Οργάνωση και διοίκηση Μονάδας Ενταντικής Θεραπείας
Organization and administration of Intensive Care Unit
KeywordsΜονάδες Εντατικής Θεραπείας (ΜΕΘ) ; Υγεία ; Σύστημα υγείας ; Νοσοκομεία ; Ιδιωτική κλινική ; Αναπνευστήρας ; Οργάνωση ; Λειτουργία ; Σχεδιασμός ; Δείκτες ποιότητας ; Κόστος ; Intensive Care Unit ; Health ; Health system ; Hospitals ; Private clinic ; Ventilator ; Organization ; Operation ; Management ; Quality indicators ; Cost
Health is the supreme good of human and it is a constitutional right for every citizen of a developed country. The health sector in the sense of providing health services is among the most complex areas in any organized society. Health service is a difficult concept that includes both the sense of treatment and nursing. The development of this sector was gradual, with no specific targets, but in the process it was affected by the development of science, economics, human values and needs. With the development of Medical Science and the creation of healthcare institutions, such as hospitals, the need for continuous evolution in the organization, in operation and management is big. In the 1950s starts a new period in the field of Medicine with the epidemic of polio since it was the impetus for the development of Intensive Care. At the time the negative pressure ventilator (“Iron lung”) was used. A hospital cannot exist without an Intensive Care Unit. The Intensive Care is unique among the other medical specialties aiming to cure a critically ill and polysystemic patient whose constant monitoring and treatment by qualified medical personnel, experienced nursing staff and a high-tech equipment enable early diagnosis and restoration of the patient with serious and life threatening situations. This thesis and in particular the first three chapters refer to the notion of health, the health system structure, the historical development of the Greek Health System and the organizational structure of tertiary care. In the 4th chapter the specialty of Medicine which deals with severely ill patients, the Emergency and Intensive Care Medicine are being studied. The 5th and 6th chapters refer to the area where crucial cases are treated and this area is the Intensive Care Unit. More specifically, we study the definition, the historical development, its purpose, the types of ICUs, the organization, what is involved in legislation for the unit and then we refer to ventilators. Subsequently the 7th chapter refers to the ICU operation and the 8th chapter refers to its structural principles. The 9th chapter is about the entry criteria for patients in the Intensive Care Unit and the exit criteria from the Intensive Care Unit and its general administration. The 10th chapter is about the staffing. Finally, in the 11th chapter reference is made to the quality system in Intensive Care Units and the last chapter indicates the differences in Intensive Care Units between countries and their operating costs. The aim of this thesis is to study the need for, the services that can provide an Intensive Care Unit and the necessary conditions required for the construction and operation of these units to better treatment and care of seriously ill patients.