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Essential emergency...
Essential emergency and critical care as a health system response to critical illness and the COVID19 pandemic : what does it cost?
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Guinness, Lorna (författare)
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Kairu, Angela (författare)
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Kuwawenaruwa, August (författare)
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Khalid, Karima (författare)
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Awadh, Khamis (författare)
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Were, Vincent (författare)
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Barasa, Edwine (författare)
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Shah, Hiral (författare)
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Baker, Peter (författare)
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- Schell, Carl Otto (författare)
- Karolinska Institutet,Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden; Department of Medicine, Nyköping Hospital, Nyköping, Sweden
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- Baker, Tim (författare)
- Karolinska Institutet
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visa färre...
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(creator_code:org_t)
- 2023-02-13
- 2023
- Engelska.
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Ingår i: Cost Effectiveness and Resource Allocation. - : BioMed Central (BMC). - 1478-7547. ; 21:1
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Essential Emergency and Critical Care (EECC) is a novel approach to the care of critically ill patients, focusing on first-tier, effective, low-cost, life-saving care and designed to be feasible even in low-resourced and low-staffed settings. This is distinct from advanced critical care, usually conducted in ICUs with specialised staff, facilities and technologies. This paper estimates the incremental cost of EECC and advanced critical care for the planning of care for critically ill patients in Tanzania and Kenya.The incremental costing took a health systems perspective. A normative approach based on the ingredients defined through the recently published global consensus on EECC was used. The setting was a district hospital in which the patient is provided with the definitive care typically provided at that level for their condition. Quantification of resource use was based on COVID-19 as a tracer condition using clinical expertise. Local prices were used where available, and all costs were converted to USD2020.The costs per patient day of EECC is estimated to be 1 USD, 11 USD and 33 USD in Tanzania and 2 USD, 14 USD and 37 USD in Kenya, for moderate, severe and critical COVID-19 patients respectively. The cost per patient day of advanced critical care is estimated to be 13 USD and 294 USD in Tanzania and USD 17 USD and 345 USD in Kenya for severe and critical COVID-19 patients, respectively.EECC is a novel approach for providing the essential care to all critically ill patients. The low costs and lower tech approach inherent in delivering EECC mean that EECC could be provided to many and suggests that prioritizing EECC over ACC may be a rational approach when resources are limited.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- COVID-19
- Cost
- Critical care
- Essential emergency critical care
- Kenya
- Sub-Saharan Africa
- Tanzania
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Guinness, Lorna
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Kairu, Angela
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Kuwawenaruwa, Au ...
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Khalid, Karima
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Awadh, Khamis
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Were, Vincent
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visa fler...
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Barasa, Edwine
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Shah, Hiral
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Baker, Peter
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Schell, Carl Ott ...
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Baker, Tim
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Hälso och sjukvå ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Omvårdnad
- Artiklar i publikationen
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Cost Effectivene ...
- Av lärosätet
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Uppsala universitet
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Karolinska Institutet