Characterizing critical care physician staffing in rural America: A description of Iowa intensive care unit staffing

Clinical and Economic Outcomes of Telemedicine Programs in the Intensive Care Unit: A Systematic Review and Meta-Analysis

“…Whereas, it appears that there is no significant difference concerning ICU mortality by using Tele-ICU programs in hospitals with lower intensivists staffing, such as community or rural hospitals. 54 An increasing body of evidence indicates Tele-ICU programs would be an effective approach to improve clinical outcomes and reduce hospital costs by increasing ICU volume, 55 improving adherence to best practice, 47 and decreasing complications and length of stay for patients. 56,57 Nevertheless, quite a few barriers still need to be overcome before Tele-ICU programs are put into clinical use.…”

“…Whereas, it appears that there is no significant difference concerning ICU mortality by using Tele-ICU programs in hospitals with lower intensivists staffing, such as community or rural hospitals. 54…”

Survey of Annual Staffing Workloads for Adult Critical Care Physicians Working in the United States

“…In addition, the survey respondents were primarily from academic urban centers, and thus may not reflect work performed in other types of institutions or provided by physicians without critical care training, such as hospitalists and those from other disciplines (8)(9)(10). In nonurban ICUs, critical care is often delivered by physicians without critical care training (9,11).…”

Central Venous Access Capability and Critical Care Telemedicine Decreases Inter-Hospital Transfer Among Severe Sepsis Patients: A Mixed Methods Design

“…In this regard, the reported ICU staffing closely approximates our prior work describing ICU staffing patterns (25% vs 32%). [20] Second, the data obtained from the questionnaire were conducted in 2017 while the individual-level data included sepsis cases from 2005-2013. While it may reflect changes in practice and epidemiology of sepsis over time, [21] we evaluated the impact of temporal changes in our models and found little variation in estimates of capabilities by introducing year into the model.…”