Challenges and priorities for pediatric critical care clinician-researchers in low- and middle-income countries

The Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network on Behalf of the PALISI Global Health Subgroup

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Introduction: There is need for more data on critical care outcomes and interventions from low- and middle-income countries (LMIC). Global research collaborations could help improve health-care delivery for critically ill children in LMIC where child mortality rates remain high. Materials and methods: To inform the role of collaborative research in health-care delivery for critically ill children in LMIC, an anonymous online survey of pediatric critical care (PCC) physicians from LMIC was conducted to assess priorities, major challenges, and potential solutions to PCC research. A convenience sample of 56 clinician-researchers taking care of critically ill children in LMIC was targeted. In addition, the survey was made available on a Latin American PCC website. Descriptive statistics were used for data analysis. Results: The majority of the 47 survey respondents worked at urban, public teaching hospitals in LMIC. Respondents stated their primary PCC research motivations were to improve clinical care and establish guidelines to standardize care. Top challenges to conducting research were lack of funding, high clinical workload, and limited research support staff. Respondent-proposed solutions to these challenges included increasing research funding options for LMIC, better access to mentors from high-income countries, research training and networks, and higher quality medical record documentation. Conclusion: LMIC clinician-researchers must be better empowered and resourced to lead and influence the local and global health research agenda for critically ill children. Increased funding options, access to training and mentorship in research methodology, and improved data collection systems for LMIC PCC researchers were recognized as key needs for success.

Original languageEnglish (US)
Article number277
JournalFrontiers in Pediatrics
Volume5
DOIs
StatePublished - Dec 22 2017

Keywords

  • Intensive care unit
  • Low resource settings
  • Low- and middle-income countries
  • Pediatric critical care
  • Researchers
  • Support of research
  • Surveys and questionnaires

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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    The Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network on Behalf of the PALISI Global Health Subgroup (2017). Challenges and priorities for pediatric critical care clinician-researchers in low- and middle-income countries. Frontiers in Pediatrics, 5, [277]. https://doi.org/10.3389/fped.2017.00277