维多利亚州儿童重症及急救护理服务。
Services for critical and emergency care of children in Victoria.
作者信息
Duke Trevor
机构信息
Department of Paediatrics, University of Melbourne, Australia.
Intensive Care Unit, Royal Children's Hospital, Melbourne, Australia.
出版信息
Crit Care Resusc. 2023 Dec 14;26(1):54-57. doi: 10.1016/j.ccrj.2023.11.008. eCollection 2024 Mar.
The population of children requiring intensive care in Victoria has increased and changed markedly since the 1990s, the result of many epidemiological, demographic, and social changes, and this is more evident during and after the Covid pandemic. The model of ultra-centralised paediatric intensive care services in the 1990s is not sufficient for the current era, and services are under daily pressure. Solutions will take time and need to be wide-ranging, including increased critical care capacity in selected regional centres, decentralisation of some services for low-risk conditions, improvements and reforms in medical and nursing education, pre-service and post-graduate, including for other acute care disciplines and for general practitioners and a more structured state-wide paediatric system. The effects of changes in disease patterns, social trends and health practice should inform the design of an expanded model of critical and emergency care for children in Victoria that is more fit for purpose in the remainder of this decade and beyond.
自20世纪90年代以来，维多利亚州需要重症监护的儿童数量显著增加且发生了明显变化，这是多种流行病学、人口统计学和社会变化的结果，在新冠疫情期间及之后这种情况更加明显。20世纪90年代超集中化的儿科重症监护服务模式已无法满足当前时代的需求，这些服务每天都面临压力。解决方案需要时间，而且必须广泛全面，包括提高选定区域中心的重症监护能力、将一些低风险病症的服务分散化、改进和改革医学及护理教育（包括职前和研究生教育），涵盖其他急性护理学科以及全科医生，还要建立一个更具结构性的全州儿科系统。疾病模式、社会趋势和医疗实践的变化所产生的影响，应有助于设计出一个更适合维多利亚州儿童的、在本十年剩余时间及以后更符合需求的重症和急救护理扩展模式。
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