Journal article
Characterizing critical care physician staffing in rural America: A description of Iowa intensive care unit staffing
Journal of critical care, Vol.29(2), pp.194-198
04/2014
DOI: 10.1016/j.jcrc.2013.10.017
PMID: 24289882
Abstract
This study aimed to characterize intensive care unit (ICU) physician staffing patterns in a predominantly rural state.
A prospective telephone survey of ICU nurse managers in all Iowa hospitals with an ICU was conducted.
Of 122 Iowa hospitals, 64 ICUs in 58 (48%) hospitals were identified, and 46 (72%) responded to the survey. Most ICUs (96%) used an open admission model and cared for undifferentiated medical and surgical patients (88%), and only 27% of open ICUs required critical care or pulmonary consultation for admitted patients. Most (59%) Iowa ICUs had a critical care physician or pulmonologist available, and high-intensity staffing was practiced in 30% of ICUs. Most physicians identified as practicing critical care (63%) were not board certified in critical care. Critical care physicians were available in a minority of hospitals routinely for inpatient intubation and cardiac arrest management (29% and 10%, respectively), and emergency physicians and other practitioners commonly responded to emergencies throughout the hospital.
Many Iowa hospitals have ICUs, and staffing patterns in Iowa ICUs mirror closely national staffing practices. Most ICUs are multispecialty, open ICUs in community hospitals. These factors should inform training and resource allocation for intensivists in rural states.
Details
- Title: Subtitle
- Characterizing critical care physician staffing in rural America: A description of Iowa intensive care unit staffing
- Creators
- Nicholas M Mohr - Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USAJohn Collier - Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USAElizabeth Hassebroek - Department of Pulmonary and Critical Care Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USAHeather Groth - Department of Emergency Medicine, University of Virginia, PO Box 800699, Charlottesville, VA 22908, USA
- Resource Type
- Journal article
- Publication Details
- Journal of critical care, Vol.29(2), pp.194-198
- DOI
- 10.1016/j.jcrc.2013.10.017
- PMID
- 24289882
- NLM abbreviation
- J Crit Care
- ISSN
- 0883-9441
- eISSN
- 1557-8615
- Publisher
- Elsevier Inc
- Grant note
- 5T35HL007485-33 / National Heart, Lung, and Blood Institute in the National Institutes of Health
- Language
- English
- Date published
- 04/2014
- Academic Unit
- Epidemiology; Emergency Medicine; Anesthesia; Injury Prevention Research Center
- Record Identifier
- 9984024523902771
Metrics
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