Current status of critical care medicine in Eastern China

doi:10.3877/cma.j.jssn.2096-1537.2016.01.011

Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition) ›› 2016, Vol. 02 ›› Issue (01): 43-49. doi: 10.3877/cma.j.jssn.2096-1537.2016.01.011

Special Issue: Critical care medicine；；

• Critical Care Research • Previous Articles Next Articles

Current status of critical care medicine in Eastern China

Chunting Wang¹(), Man Chen¹, Kaijiang Yu², Linlin Zhang³, Haibo Qiu⁴, Yi Yang⁴, Xiangdong Guan⁵, Duning Zhu⁶, Tongwa Cao⁷, Dechang Chen⁸, Renhua Sun⁹, Jing Yan¹⁰, Rongguo Yu¹¹, Jiandong Lin¹², Bao Liu¹³, Xiandi He¹⁴, Kejian Qian¹⁵, Critical Care Medicine Branch of Chinese Medical Association

^1. Department of Critical Care Medicine, Shandong Provincial Hospital Af?liated to Shandong University, Jinan 250101, China
^2. Department of Critical Care Medicine, the 3rd Affiliated Hospital of Harbin Medical University, Harbin 150086, China
^3. Department of Critical Care Medicine, Affiliated Hospital of Weifang Medical University, Weifang 261031, China
^4. Department of Critical Care Medicine, Zhongda Hospital, Southeast University, Nanjing 210009, China
^5. Department of Critical Care Medicine, The First Affiliated Hospital of Sun Yat-sen University , Guangzhou 510080, China
^6. Department of Critical Care Medicine, Zhongshan Hospital, Fudan University , Shanghai 200032, China
^7. Department of Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China
^8. Department of Emergency and Critical Care Medicine, Shanghai Chang Zheng Hospital, Shanghai 200003, China
^9. Zhejiang Provincial People's Hospital ICU, Hangzhou 310014, China
^10. Department of Critical Care Medicine, Zhejiang Hospital, Hangzhou 310007, China
^11. Department of Critical Care Medicine, Fujian Provincial Hospital, Fuzhou 350001, China
^12. Department of Intensive Care Unit, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China
^13. Department of Critical Care Medicine, Anhui Provincial Hospital, Hefei 230001, China
^14. Department of Intensive Care Unit, The First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China
^15. Department of Intensive Care Unit, The First Affiliated Hospital of Nanchang University , Nanchang 330006, China

Received:2015-12-11 Online:2016-02-28 Published:2016-02-28
Contact: Chunting Wang
About author:
Corresponding author: Wang Chunting, Email: wcteicu@126.com

Abstract

Abstract:

Objective

To collect the data on distribution of intensive care units (ICUs) resource in Eastern China, and to set up a database for the future construction and reasonable allocation of medical resources of critical care medicine (CCM), we investigated the status of CCM in Eastern China.

Methods

According to the Construction and Management of Critical Care Medicine (Trial) issued by Ministry of Health in 2009, we conducted a network questionnaire survey. The questionnaire included six items: hospital information as well as ICU-related general information, personnel, management, technical skills, and equipment configuration. The study objects included general ICUs of the hospitals of secondary level and above.

Results

Although the economy and population in Eastern China are relatively concentrated, ICU medical resources are not proportionally allocated: (1) this investigation includes 1154 ICUs with 14707 beds, and the ratio of ICU beds/population is the highest in China (4.03/10 million people) ; (2) As the developed region of the national economy, its ICU resource has not been consistent with the pace of economic development. The ratio of ICU beds/GDP ranks the 4th (6.99/billion) in the six major geographic regions of China; (3) The ICU construction of the tertiary hospitals is not superior to that of the secondary level hospitals, because the rapid expansion of hospitals make the development of ICU relatively slow; 4) The existing hardware facilities, human resources and medical technology of CCM are not consistent with the national standards.

Conclusions

In Eastern China, there is a gap between ICU construction and the national standards. These data provide an overview of ICU development in China.

Key words: Critical care medicine, Resource, Current situation, Census, Eastern China

Chunting Wang, Man Chen, Kaijiang Yu, Linlin Zhang, Haibo Qiu, Yi Yang, Xiangdong Guan, Duning Zhu, Tongwa Cao, Dechang Chen, Renhua Sun, Jing Yan, Rongguo Yu, Jiandong Lin, Bao Liu, Xiandi He, Kejian Qian, Critical Care Medicine Branch of Chinese Medical Association. Current status of critical care medicine in Eastern China[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2016, 02(01): 43-49.

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Figures/Tables 6

References 13

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医院类型	调查医院总数（%）	设置ICU医院数^a
三级医院	586（38.30）	510（87.03）
二级医院	944（61.70）	554（58.69）
合计	1530	1064（69.54）

医院类型	调查医院总数（%）	设置ICU医院数^a
三级医院	586（38.30）	510（87.03）
二级医院	944（61.70）	554（58.69）
合计	1530	1064（69.54）

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