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KMID : 0604020140290040246
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Korean Journal of Critical Care Medicine
2014 Volume.29 No. 4 p.246 ~ p.249
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How to Enhance Critical Care in Korea: Challenges and Vision
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Koh Youn-Suck
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Abstract
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The goal of critical care is to reverse patients’ acute problems in effective and ethical ways with minimum costs. Unlike in other medical fields, the quality of Korean critical care has lagged behind that of advanced countries. Moreover, the level of critical care quality differs significantly between university hospitals. The suboptimal critical care level has multifactorial causes. The major challenge to Korean intensivists is, therefore, how to overcome barriers in the current critical care delivery system to improve outcomes for critically ill patients and reduce medical errors in error-prone Intensive Care Unit (ICUs). A long-term task force including all stakeholders should address the multifactorial barriers to better outcomes. The Korean Society of Critical Care Medicine should perform the central role to dismantle the barriers step by step with a long-term vision for a desirable critical care delivery system in our society. A capable critical care team with full-time intensivists is the most urgent requirement for proper, timely care in ICUs. Intensivists should focus on basic but essential management so scarcity of resources can be minimized. Publicity about ICU to the general public is also urgently required
to draw the attention of medical policy makers to the current suboptimal level of our critical care system.
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KEYWORD
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barrier, enhancement, intensive care units, quality, reimbursement
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