Ergebnisse der 10. Erhebung zur Struktur der neurologischen Kliniken der Akutversorgung in Deutschland

Abstract

▼The German Neurological Society conducts a biannual survey to assess the structure of neurological inpatient care. The present survey covering the year 2011 addressed 307 hospital departments. Although several measures were taken to enhance response rates, only 179/307 departments (58 %) responded. With few exceptions, neurological departments have stroke units. Even though the majority of neurological departments actively participate in emergency room services, only very few operate their own intensive care unit. Also, many neurological departments do not have around-the-clock access to diagnostic facilities such as MRI and angiography. As compared to the preceding survey in 2009, performance benchmarks indicated a rise in patient numbers, decrease in length of stay, and decreasing average case proceeds. Allocation of personnel was diffi cult to compare between participating departments, but staff shortage was a common problem, with regional diff erences. 1 out of 3 departments was forced to reduce services due to a shortage of physicians, nurses, or both. Neurological departments can obtain a multitude of certifi cations, but only half of the head physicians felt that these helped to improve the quality of patient care. Moreover, only 15 % evaluated the eff ects of certifi cation processes. Consequently, this lack of affi rmation challenges the present concept of certifying neurological inpatient facilities.

Structure of Neurological Departments in Germany: Results of the 12th Survey by the German Neurological Society

“…In addition, we accepted responses up to 6 months after the initial mailing. The questionnaire was kept deliberately brief; substantial consistency of the key questions ensured the comparability to the previous preliminary surveys [1][2][3][4][5]. Finally, in order to keep the threshold for the reply rate and the time required for the replies as low as possible, we again decided against digitization and consequent online survey, even though digital data collection would have sped up and simplified the evaluation.…”

“…Every other year since 1980, the German Neurological Society (Deutsche Gesellschaft für Neurologie -DGN) has conducted a survey of German hospitals providing acute neurological care in order to obtain information regarding neurological inpatient care. The results of the preliminary surveys have been published in the journal Aktuelle Neurologie (Current Neurology) and provide a source-independent freely-accessible data source for benchmark orientation, thus supporting strategic decision-making in hospitals [1][2][3][4][5]. Based on the update and development of the preliminary surveys, we can now report on the survey conducted in 2016 for reporting year 2015.…”

Wie geht es weiter mit der neurologischen Intensivmedizin?

“…In der Strukturerhebung 2013 gaben 35% der antwortenden Akutkliniken an, über Intensivbetten unter eigener Leitung zu verfügen 2 , 2019 nur noch 18% 3 . Außerhalb der Schwerpunkt- und Maximalversorgung erscheint die Einrichtung interdisziplinärer Intensivstationen aus organisatorischen und ökonomischen Erwägungen sinnvoll, es sollte aber bei neurologischen Patienten die Fallführung durch den Neurologen erfolgen.…”