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学科主题: 临床医学
题名:
Access to urban acute care services in high- vs. middle-income countries: an analysis of seven cities
作者: Austin, Shamly1; Murthy, Srinivas2; Wunsch, Hannah3,4; Adhikari, Neill K. J.5,6; Karir, Veena7; Rowan, Kathryn8; Jacob, Shevin T.9; Salluh, Jorge10; Bozza, Fernando A.11; Du, Bin12; An, Youzhong13; Lee, Bruce14; Wu, Felicia15; Yen-Lan Nguyen16,17; Oppong, Chris18; Venkataraman, Ramesh19; Velayutham, Vimalraj20; Duenas, Carmelo21,22,23; Angus, Derek C.1; Int Forum Acute Care Trialists
关键词: Urban population ; Acute care services ; Global burden of disease ; Hospital beds ; Intensive care beds ; Ambulances
刊名: INTENSIVE CARE MEDICINE
发表日期: 2014-03-01
DOI: 10.1007/s00134-013-3174-7
卷: 40, 期:3, 页:342-352
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Critical Care Medicine
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: INTENSIVE-CARE
英文摘要:

Cities are expanding rapidly in middle-income countries, but their supply of acute care services is unknown. We measured acute care services supply in seven cities of diverse economic background.

In a cross-sectional study, we compared cities from two high-income (Boston, USA and Paris, France), three upper-middle-income (Bogota, Colombia; Recife, Brazil; and Liaocheng, China), and two lower-middle-income (Chennai, India and Kumasi, Ghana) countries. We collected standardized data on hospital beds, intensive care unit beds, and ambulances. Where possible, information was collected from local authorities. We expressed results per population (from United Nations) and per acute illness deaths (from Global Burden of Disease project).

Supply of hospital beds where intravenous fluids could be delivered varied fourfold from 72.4/100,000 population in Kumasi to 241.5/100,000 in Boston. Intensive care unit (ICU) bed supply varied more than 45-fold from 0.4/100,000 population in Kumasi to 18.8/100,000 in Boston. Ambulance supply varied more than 70-fold. The variation widened when supply was estimated relative to disease burden (e.g., ICU beds varied more than 65-fold from 0.06/100 deaths due to acute illnesses in Kumasi to 4.11/100 in Bogota; ambulance services varied more than 100-fold). Hospital bed per disease burden was associated with gross domestic product (GDP) (R (2) = 0.88, p = 0.01), but ICU supply was not (R (2) = 0.33, p = 0.18). No city provided all requested data, and only two had ICU data.

Urban acute care services vary substantially across economic regions, only partially due to differences in GDP. Cities were poor sources of information, which may hinder their future planning.

语种: 英语
WOS记录号: WOS:000332457400004
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/58739
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: 1.Intens Care Natl Audit & Res Ctr, London, England
2.DOR Inst Res & Educ, Rio De Janeiro, Brazil
3.Fundacao Oswaldo Cruz, Rio De Janeiro, Brazil
4.Peking Univ, Peoples Hosp, Beijing 100871, Peoples R China
5.Columbia Univ, Dept Anesthesiol, New York, NY USA
6.Columbia Univ, Dept Epidemiol, New York, NY USA
7.Univ Toronto, Toronto, ON, Canada
8.Univ Pittsburgh, Clin Res Invest & Syst Modeling Acute Illness CRI, Dept Crit Care Med, Pittsburgh, PA 15261 USA
9.Univ British Columbia, BC Childrens Hosp, Div Crit Care, Vancouver, BC V5Z 1M9, Canada
10.Sunnybrook Hlth Sci Ctr, Dept Crit Care Med, Toronto, ON M4N 3M5, Canada
11.Univ Pittsburgh, Dept Med, Pittsburgh, PA 15261 USA
12.Univ Washington, Dept Med, Int Resp & Severe Illness Ctr INTERSECT, Div Allergy & Infect Dis, Seattle, WA 98195 USA
13.Beijing Union Med Coll Hosp, Beijing, Peoples R China
14.Johns Hopkins Bloomberg Sch Publ Hlth, Publ Hlth Computat & Operat Res PHICOR Grp, Baltimore, MD USA
15.Michigan State Univ, Dept Food Sci & Human Nutr, E Lansing, MI 48824 USA
16.Paris Descartes Univ, Cochin Acad Hosp, AP HP, Surg ICU, Paris, France
17.Univ Paris 06, Unites INSERM U738, U707, Paris, France
18.Komfo Anokye Teaching Hosp, Dept Emergency Med, Kumasi, Ghana
19.Apollo Hosp, Chennai, Tamil Nadu, India
20.Stanley Med Coll Hosp, Chennai, Tamil Nadu, India
21.Univ Cartagena, Cartagena, Colombia
22.Hosp Santa Cruz Bocagrande, Cartagena, Colombia
23.Inst Simulac Med, Bogota, Colombia

Recommended Citation:
Austin, Shamly,Murthy, Srinivas,Wunsch, Hannah,et al. Access to urban acute care services in high- vs. middle-income countries: an analysis of seven cities[J]. INTENSIVE CARE MEDICINE,2014,40(3):342-352.
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