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Current Status of Neurosurgical and Neurointensive Care Units in Korea : A Brief Report on Nationwide Survey Resultsopen access

Authors
Jo, Kwang WookKim, HoonYoo, Do SungHyun, Dong-KeunCheong, Jin HwanPark, Hae-KwanPark, Bong JinCho, Byung MoonKim, Young WooKim, Tae HeeHan, InsooLee, Sang-WeonKwon, Taek Hyun
Issue Date
Jul-2020
Publisher
대한신경외과학회
Keywords
Intensive care units; Neurosurgery; Critical care; Prognosis; Republic of Korea
Citation
Journal of Korean Neurosurgical Society, v.63, no.4, pp 519 - 531
Pages
13
Indexed
SCIE
SCOPUS
KCI
Journal Title
Journal of Korean Neurosurgical Society
Volume
63
Number
4
Start Page
519
End Page
531
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/32836
DOI
10.3340/jkns.2020.0026
ISSN
2005-3711
1598-7876
Abstract
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.
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Kwon, Taek Hyun
Guro Hospital (Department of Neurosurgery, Guro Hospital)
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