Global Critical Care: Moving Forward in Resource-Limited Settings.
Ann Glob Health
; 85(1)2019 01 22.
Article
em En
| MEDLINE
| ID: mdl-30741504
ABSTRACT
Caring for critically ill patients is challenging in resource-limited settings, where the burden of disease and mortality from potentially treatable illnesses is higher than in resource-rich areas. Barriers to delivering quality critical care in these settings include lack of epidemiologic data and context-specific evidence for medical decision-making, deficiencies in health systems organization and resources, and institutional obstacles to implementation of life-saving interventions. Potential solutions include the development of common definitions for intensive care unit (ICU), intensivist, and intensive care to create a universal ICU organization framework; development of educational programs for capacity building of health care professionals working in resource-limited settings; global prioritization of epidemiologic and clinical research in resource-limited settings to conduct timely and ethical studies in response to emerging threats; adaptation of international guidelines to promote implementation of evidence-based care; and strengthening of health systems that integrates these interventions. This manuscript reviews the field of global critical care, barriers to safe high-quality care, and potential solutions to existing challenges. We also suggest a roadmap for improving the treatment of critically ill patients in resource-limited settings.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Estado Terminal
/
Pessoal de Saúde
/
Medicina Baseada em Evidências
/
Cuidados Críticos
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Fortalecimento Institucional
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Recursos em Saúde
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Unidades de Terapia Intensiva
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Sysrev_observational_studies
Limite:
Humans
Idioma:
En
Revista:
Ann Glob Health
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Estados Unidos