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儿科重症监护中的挑战与策略:来自资源匮乏地区的见解

Challenges and Strategies in Pediatric Critical Care: Insights From Low-Resource Settings.

作者信息

Olatunji Gbolahan, Kokori Emmanuel, Aderinto Nicholas, Abdul Anoud, Tsoi Vincent, Mohamed Lamyaa, Alsabri Hussein Alsabri Mohammed

机构信息

University of Ilorin, Ilorin, Nigeria.

Ladoke Akintola University of Technology, Ogbomoso, Nigeria.

出版信息

Glob Pediatr Health. 2024 Sep 24;11:2333794X241285964. doi: 10.1177/2333794X241285964. eCollection 2024.

Abstract

Pediatric critical care in low-resource settings faces challenges like inadequate infrastructure, limited personnel, financial constraints, and cultural considerations, leading to poor outcomes for critically ill children. This review synthesizes information from 2 articles on pediatric intensive care units (PICUs) in low- and middle-income countries (LMICs). It identifies challenges such as high care costs, cultural preferences, and resource allocation issues. Challenges include the financial burden of care, limited resources, and the need for external funding. Family preferences impact healthcare decisions, leading to ethical dilemmas. Resource allocation issues affect patient outcomes, including delayed diagnoses and high mortality rates. Addressing these challenges requires a multifaceted approach involving governments, healthcare providers, and international stakeholders. Standardizing care, investing in infrastructure and training, and promoting collaboration are essential to improving pediatric critical care and ensuring equitable access.

摘要

资源匮乏地区的儿科重症监护面临着诸多挑战,如基础设施不足、人员有限、资金限制和文化因素等,导致重症儿童的治疗效果不佳。本综述综合了两篇关于低收入和中等收入国家(LMICs)儿科重症监护病房(PICUs)的文章中的信息。它识别出了诸如高护理成本、文化偏好和资源分配问题等挑战。挑战包括护理的经济负担、资源有限以及对外部资金的需求。家庭偏好影响医疗保健决策,从而导致伦理困境。资源分配问题影响患者的治疗结果,包括诊断延迟和高死亡率。应对这些挑战需要政府、医疗保健提供者和国际利益相关者采取多方面的方法。规范护理、投资基础设施和培训以及促进合作对于改善儿科重症监护和确保公平获得医疗服务至关重要。

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