Intensive Care in Finland PDF
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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€
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