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Abstract

Purpose: Capacity to provide critical care in resource-limited settings is poorly understood because of lack of data about resources available to manage critically ill patients. Our objective was to develop a survey to address this issue.Methods: We developed and piloted a cross-sectional self-administered survey in 9 resource-limited countries. The survey consisted of 8 domains; specific items within domains were modified from previously developed survey tools. We distributed the survey by e-mail to a convenience sample of health care providers responsible for providing care to critically ill patients. We assessed clinical sensibility and test-retest reliability.Results: Nine of 15 health care providers responded to the survey on 2 separate occasions, separated by 2 to 4 weeks. Clinical sensibility was high (3.9-4.9/5 on assessment tool). Test-retest reliability for questions related to resource availability was acceptable (intraclass correlation coefficient, 0.94; 95% confidence interval, 0.75-0.99; mean (SD) of weighted kappa values = 0.67 [0.19]). The mean ( SD) time for survey completion survey was 21 ( 16) minutes.Conclusions: A reliable cross-sectional survey of available resources to manage critically ill patients can be feasibly administered to health care providers in resource-limited settings. The survey will inform future research focusing on access to critical care where it is poorly described but urgently needed. (C) 2016 Elsevier Inc. All rights reserved.

Authors

Leligdowicz, Aleksandra;  Bhagwanjee, Satish;  Diaz, Janet V.;  Xiong, Wei;  Marshall, John C.;  Fowler, Robert A.;  Adhikari, Neill K. J.

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