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- R J Gemke, E van der Voort, and A P Bos.
- Afd. Kindergeneeskunde, Wilhelmina Kinderziekenhuis-Academisch Ziekenhuis Utrecht.
- Ned Tijdschr Geneeskd. 1997 Nov 29; 141 (48): 2325-7.
AbstractSubstantial evidence indicates that outcome of critically ill children, treated in tertiary paediatric intensive care units (PICUs) is superior to that of those treated in other settings. However, a significant number of children who require this level of care are not admitted to such a unit e.g. due to capacity constraints, reluctance of physicians of general hospitals to refer children to a tertiary centre, and transportation problems. Centralization of care, as recently proposed in the UK, is necessary in the Netherlands, as well, to improve the quality of care. This will require a controlled number of PICU beds in a restricted number of centres, adequate transport facilities and step-down or high dependency units in large general hospitals.
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