DOI: https://doi.org/10.25305/unj.51527

Neurosurgical service in Ukraine

Eugene Pedachenko, Nikolay Sapon, Andriy Huk, Anna Nikiforova

Abstract


Objective: To examine the state of neurosurgical service in Ukraine.

Materials and methods. The results of continuous study of hospital beds quantity, staffing and clinical work of neurosurgical units in Ukraine from 1998 to 2012 are given. Statistical data processing was carried out using time series analysis, correlation and regression analyzes.

Results. In 2012 in Ukraine availability of neurosurgical beds was 0.86 per 10,000 (1 bed per 11,650 population), the availability of neurosurgeons — 1.82 per 100,000 (1 neurosurgeon per 54,813 population). 102,947 patients (2,260 per 1 million population) were treated in neurosurgical units and 45,350 of them (996 per 1 million population) have been operated. Surgical activity was 44.1%, postoperative lethality — 4.4%.

Conclusion. The availability of neurosurgical beds and neurosurgeons in Ukraine is high enough. The intensity of beds use and operating load per one neurosurgeon are low. Indicators of highly specialized effective neurosurgical care providing have a strong positive trend in Ukraine. Ukrainian neurosurgery has a good reserve for intensive mastering of new areas of medical innovations.


Keywords


neurosurgical service; availability of neurosurgical beds; intensity of neurosurgical bed use; availability of neurosurgeons; operating load per one neurosurgeon; surgical activity; postoperative lethality

References


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GOST Style Citations


1. Ромоданов А.П. Нейрохирургическая помощь в УССР / А.П. Ромоданов, М.К. Бротман. — К.: Здоров’я, 1981. — 120 с.

2. NHS standard contract for neurosurgery (adult) [Электронный ресурс] — Режим доступа: http://www.england.nhs.uk/wp-content/uploads/2013/06/d03-neurosurgery.pdf

3. A report on neurosurgical workforce in the countries of the EU and associated states. Task Force «Workforce Planning», UEMS Section of Neurosurgery / H.-J.Reulen, R.A.B. Hide, M. Bettag, M. Bodosi, E. Sa M. Cunha // Acta Neurochir. — 2009. — V.151, N6. — P.715–721.

4. Atlas: Сountry resources for neurological disorders 2004 / World Health Organization 2004 [Электронный ресурс] — Режим доступа: http://www.who.int/mental_health/neurology/neurology_atlas_lr.pdf

5. Yoshimine T. Neurosurgical Practice in Japan // J.M.A.J. — 2007. — V.50, N6. — P.467–470.

6. Centre for Workforce Intelligence (England). Neurosurgery: CfWI medical fact sheet and summary sheet — August 2010 [Электронный ресурс] — Режим доступа: http://www.cfwi.org.uk/publications/neurosurgery-cfwi-medical-fact-sheet-and-summary-sheet-august-2010

7. Australian Medical Workforce Advisory Committee: The neurosurgery workforce in Australia. Supply and requirements, 1999–2010. AMWAC Report, 2000 [Электронный ресурс] — Режим доступа: http://www.ahwo.gov.au/documents/Publications/2000/The%20neurosurgery%20workforce%20in%20Australia.pdf

8. American Association of Neurological Surgeons: National Neurosurgical Procedural Statistics. 2006 Survey [Электронный ресурс] — Режим доступа: https://www.myaans.org/desktopmodules/directory/ProcedStat2006.pdf





Copyright (c) 2014 Eugene Pedachenko, Nikolay Sapon, Andriy Huk, Anna Nikiforova

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