evaluation should be made, and the medical level of a certain department should represent the level of the hospital in a certain field.
The emergency department represents the width of the hospital's understanding of acute and critical illnesses, and critical care represents the depth of the hospital's understanding of acute and critical illnesses. The stronger the hospital's overall strength, the more critically ill patients it has, and the higher the level of critical care.
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