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Table 5 Criteria of the planned neurological care of level II and III progressivity by hospital organisational, architectural, medical technological as well as human resource system level

From: New hospital structure in the twenty-first century: the position of level III (tertiary) neurological and stroke care in a changing healthcare system

   Neurology II Neurology III
Inpatient and chronic care Required healthcare area
(×1000 patients)
150–300 1800
Professional environment (partner professions required for care) Intensive therapy unit, radiology, central laboratory Intensive therapy unit, (neuro)radiology, neuro-intervention., otolaryngology, ophthalmology, central laboratory, neurosurgery
Presence of the profession in the institution (independent area/background consultation) Independent area Independent area
Minimum number of beds required 20–30 60–70
Minimum number of physicians required (per 10 beds, broken down by specialists and residents) 3 Specialists,
2 general physicians
6 Specialists
2 general physicians, with the competences listed in Table 6
Level of medical competence (proficiency, according to the professions detailed) Neurology Neurology, stroke-licence, neuroradiology, neuro-inervention, neurosurgery
Minimum number of nurses required (per 10 beds, broken down by specialist and assistant nurses) 4 specialist nurses
2 assistant nurses
4 specialist nurses,
2 assistant nurses
Other professional staff (per 10 beds, indicating the profession) Physiotherapist/20 beds Physiotherapist/10 beds
Neuroradiological professional assistant
Competence level of professional staff (proficiency, by profession)  
Technical requirements (operating theatre, gym, etc.) Gym Gym
Diagnostic requirements (at the level of the institution) CT MR, CT,DSA, X-ray, neurointervention
Diagnostic requirements (at the level of the profession) Ultrasound, microscope Neurosonology (Doppler ultrasound, TCD, soft tissue ultrasound) neurophysiology, neuropsychology
Special requirements for the building (e.g. heliport, optimal volume requirement)   Heliport
Duty service (continuous, rotation) Continuous Continuous
Comments The presence of basic professions must be ensured at consultation level if the institution lacks them (cardiology, surgery, urology, gynaecology, psychiatry, paediatrics) The presence of basic professions must be ensured at consultation level if the institution lacks them (cardiology, surgery, urology, gynaecology, psychiatry, paediatrics)
Specialist outpatient unit Minimum consulting hours of physicians (consulting hours in a daily breakdown) 24 h/week 266 h/week, according to the breakdown shown in Table 7
Level of medical competence (proficiency, according to professions)   
Minimum number of nurses required (broken down by specialist and assistant nurses) 1 Specialist nurse 2 Specialist nurses
Other professional staff 1 Administrator 3 Administrators
Technical requirements (operating theatre, gym, etc.) Gym Gym
Diagnostic requirements (at the level of the profession) Access to inpatient diagnostic level Access to inpatient diagnostic level
Is the presence of the profession compulsory or optional in the given institution? Compulsory Compulsory
Minimum number of hours required 8 h/day 8 h/day
Availability (broken down by day parts and days) 5 Full working days, during working hours 5 Full working days, during working hours