Achieving affordable critical care in low-income and middle-income countries

Turner, Hugo C.; Hảo, Nguyễn Văn; Yacoub, Sophie; Van, Hoang Minh Tu; Clifton, David A.; Thwaites, Guy; Dondorp, Arjen M.; Thwaites, C. Louise; Châu, Nguyễn Văn Vĩnh

doi:10.1136/bmjgh-2019-001675

Cited by 91 publications

(79 citation statements)

References 30 publications

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“…The network will enable the implementation and evaluation of innovative LMIC technologies and provide opportunity for data linkage with the registry [14]. The ICU network, supported by the electronic registry, will facilitate epidemiological and clinical research.…”

Section: Futurementioning

confidence: 99%

Establishing a critical care network in Asia to improve care for critically ill patients in low- and middle-income countries

Beane¹,

Dondorp²,

Taqi³

et al. 2020

Crit Care

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Section: Futurementioning

confidence: 99%

Establishing a critical care network in Asia to improve care for critically ill patients in low- and middle-income countries

Beane¹,

Dondorp²,

Taqi³

et al. 2020

Crit Care

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“…For instance, one day in a Vietnamese ICU costs 28 U.S. dollars, on average. Yet, annual per capita health care spending in Vietnam is only 48 U.S. dollars [5]. Increasing funding to support primary and preventative care may avert or at least reduce the need for critical care.…”

Section: #1 Don't Tell Me What Your Priorities Are Show Me Where Yomentioning

confidence: 99%

ICU beds: less is more? Yes

Valley

Noritomi

2020

Intensive Care Med

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“…Such data lead to conservation of limited healthcare resources, for example, identification of patients who can be safely treated in an intermediate rather than a critical care unit (CCU) 21. A recent commentary addresses the need for affordable critical care in LMICs 22…”

Section: Information Technologymentioning

confidence: 99%

Global health, global surgery and mass casualties: II. Mass casualty centre resources, equipment and implementation

et al. 2020

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Trauma/stroke centres optimise acute 24/7/365 surgical/critical care in high-income countries (HICs). Concepts from low-income and middle-income countries (LMICs) offer additional cost-effective healthcare strategies for limited-resource settings when combined with the trauma/stroke centre concept. Mass casualty centres (MCCs) integrate resources for both routine and emergency care—from prevention to acute care to rehabilitation. Integration of the various healthcare systems—governmental, non-governmental and military—is key to avoid both duplication and gaps. With input from LMIC and HIC personnel of various backgrounds—trauma and subspecialty surgery, nursing, information technology and telemedicine, and healthcare administration—creative solutions to the challenges of expanding care (both daily and disaster) are developed. MCCs are evolving initially in Chile and Pakistan. Technologies for cost-effective healthcare in LMICs include smartphone apps (enhance prehospital care) to electronic data collection and analysis (quality improvement) to telemedicine and drones/robots (support of remote regions and resource optimisation during both daily care and disasters) to resilient, mobile medical/surgical facilities (eg, battery-operated CT scanners). The co-ordination of personnel (within LMICs, and between LMICs and HICs) and the integration of cost-effective advanced technology are features of MCCs. Providing quality, cost-effective care 24/7/365 to the 5 billion who lack it presently makes MCCs an appealing means to achieve the healthcare-related United Nations Sustainable Development Goals for 2030.

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Achieving affordable critical care in low-income and middle-income countries

Cited by 91 publications

References 30 publications

Establishing a critical care network in Asia to improve care for critically ill patients in low- and middle-income countries

Establishing a critical care network in Asia to improve care for critically ill patients in low- and middle-income countries

ICU beds: less is more? Yes

Global health, global surgery and mass casualties: II. Mass casualty centre resources, equipment and implementation

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