Access to urban acute care services in high- vs. middle-income countries: an analysis of seven cities

Detalhes bibliográficos
Autor(a) principal: Austin, Shamly
Data de Publicação: 2014
Outros Autores: Murthy, Srinivas, Wunsch, Hannah, Adhikari, Neill K. J., Karir, Veena, Rowan, Kathryn, Jacob, Shevin T., Salluh, Jorge, Bozza, Fernando A., Du, Bin, An, Youzhong, Lee, Bruce, Wu, Felicia, Nguyen, Yen-Lan, Oppong, Chris, Venkataraman, Ramesh, Velayutham, Vimalraj, Dueñas, Carmelo, Angus, Derek C.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/35218
Resumo: 2020-08-30
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spelling Austin, ShamlyMurthy, SrinivasWunsch, HannahAdhikari, Neill K. J.Karir, VeenaRowan, KathrynJacob, Shevin T.Salluh, JorgeBozza, Fernando A.Du, BinAn, YouzhongLee, BruceWu, FeliciaNguyen, Yen-LanOppong, ChrisVenkataraman, RameshVelayutham, VimalrajDueñas, CarmeloAngus, Derek C.2019-08-30T13:18:15Z2019-08-30T13:18:15Z2014AUSTIN, Shamly et al. Access to urban acute care services in high- vs. middle-income countries: an analysis of seven cities. Intensive Care Medicine, v. 40, n. 3, p. 342-352, 2014.0342-4642https://www.arca.fiocruz.br/handle/icict/3521810.1007/s00134-013-3174-71432-1238engSpringerAccess to urban acute care services in high- vs. middle-income countries: an analysis of seven citiesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2020-08-30University of Pittsburgh. The Clinical Research, Investigation, and Systems Modeling of Acute Illness Center. Department of Critical Care Medicine. Pittsburgh, PA, USA.University of British Columbia. BC Children’s Hospital. Division of Critical Care. Vancouver, BC, Canada.Columbia University. Department of Anesthesiology. New York, NY, USA / Columbia University. Department of Epidemiology. New York, NY, USA.Sunnybrook Health Sciences Centre. Department of Critical Care Medicine. Toronto, ON, Canada. / University of Toronto. Toronto, ON, Canada.University of Pittsburgh. Department of Medicine. Pittsburgh, PA, USA.Intensive Care National Audit and Research Centre. London, UK.University of Washington. Department of Medicine, International Respiratory and Severe Illness Center. Division of Allergy and Infectious Diseases. Seattle, WA, USA.D’OR Institute for Research and Education. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Peking Union Medical College Hospital. Beijing, China.Peking University People’s Hospital. Beijing, China.Johns Hopkins Bloomberg School of Public Health. Public Health Computational and Operations Research Group. Baltimore, MD, USA.Michigan State University. Department of Food Science and Human Nutrition. East Lansing, MI, USA.Assistance Publique des Hôpitaux de Paris. Cochin Academic Hospital. Surgical ICU. Paris, France / Paris Descartes University. Paris, France / Unités INSERM U738, U707. Paris, France / Pierre and Marie Curie University. Paris, France.Komfo Anokye Teaching Hospital. Department of Emergency Medicine. Kumasi, Ghana.Apollo Hospitals. Chennai, India.Stanley Medical College Hospital. Chennai, India.Universidad de Cartagena. Intensive Care Gestion Salud. Cartagena, Colombia / Hospital Santa Cruz de Bocagrande. Intensive Care. Cartagena, Colombia / Instituto de Simulación Médica, Bogota, Colombia.University of Pittsburgh. The Clinical Research, Investigation, and Systems Modeling of Acute Illness Center. Department of Critical Care Medicine. Pittsburgh, PA, USA.Purpose: Cities are expanding rapidly in middle-income countries, but their supply of acute care services is unknown. We measured acute care services supply in seven cities of diverse economic background. Methods: In a crosssectional study, we compared cities from two high-income (Boston, USA and Paris, France), three upper-middle-income (Bogota, Colombia; Recife, Brazil; and Liaocheng, China), and two lower-middleincome (Chennai, India and Kumasi, Ghana) countries. We collected standardized data on hospital beds, intensive care unit beds, and ambulances. Where possible, information was collected from local authorities. We expressed results per population (from United Nations) and per acute illness deaths (from Global Burden of Disease project). Results: Supply of hospital beds where intravenous fluids could be delivered varied fourfold from 72.4/100,000 population in Kumasi to 241.5/100,000 in Boston. Intensive care unit (ICU) bed supply varied more than 45-fold from 0.4/100,000 population in Kumasi to 18.8/100,000 in Boston. Ambulance supply varied more than 70-fold. The variation widened when supply was estimated relative to disease burden (e.g., ICU beds varied more than 65-fold from 0.06/100 deaths due to acute illnesses in Kumasi to 4.11/100 in Bogota; ambulance services varied more than 100-fold). Hospital bed per disease burden was associated with gross domestic product (GDP) (R2 = 0.88, p = 0.01), but ICU supply was not (R2 = 0.33, p = 0.18). No city provided all requested data, and only two had ICU data. Conclusions: Urban acute care services vary substantially across economic regions, only partially due to differences in GDP. Cities were poor sources of information, which may hinder their future planning.Urban populationAcute care servicesGlobal burden of diseaseHospital bedsIntensive care bedsAmbulancesinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83104https://www.arca.fiocruz.br/bitstream/icict/35218/1/license.txt79178e5f2a0eb066867a274556814938MD51ORIGINALve_Austin_Shamly_etal_INI_2014.pdfve_Austin_Shamly_etal_INI_2014.pdfapplication/pdf441345https://www.arca.fiocruz.br/bitstream/icict/35218/2/ve_Austin_Shamly_etal_INI_2014.pdfd7f23191d62d03eea5dfd2dfe5326bdeMD52TEXTve_Austin_Shamly_etal_INI_2014.pdf.txtve_Austin_Shamly_etal_INI_2014.pdf.txtExtracted texttext/plain45104https://www.arca.fiocruz.br/bitstream/icict/35218/3/ve_Austin_Shamly_etal_INI_2014.pdf.txt308c9a3ee6165d961ac076a25b094bc8MD53icict/352182021-03-24 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dc.title.pt_BR.fl_str_mv Access to urban acute care services in high- vs. middle-income countries: an analysis of seven cities
title Access to urban acute care services in high- vs. middle-income countries: an analysis of seven cities
spellingShingle Access to urban acute care services in high- vs. middle-income countries: an analysis of seven cities
Austin, Shamly
Urban population
Acute care services
Global burden of disease
Hospital beds
Intensive care beds
Ambulances
title_short Access to urban acute care services in high- vs. middle-income countries: an analysis of seven cities
title_full Access to urban acute care services in high- vs. middle-income countries: an analysis of seven cities
title_fullStr Access to urban acute care services in high- vs. middle-income countries: an analysis of seven cities
title_full_unstemmed Access to urban acute care services in high- vs. middle-income countries: an analysis of seven cities
title_sort Access to urban acute care services in high- vs. middle-income countries: an analysis of seven cities
author Austin, Shamly
author_facet Austin, Shamly
Murthy, Srinivas
Wunsch, Hannah
Adhikari, Neill K. J.
Karir, Veena
Rowan, Kathryn
Jacob, Shevin T.
Salluh, Jorge
Bozza, Fernando A.
Du, Bin
An, Youzhong
Lee, Bruce
Wu, Felicia
Nguyen, Yen-Lan
Oppong, Chris
Venkataraman, Ramesh
Velayutham, Vimalraj
Dueñas, Carmelo
Angus, Derek C.
author_role author
author2 Murthy, Srinivas
Wunsch, Hannah
Adhikari, Neill K. J.
Karir, Veena
Rowan, Kathryn
Jacob, Shevin T.
Salluh, Jorge
Bozza, Fernando A.
Du, Bin
An, Youzhong
Lee, Bruce
Wu, Felicia
Nguyen, Yen-Lan
Oppong, Chris
Venkataraman, Ramesh
Velayutham, Vimalraj
Dueñas, Carmelo
Angus, Derek C.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Austin, Shamly
Murthy, Srinivas
Wunsch, Hannah
Adhikari, Neill K. J.
Karir, Veena
Rowan, Kathryn
Jacob, Shevin T.
Salluh, Jorge
Bozza, Fernando A.
Du, Bin
An, Youzhong
Lee, Bruce
Wu, Felicia
Nguyen, Yen-Lan
Oppong, Chris
Venkataraman, Ramesh
Velayutham, Vimalraj
Dueñas, Carmelo
Angus, Derek C.
dc.subject.en.pt_BR.fl_str_mv Urban population
Acute care services
Global burden of disease
Hospital beds
Intensive care beds
Ambulances
topic Urban population
Acute care services
Global burden of disease
Hospital beds
Intensive care beds
Ambulances
description 2020-08-30
publishDate 2014
dc.date.issued.fl_str_mv 2014
dc.date.accessioned.fl_str_mv 2019-08-30T13:18:15Z
dc.date.available.fl_str_mv 2019-08-30T13:18:15Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv AUSTIN, Shamly et al. Access to urban acute care services in high- vs. middle-income countries: an analysis of seven cities. Intensive Care Medicine, v. 40, n. 3, p. 342-352, 2014.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/35218
dc.identifier.issn.pt_BR.fl_str_mv 0342-4642
dc.identifier.doi.none.fl_str_mv 10.1007/s00134-013-3174-7
dc.identifier.eissn.none.fl_str_mv 1432-1238
identifier_str_mv AUSTIN, Shamly et al. Access to urban acute care services in high- vs. middle-income countries: an analysis of seven cities. Intensive Care Medicine, v. 40, n. 3, p. 342-352, 2014.
0342-4642
10.1007/s00134-013-3174-7
1432-1238
url https://www.arca.fiocruz.br/handle/icict/35218
dc.language.iso.fl_str_mv eng
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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