Editorial: Pediatric Critical Care in Resource-Limited Settings

Frontiers in Pediatrics

article

Srinivas Murthy¹  Krishan Chugh²  Ndidi Musa³  Yves Ouellette⁴  Phuc H. Phan⁵ 

[1] Department of Pediatrics, University of British Columbia;Fortis Healthcare;Department of Pediatrics, University of Washington, United States;Mayo Clinic, United States;Medical Intensive Care Unit, Vietnam National Children's Hospital

关键词: critical care;    pediatrics;    global health;    health equity;    research agenda-setting;    health workforce;   

DOI  :  10.3389/fped.2019.00080

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

The young field of pediatric critical care has reached an inflection point in its growth. Over its first few decades, practice was driven from a select few intensive care units in rich countries that produced the bulk of our fields’ research and served as the training ground for its practitioners (1). The past 10 years, however, have revolutionized our field. There are pediatric critical care units in nearly every country in the world that provide life-saving care to more children than at any point in history (2). Alongside that growth, we have realized that the research we perform needs to reflect the needs of those children. Given the hugely discrepant global burden of pediatric mortality, this means ensuring that children in lower-income regions of the world are kept at the forefront of any research agenda. As Paul Farmer of Partners in Health has stated, achieving excellence without achieving equity is the main human rights dilemma of healthcare in the twenty-first century, and no field is more emblematic of that challenge than pediatric critical care. In this issue of Frontiers in Pediatrics, we have collected a diverse array of manuscripts examining a variety of issues pertaining to the critically ill child in lower-income countries. The recent growth in the field brings with it new challenges that deserve thoughtful consideration if our field is to grow in an evidence-driven, cost-effective, and ethical way.

【 授权许可】

CC BY