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ICU service in Taiwan.

Kuo-Chen Cheng1, Chin-Li Lu2, Yueh-Chih Chung3

  • 1Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan ; Department of Safety Health and Environmental Engineering, Chung Hwa University of Medical Technology, Tainan, Taiwan ; Department of Medicine, National Defense Medical Center, Taipei, Taiwan.

Journal of Intensive Care
|April 25, 2015
PubMed
Summary

Intensive care unit (ICU) bed occupancy in Taiwan is high, especially in major medical centers and during winter. Optimizing resources is crucial due to rising costs and an aging population.

Keywords:
Bed occupancyCritical illnessICU structureMedical expenditure

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Area of Science:

  • Critical Care Medicine
  • Health Services Research
  • Public Health Policy

Background:

  • Understanding the current Intensive Care Unit (ICU) landscape is essential for resource optimization.
  • Ensuring the highest quality of patient care necessitates a thorough analysis of ICU operations.

Purpose of the Study:

  • To analyze the status of Intensive Care Unit (ICU) settings in Taiwan.
  • To provide insights for optimizing ICU resource allocation and improving patient care.

Main Methods:

  • Analysis of the Taiwan National Health Insurance database.
  • Inclusion of data from March 2004 to February 2009.
  • Identification of 1,028,364 ICU patients.

Main Results:

  • Average patient age was 65 years, with 61% males.
  • Overall ICU bed occupancy was 83.8%, peaking at 87.3% in winter and 94.4% in major medical centers.
  • Average ICU stay was 6.5 days, with a 20.2% overall ICU mortality rate. Average total hospital cost was $5,186 per patient.

Conclusions:

  • ICU bed occupancy exhibits seasonal variation, nearing full capacity in major Taiwanese medical centers.
  • ICU bed distribution across hospital categories aims for cost efficiency.
  • Challenges include rising technology costs and an aging population, impacting quality care maintenance.