Critical care clinics
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India is a vast democracy of nearly one billion people. Before the British rule ended in 1947, the life span of an Indian was a mere 21 years. Within a short span of 50 years, it increased to an impressive 63 years, largely due to public health measures initiated by the government. ⋯ Critical care medicine, as practiced in the West, is still confined to large Metropolitan areas. A large pool of expatriate Indian physicians from all over the world are helping bridge the resource gap between the West and India by transfer of technology and providing appropriate training to physicians and paramedical personnel. This article describes the history and current status of development of critical care medicine in India.
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Critical care clinics · Apr 1997
Review Comparative Study Historical ArticleCritical care in Canada. The North American difference.
Critical care medicine in Canada has evolved into a multidisciplinary service, teaching, and research activity. Pressure on existing funding models for the delivery of health care in Canada is leading to substantial change in the hospital sector. Although not explicitly targeted for change, pre-existing models of critical care delivery will be caught in the acute care services, redesign (that results from the health care restructuring because of the substantial impact that delivering critical care services has on overall hospital budgets). ⋯ What critical care will look like in its major domains (service, education, and research) in the year 2001 is difficult to foresee at this time. In this context, therefore, change occurring in Canada's critical care system will be no less challenging than what will occur in the United States or other health care systems. For the resources we have developed for the critically ill patient population to survive health care redesign, we must improve our way of working together internationally, to understand and benchmark best practices and to share ideas for the most effective critical care systems.
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Critical care clinics · Apr 1997
Review Historical ArticleCritical care in the United States. Who are we and how did we get here?
Critical care medicine has progressed significantly over the past two to three decades. We will review the history and evolution of critical care medicine and ICUs in the United States. The evolving health care delivery system and the changing and important role of the intensivist will be addressed. Finally, a discussion about what critical care physicians must do to prepare for the future is presented.
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Critical care clinics · Apr 1997
Review Historical ArticleEvolution of neonatal and pediatric critical care in India.
During the last decade, the disciplines of neonatal and pediatric critical care have rapidly progressed in India. The growth of Neonatal Intensive Care has paced the growth of Pediatric Critical Care. ⋯ This article provides the background information regarding perinatal, neonatal, and infant mortalities in India. It also describes the maternal child health care delivery system in the Indian subcontinent.
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Critical care clinics · Apr 1997
ReviewCritical care in East Asia. Little dragons and sleeping giants.
Southeast Asia is the world's region of most rapid economic growth. The countries in the region vary widely in annual per capita income and health expenditure. ⋯ Most countries now have a Society of Intensive or Critical Care Medicine. Specialist training and examination systems for Intensive Care are established in Hong Kong, Taiwan, and the Philippines.