Intensive Care in Finland

48 Pages·2009·0.98 MB·English

Intensive Care in Finland
Esko Ruokonen
Professor of Intensive Care Medicine
Kuopio University Hospital
Finland
• Under Swedish rule until 1809
• Under Russian rule 1809 – 1917
• Independent 1917…
– EU member since 1995
– €-country since 2001
• Languages Finnish and Swedish (5,4%)
• Immigrants 200 000 (mainly Russians)
Finland
• Total population: 5,261,000
• Gross national income per capita 33,170 USD
• Life expectancy at birth m/f (years): 76/83
• Total expenditure on health per capita 2,472
• Total expenditure on health of GDP (2006) 7.6%
Finnish Healthcare
Intensive Care
Health care system
• Responsibility for local health services rests
with local authorities
• Primary health care
•health centres
OUH
• Secondary health care
TAUH
• 20 hospital districts
KUH
• 5 university hospitals and areas of
regional responsibility
TUCH
• 15 central hospitals
• 22 district hospitals
HUCH
• Private health care
Regional
responsibilities of
university hospitals
Promoting Health
Finnish Intensive Care
• in total 25 ICUs
• closed organisation is a rule
• > 95% of ICU physicians have specialized in
anaesthesiology and intensive care
• majority of ICUs have a dedicated IC specialist
– out of business hour activities is a challenge
• intensive care ’special competence’ (FMA)
degree available
Area of regional
responsibility
Hospital District of Northern Savonia
(Kuopio)
Hospital District of Central Finland
(Jyväskylä)
Joint Municipal Authority for Medical
and Social Services in North Karelia
(Joensuu)
Hospital District of Southern Savonia
(Mikkeli)
Hospital District of Eastern Savonia
(Savonlinna)
Regional Population 851 000
KUH
Promoting Health
KUH ICU
• 18 ICU beds (including burn unit)
• 10 intermediate care beds
• 2400 admissions / year, care days 4600
• daily work: three intensivists, 2-3 residents (
min 6 mo)
• 77 nurses, 12 nurse assistants
• annual budget ca 9 M€