Restructuring of District Hospital in Kraśnik. Part I – Neurology

Original Article, Zdr Publ 2012;122(4): 377-382

MAREK KOS1, PIOTR KSIĄŻEK2, BARTŁOMIEJ DROP2, IWONA REJ-KOS1

1 Independent Public Health Care Unit in Kraśnik
2 II Faculty of Medicine with the English Division, Department of Public Health, Medical University of Lublin
3 Neurology Department with Stroke Unit of the Independent Public Health Care Unit in Kraśnik

Abstract

Introduction. Analysis of functioning of the Independent Public Healthcare Centre in Kraśnik led to the decision on the deep restructuring of this institution. One of departments, in which the annual cost was bigger than the income was Neurological Department. Far-reaching changes in hospital activity were introduced by enlarging this medical ward, establishing the stroke sub-unit and the Department of the Neurological Rehabilitation.
Aim. The research aimed at demonstrating the relation between the restructuring of the Neurological Ward, and the size of the contract with the National Health Fund. Additionally establishing the relationship between the conducted restructuring, and changes of the value of such indicators as: the number of man-days, the cost of the man-day, the number of the hospitalizations, the cost of the hospitalization and the income and costs of the analysed unit were additional goals.
Material and methods. The research covered 2006-2012.Values of agreements with the National Health Fund were analysed in hospital treatment in neurology and in rehabilitation in the scope of neurological rehabilitation. Numbers of man-days and the hospitalization, as well as a value of the cost of both the income of the man-day and the hospitalization were examined.
Results. Scores of benefits entered in agreements in the type of the hospital treatment from 2006 constantly expands and in the course of six years it grew by about 78.82%.at that time also three-fold increase in the amount of funds from National Health Fund for stationary treatment of neurological patients was obtained.
Conclusions. The restructuring of the neurological ward produced the desired effect in the form of exercising considerably substantial amount of neurological benefits, both in the type hospital treatment, as well as in the type of rehabilitation. The action improved the accessibility to benefits of the health care of the neurological profile, as well as caused the complexity of these benefits.

Keywords

neurological department, stroke unit, neurological rehabilitation, autonomous public healthcare institution, restructuring

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