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10.1089/hs.2020.0227 http://scihub22266oqcxt.onion/10.1089/hs.2020.0227 34346775!10818035!34346775     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Health+Secur 2021 ; 19 (5): 479-487 Nephropedia Template TP {{tp|p=34346775|t=2021. Assessment of Critical Care Surge Capacity During the COVID-19 Pandemic in Japan |pdf=|usr=}}{{34346775}} gab.com Text Assessment of Critical Care Surge Capacity During the COVID-19 Pandemic in Japan JO: Health Secur http://www.kidney.de/pget.php?&tw=1&pmid=34346775 #FOAvip Japan has the highest proportion of older adults worldwide but has fewer critical care beds than most high-income countries. Although the COVID-19 infection rate in Japan is low compared with Europe and the United States, by the end of 2020, several infected people died in ambulances because they could not find hospitals to accept them. Our study aimed to examine the Japanese healthcare system's capacity to accommodate critically ill COVID-19 patients during the pandemic. We created a model to estimate bed and staff capacity at 3 levels of pandemic response (conventional, contingency, and crisis), as defined by the US National Academy of Medicine, and the function of Japan's healthcare system at each level. We then compared our estimates of the number of COVID-19 patients requiring intensive care at peak times with the national health system capacity using expert panel data. Our findings suggest that Japan's healthcare system currently can accommodate only a limited number of critically ill COVID-19 patients. It could accommodate the surge of pandemic demands by converting nonintensive care unit beds to critical care beds and using nonintensive care unit staff for critical care. However, bed and staff capacity should not be expanded uniformly, so that the limited number of physicians and nurses are allocated efficiently and so staffing does not become the bottleneck of the expansion. Training and deploying physicians and nurses to provide immediate intensive care is essential. The key is to introduce and implement the concept and mechanism of tiered staffing in the Japanese healthcare system. More importantly, most intensive care facilities in Japanese hospitals are small-scaled and thinly distributed in each region. The government needs to introduce an efficient system for smooth dispatching of medical personnel among hospitals regardless of their founding institutions. Twit Text FOAVip Assessment of Critical Care Surge Capacity During the COVID-19 Pandemic in Japan ????Health Secur http://www.kidney.de/pget.php?&tw=1&pmid=34346775 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34346775 #FOAvip English Wikipedia <ref>{{Cite pmid|34346775}}</ref> Assessment of Critical Care Surge Capacity During the COVID-19 Pandemic in Japan #MMPMID34346775 Yamamoto T; Ozaki M; Kasugai D; Burnham G Health Secur 2021[Sep]; 19 (5): 479-487 PMID34346775show ga Japan has the highest proportion of older adults worldwide but has fewer critical care beds than most high-income countries. Although the COVID-19 infection rate in Japan is low compared with Europe and the United States, by the end of 2020, several infected people died in ambulances because they could not find hospitals to accept them. Our study aimed to examine the Japanese healthcare system's capacity to accommodate critically ill COVID-19 patients during the pandemic. We created a model to estimate bed and staff capacity at 3 levels of pandemic response (conventional, contingency, and crisis), as defined by the US National Academy of Medicine, and the function of Japan's healthcare system at each level. We then compared our estimates of the number of COVID-19 patients requiring intensive care at peak times with the national health system capacity using expert panel data. Our findings suggest that Japan's healthcare system currently can accommodate only a limited number of critically ill COVID-19 patients. It could accommodate the surge of pandemic demands by converting nonintensive care unit beds to critical care beds and using nonintensive care unit staff for critical care. However, bed and staff capacity should not be expanded uniformly, so that the limited number of physicians and nurses are allocated efficiently and so staffing does not become the bottleneck of the expansion. Training and deploying physicians and nurses to provide immediate intensive care is essential. The key is to introduce and implement the concept and mechanism of tiered staffing in the Japanese healthcare system. More importantly, most intensive care facilities in Japanese hospitals are small-scaled and thinly distributed in each region. The government needs to introduce an efficient system for smooth dispatching of medical personnel among hospitals regardless of their founding institutions. |*COVID-19[MESH] |*Surge Capacity[MESH] |Aged[MESH] |Critical Care[MESH] |Humans[MESH] |Intensive Care Units[MESH] |Japan/epidemiology[MESH] |Pandemics[MESH] |SARS-CoV-2[MESH]Assessment of Critical Care Surge Capacity During the COVID-19 Pandemi(epmc).pdf DeepDyve Pubget Overpricing