Thorpe Christopher M
Ysbyty Gwynedd, Bangor, UK and chair of the Smaller and Specialist Units Advisory Group, The Faculty of Intensive Care Medicine, London, UK.
Future Healthc J. 2020 Feb;7(1):28-32. doi: 10.7861/fhj.2019-0068.
Intensive care medicine is a relatively new specialty. In developing standards of care, it became apparent that some aspects were not achievable by smaller units. Within the intensive care community, there has been a gradual acceptance that smaller hospitals cannot necessarily implement structures that are used in large hospitals, and that outcomes can be comparable with larger units despite this. The Faculty of Intensive Care Medicine set up a Smaller and Specialist Units Advisory Group to explore this area, and this article initially explains the background and work of the faculty to support and sustain these units. We then move on to look at critical care in the context of the recent emergence of wider work on remote and rural healthcare. Finally, we explore our future horizons and look in detail at the areas where further developments will transform the care of critically ill patients within the smaller hospitals of the next 20 years.
重症监护医学是一个相对较新的专业领域。在制定护理标准的过程中，逐渐显露出一些方面是较小的单位无法实现的。在重症监护领域，人们逐渐接受这样的观点：较小的医院不一定能实施大医院所采用的结构，尽管如此，其治疗效果仍可与大单位相媲美。重症监护医学学院成立了一个小型和专科单位咨询小组来探索这一领域，本文首先解释该学院支持和维持这些单位的背景及工作。接着，我们将在近期广泛开展的远程和农村医疗保健工作的背景下审视重症监护。最后，我们展望未来前景，并详细探讨未来20年将改变较小医院中重症患者护理状况的进一步发展领域。
