tailieunhanh - Báo cáo y học: "Clinical review: Critical care medicine in mainland China"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Clinical review: Critical care medicine in mainland China. | Du et al. Critical Care 2010 14 206 http content 14 1 206 CRITICAL CARE REVIEW L_ Clinical review Critical care medicine in mainland China Bin Du 1 Xiuming Xi2 Dechang Chen1 and Jinmin Peng1 on behalf of China Critical Care Clinical Trial Group CCCCTG Abstract Critical care medicine began in mainland China in the early 1980s. After almost 30 years of effort it has been recognized as a specialty very recently. However limited data suggest that critical care resources especially ICU beds are inadequate compared with those of developed countries. National critical care societies work together to set up good practice standards and to improve academic levels with scientific meetings education programs and training courses. Critical care research in mainland China is beginning to evolve with great potential for improvement. Healthcare in China During the past three decades - the era of economic liberalization in mainland China - China has had one of the world s fastest growing economies. However healthcare development in China is far behind its economic growth. The performance of China s healthcare system was rated poorly compared to that of other countries according to The World Health Report 2000 - Health Systems Improving Performance 1 . In China total healthcare expenditure accounts for to of gross domestic product Table 1 . Although the trend shows that an increasing proportion of total healthcare expenditure has been funded by the government since 2001 the government paid only of the expenditure in 2007 2 3 . On the other hand the urban basic healthcare insurance program in China is still in a development period covering only million people of the urban population or of the total population in 2008 3 . However other forms of insurance program are under development especially in rural areas. Correspondence dubin98@ 1Medical ICU Peking Union Medical College Hospital Peking Union Medical College and Chinese .