Development of an intensive care unit resource assessment survey for the care of critically ill patients in resource-limited settings.
J Crit Care
; 38: 172-176, 2017 04.
Article
en En
| MEDLINE
| ID: mdl-27918902
ABSTRACT
PURPOSE:
Capacity to provide critical care in resource-limited settings is poorly understood because of lack of data about resources available to manage critically ill patients. Our objective was to develop a survey to address this issue.METHODS:
We developed and piloted a cross-sectional self-administered survey in 9 resource-limited countries. The survey consisted of 8 domains; specific items within domains were modified from previously developed survey tools. We distributed the survey by e-mail to a convenience sample of health care providers responsible for providing care to critically ill patients. We assessed clinical sensibility and test-retest reliability.RESULTS:
Nine of 15 health care providers responded to the survey on 2 separate occasions, separated by 2 to 4 weeks. Clinical sensibility was high (3.9-4.9/5 on assessment tool). Test-retest reliability for questions related to resource availability was acceptable (intraclass correlation coefficient, 0.94; 95% confidence interval, 0.75-0.99; mean (SD) of weighted κ values = 0.67 [0.19]). The mean (SD) time for survey completion survey was 21 (16) minutes.CONCLUSIONS:
A reliable cross-sectional survey of available resources to manage critically ill patients can be feasibly administered to health care providers in resource-limited settings. The survey will inform future research focusing on access to critical care where it is poorly described but urgently needed.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
11_ODS3_cobertura_universal
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2_ODS3
Problema de salud:
11_delivery_arrangements
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2_cobertura_universal
Asunto principal:
Evaluación de Resultado en la Atención de Salud
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Enfermedad Crítica
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Cuidados Críticos
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Unidades de Cuidados Intensivos
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Área sin Atención Médica
Tipo de estudio:
Observational_studies
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Prevalence_studies
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Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
J Crit Care
Asunto de la revista:
TERAPIA INTENSIVA
Año:
2017
Tipo del documento:
Article