Challenges and Priorities for Pediatric Critical Care Clinician-Researchers in Low- and Middle-Income Countries.
Challenges and Priorities for Pediatric Critical Care Clinician-Researchers in Low- and Middle-Income Countries.
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DOI：
10.3389/fped.2017.00277
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发表时间：
2017
影响因子：
2.6
通讯作者：
Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network
中科院分区：
文献类型：
--
作者：
von Saint André-von Arnim AO;Attebery J;Kortz TB;Kissoon N;Molyneux EM;Musa NL;Nielsen KR;Fink EL;Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network
需要更多关于低收入和中等收入国家（LMIC）重症监护结果和干预措施的数据。全球研究合作有助于改善儿童死亡率居高不下的低收入国家重症儿童的医疗保健服务。为了解合作研究在LMIC危重患儿医疗服务中的作用，对LMIC的儿科重症监护（PCC）医生进行了匿名在线调查，以评估PCC研究的优先事项、主要挑战和潜在解决方案。一个方便的样本56名临床研究人员照顾危重病儿童在LMIC的目标。此外，该调查还可在拉丁美洲PCC网站上查阅。数据分析采用描述性统计。47名受访者中的大多数在LMIC的城市公立教学医院工作。受访者表示，他们的主要PCC研究动机是改善临床护理和建立标准化护理的指导方针。开展研究的最大挑战是缺乏资金、临床工作量大和研究支持人员有限。受访者提出的解决方案，这些挑战包括增加研究资金的选择LMIC，更好地获得导师来自高收入国家，研究培训和网络，以及更高质量的医疗记录文件。LMIC的临床研究人员必须更好地授权和资源，以领导和影响当地和全球危重儿童的健康研究议程。增加资金选择，获得培训和指导的研究方法，并改善数据收集系统的LMIC PCC研究人员被认为是成功的关键。
There is need for more data on critical care outcomes and interventions from low- and middle-income countries (LMIC). Global research collaborations could help improve health-care delivery for critically ill children in LMIC where child mortality rates remain high. To inform the role of collaborative research in health-care delivery for critically ill children in LMIC, an anonymous online survey of pediatric critical care (PCC) physicians from LMIC was conducted to assess priorities, major challenges, and potential solutions to PCC research. A convenience sample of 56 clinician-researchers taking care of critically ill children in LMIC was targeted. In addition, the survey was made available on a Latin American PCC website. Descriptive statistics were used for data analysis. The majority of the 47 survey respondents worked at urban, public teaching hospitals in LMIC. Respondents stated their primary PCC research motivations were to improve clinical care and establish guidelines to standardize care. Top challenges to conducting research were lack of funding, high clinical workload, and limited research support staff. Respondent-proposed solutions to these challenges included increasing research funding options for LMIC, better access to mentors from high-income countries, research training and networks, and higher quality medical record documentation. LMIC clinician-researchers must be better empowered and resourced to lead and influence the local and global health research agenda for critically ill children. Increased funding options, access to training and mentorship in research methodology, and improved data collection systems for LMIC PCC researchers were recognized as key needs for success.
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影响因子：
168.9
作者：
Bhutta, Zulfiqar A.;Das, Jai K.;Black, Robert E.
通讯作者：
Black, Robert E.
影响因子：
158.5
作者：
Maitland, Kathryn;Kiguli, Sarah;Gibb, Diana M.
通讯作者：
Gibb, Diana M.
影响因子：
3.7
作者：
Baker, Tim;Schell, Carl Otto;Konrad, David
通讯作者：
Konrad, David
影响因子：
15.1
作者：
Fowler, Robert A.;Adhikari, Neill K. J.;Bhagwanjee, Satish
通讯作者：
Bhagwanjee, Satish
影响因子：
168.9
作者：
Liu, Li;Oza, Shefali;Hogan, Dan;Chu, Yue;Perin, Jamie;Zhu, Jun;Lawn, Joy E.;Cousens, Simon;Mathers, Colin;Black, Robert E.
通讯作者：
Black, Robert E.