Global Critical Care: Moving Forward in Resource-Limited Settings
dc.contributor.author | Diaz, J.V. | |
dc.contributor.author | Riviello, E.D. | |
dc.contributor.author | Papali, A. | |
dc.date.accessioned | 2019-03-29T14:42:01Z | |
dc.date.available | 2019-03-29T14:42:01Z | |
dc.date.issued | 2019 | |
dc.identifier.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85061275431&doi=10.5334%2faogh.2413&partnerID=40&md5=94ed25bef8eb863898d2b1d917312280 | |
dc.identifier.uri | http://hdl.handle.net/10713/8582 | |
dc.description.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. © 2019 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. | en_US |
dc.description.uri | https://dx.doi.org/10.5334/aogh.2413 | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | Ubiquity Press | en_US |
dc.relation.ispartof | Annals of global health | |
dc.subject | global critical care | en_US |
dc.subject.mesh | Critical Care--standards | en_US |
dc.subject.mesh | Developing Countries | en_US |
dc.subject.mesh | Global Health | en_US |
dc.title | Global Critical Care: Moving Forward in Resource-Limited Settings | en_US |
dc.type | Review | en_US |
dc.identifier.doi | 10.5334/aogh.2413 | |
dc.identifier.pmid | 30741504 |