Yeh T S
Division of Critical Care, Children's Hospital of Oakland, California.
Crit Care Clin. 1992 Jan;8(1):23-35.
It is evident that the field of pediatric critical care is evolving rapidly, but the prime issue remains the proper delivery of scarce and expensive resources to the most patients. In order to do so it is necessary to determine where current resources exist. This has been difficult to accomplish accurately on a national basis, although it may be possible on a regional level. To achieve the final goal of building organized systems of care, the special needs of the critically ill and injured child must be recognized. Models of regionalization will provide the basic structure for the development of these systems. The Model for a Pediatric Critical Care System proposed by the California Critical Care Coalition and District IX of the American Academy of Pediatrics should be readily applicable to any region. It is hoped that the information and examples provided in this article will provide some guidelines for those interested in promoting regionalization of pediatric critical care across the nation.
显然，儿科重症监护领域正在迅速发展，但首要问题仍然是如何将稀缺且昂贵的资源合理分配给大多数患者。为了做到这一点，有必要确定现有资源的所在之处。尽管在区域层面或许可行，但要在全国范围内准确完成这一任务一直很困难。为了实现建立有组织的护理系统这一最终目标，必须认识到重症和受伤儿童的特殊需求。区域化模式将为这些系统的发展提供基本架构。加利福尼亚重症监护联盟和美国儿科学会第九区提出的儿科重症监护系统模型应该很容易适用于任何地区。希望本文提供的信息和示例能为那些有兴趣在全国推动儿科重症监护区域化的人提供一些指导方针。
