The Current Availability of Neurological In-Patient Services in Post-Communist Central and Eastern European Countries

Abstract

Background and Purpose: Limited information can be obtained as to the availability of neurological in-patient services in the former communist countries of Eastern and Central Europe. The objective was to analyse data received directly from representatives of the particular countries. Methods: The data were collected under the auspices of the ‘First European Cooperation Neurology Workshop’ held in April 2000, in Třešť, Czech Republic. Neurologists from 15 post-communist countries provided information from their respective countries. Linear trends in graphs including the reliability value R² were used in the analysis of correlations. Results: Data from 14 countries were assembled and trends were analysed. Conclusions: Direct relationships were found between: (1) the average department size and the average catchment area (R² = 0.1015); (2) the percentage of districts with a neurological in-patient department and the gross national product (GNP) per capita (R² = 0.1359); (3) the average neurological department size and the GNP per capita (R² = 0.1135), and (4) the average length of treatment and the number of neurological beds/100,000 inhabitants (R² = 0.1745). Inverse relationships were found between: (1) the number of neurological beds/100,000 inhabitants and the average hospital catchment area (R² = 0.2105), and (2) the number of neurological beds/100,000 inhabitants and the GNP per capita (R² = 0.1144).

Stroke Care in Central Eastern Europe: Current Problems and Call for Action

“…Almost all CEE countries face serious financial problems regarding stroke care (31). In numerous CEE countries, like in Hungary, or in the Czech Republic, the diagnosis related groups (DRGs) system is in use (28).…”