Clinical review: critical care in the global context--disparities in burden of illness, access, and economics.
Clinical review: critical care in the global context--disparities in burden of illness, access, and economics.
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DOI：
10.1186/cc6984
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发表时间：
2008
期刊：
影响因子：
15.1
通讯作者：
Bhagwanjee, Satish
中科院分区：
文献类型：
--
作者：
Fowler, Robert A.;Adhikari, Neill K. J.;Bhagwanjee, Satish
世界卫生保健支出超过4万亿美元。然而，全球医疗保健支出存在显著差异，从美国的人均7，000美元以上到撒哈拉以南非洲大部分地区的人均25美元以下。在发达国家，危重病人的护理占卫生保健支出的很大比例;然而，在发展中国家，疾病和危重病的负担更大，几乎没有基础设施为这些病人提供护理。很少有研究来告知危重患者的需求，但通常无法获得基本要求，如训练有素的人员，药物，氧气，诊断和治疗设备，可靠的电力供应和安全运输。为什么这应该是发达国家集约化的重点？几乎所有在发展中国家死亡的人都是我们的病人，没有纬度的意外。根据该区域的需要，提供危急护理可以发挥作用，即使是在有限的预防和初级护理的情况下。需要国际和地方驱动的解决方案。我们可以帮助认识到“10/90差距”，这是普遍存在于全球卫生保健和我们的专业教育自己的需求，接触和合作，与同事在发展中国家，并倡导我们的专业协会和资助机构考虑在教育和研究越来越全球化的观点。
World health care expenditures exceed US $4 trillion. However, there is marked variation in global health care spending, from upwards of US $7,000 per capita in the US to under US $25 per capita in most of sub-Saharan Africa. In developed countries, care of the critically ill comprises a large proportion of health care spending; however, in developing countries, with a greater burden of both illness and critical illness, there is little infrastructure to provide care for these patients. There is sparse research to inform the needs of critically ill patients, but often basic requirements such as trained personnel, medications, oxygen, diagnostic and therapeutic equipment, reliable power supply, and safe transportation are unavailable. Why should this be a focus of intensivists of the developed world? Nearly all of those dying in developing countries would be our patients without the accident of latitude. Tailored to the needs of the region, the provision of critical care has a role, even in the context of limited preventive and primary care. Internationally and locally driven solutions are needed. We can help by recognizing the '10/90 gap' that is pervasive within global health care and our profession by educating ourselves of needs, contacting and collaborating with colleagues in the developing world, and advocating that our professional societies and funding agencies consider an increasingly global perspective in education and research.
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影响因子：
8.8
作者：
Halpern, NA;Pastores, SM;Greenstein, RJ
通讯作者：
Greenstein, RJ
影响因子：
4.3
作者：
Isturiz, Raul E.;Torres, Jaime;Besso, Jose
通讯作者：
Besso, Jose
影响因子：
3.8
作者：
Bachmann, Max O.;Booysen, Frikkie L. R.
通讯作者：
Booysen, Frikkie L. R.
影响因子：
4.3
作者：
Bhagwanjee, Sats
通讯作者：
Bhagwanjee, Sats
DOI：
10.2471/blt.06.037242
发表时间：
2007-03-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Labonte, Ronald;Schrecker, Ted
通讯作者：
Schrecker, Ted