Decisionmaking at the regional level

A health care region is usually defined, from an ICU perspective, as a population served by hospitals and ICUs of different characteristics. Each health care region should make a detailed assessment of the ICU needs in the hospitals of the area: the number and type of patients to be admitted, the general and specific interventions required, the number and type of beds, and the number and differentiation of staff. When this is complete, the general characteristics of each ICU in the area should be defined, with a level of care (LOC) attributed to each unit (iR§isiMiraD„d§...§i.§( 1990). The exchange of expertise and patient care among the various

ICUs is then defined and agreed between the hospitals, with the financial implications being taken into consideration.

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