机构：[1]Department of Critical Care Medicine, The First Affiliated Hospital ofSun Yat-sen University, Guangzhou, Guangdong, China中山大学附属第一医院[2]Department of Critical Care Medicine, The First Affiliated Hospital ofGuangzhou Medical College, Guangzhou, Guangdong, China[3]Department of Critical Care Medicine, The Second People’s Hospital ofShenzhen, Shenzhen, Guangdong, China深圳市康宁医院深圳医学信息中心[4]Department of Critical Care Medicine, Donghua Hospital, Dongguan,Guangdong, China[5]Department of Critical Care Medicine, The First People’s Hospital ofFoshan, Foshan, Guangdong, China[6]Department of Critical Care Medicine, People’s Hospital of Maoming,Maoming, Guangdong, China[7]Department of Critical Care Medicine, Zhongshan Hospital of TraditionalChinese Medicine, Zhongshan, Guangdong, China[8]Department of Critical Care Medicine, People’s Hospital of Qingyuan,Qingyuan, Guangdong, China[9]Department of Critical Care Medicine,The First People’s Hospital ofZhaoqing, Zhaoqing, Guangdong, China[10]Department of Critical Care Medicine, Central Hospital of Huizhou,Huizhou, Guangdong, China[11]Department of Critical Care Medicine, People’s Hospital of Yuebei, Shaoguan,Guangdong, China[12]Department of Emergency and Critical Care Medicine, The AffiliatedHospital of Guangdong Medical College, Zhanjiang, Guangdong, China[13]Department of Critical Care Medicine, Central Hospital of Jiangmen,Jiangmen, Guangdong, China[14]Department of Emergency and Critical Care Medicine, The Second AffiliatedHospital of Shantou University, Shantou, Guangdong, China[15]Department of Critical Care Medicine, People’s Hospital of Jieyang, Jieyang,Guangdong, China[16]Department of Critical Care Medicine, People’s Hospital of Yangjiang,Yangjiang, Guangdong, China[17]Department of Critical Care Medicine, People’s Hospital of Meizhou,Meizhou, Guangdong, China[18]Department of Critical Care Medicine, The People’s Hospital of Zhuhai,Zhuhai, Guangdong, China[19]Department of Critical Care Medicine, People’s Hospital of Yunfu, Yunfu,Guangdong, China[20]Department of Internal Medicine, Pengpai Memorial Hospital, Shanwei,Guangdong, China中山大学附属第二医院[21]Department of Internal Medicine, Central Hospital of Chaozhou,Chaozhou, Guangdong, China[22]Department of Critical Care Medicine, People’s Hospital of Heyuan,Heyuan, Guangdong, China
Data about the critical care resources in China remain scarce. The purpose of this study was to investigate the variation and distribution of critical care resources in Guangdong province from 2005 to 2015.
Data in regard to critical care resources were collected through questionnaires and visits every 5 years from 2005.
All hospitals in Guangdong province were screened and hospitals that provide critical care services were enrolled.
None.
One hundred eleven, 158, and 284 hospitals that provide critical care services were enrolled in the three consecutive surveys respectively. The number of ICUs, ICU beds, intensivists, and nurses increased to 324, 3,956, 2,470, and 7,695, respectively, by 2015. Adjusted by population, the number of ICU beds per 100,000 (100,000) population increased by 147.7% from 2005 to 2015, and the number of intensivists and nurses per 100,000 population increased by 35.3% and 55.1% from 2011 to 2015. However, the numbers in the Pearl River Delta, a richer area, were higher than those in the non-Pearl River Delta area (ICU beds: 4.64 vs 2.58; intensivists: 2.90 vs 1.61; nurses: 9.30 vs 4.71 in 2015). In terms of staff training, only 17.85% of intensivists and 14.29% of nurses have completed a formal accredited critical care training program by 2015.
Our study was the first one to investigate the trend and distribution of critical care resources in China. The quantity of ICU beds and staff has been increasing rapidly, but professional training for staff was inadequate. The distribution of critical care resources was unbalanced. Our study can be beneficial for healthcare policymaking and the allocation of critical care resources in Guangdong province and other provinces in China.
基金：
Supported, in part, by Natural Science Foundation of Guangdong Province (2016A030313269), Science and Technology Planning Project of Guangdong Province (2014B090901049), and Fundamental Research Funds for the Central Universities (15ykpy14).
第一作者机构：[1]Department of Critical Care Medicine, The First Affiliated Hospital ofSun Yat-sen University, Guangzhou, Guangdong, China
通讯作者：
推荐引用方式(GB/T 7714)：
Jian-Feng Wu,Fei Pei,Bin Ouyang,et al.Critical Care Resources in Guangdong Province of China: Three Surveys from 2005 to 2015.[J].CRITICAL CARE MEDICINE.2017,45(12):e1218-e1225.doi:10.1097/CCM.0000000000002700.
APA：
Jian-Feng Wu,Fei Pei,Bin Ouyang,Juan Chen,Yi-Min Li...&Xiang-Dong Guan.(2017).Critical Care Resources in Guangdong Province of China: Three Surveys from 2005 to 2015..CRITICAL CARE MEDICINE,45,(12)
MLA：
Jian-Feng Wu,et al."Critical Care Resources in Guangdong Province of China: Three Surveys from 2005 to 2015.".CRITICAL CARE MEDICINE 45..12(2017):e1218-e1225
医学