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Article type: Review Article
Authors: Kovacevic, Pedjaa; b; * | Djajic, Vladob | Skrbic, Rankob | Milivojevic, Natasac | Jereb, Matjazd | Gradisek, Primoze | Gorjup, Vojkaf
Affiliations: [a] Medical Intensive Care Unit, University Clinical Centre of the Republic of Srpska, Banja Luka, Bosnia and Herzegovina | [b] Medical Faculty, University of Banja Luka, Banja Luka, Bosnia and Herzegovina | [c] Neurological Intensive Care Unit, University Clinical Centre of Ljubljana, Ljubljana, Slovenia | [d] Infectology Intensive Care Unit, University Clinical Centre of Ljubljana, Ljubljana, Slovenija | [e] Surgical Intensive Care Unit, University Clinical Centre of Ljubljana, Ljubljana, Slovenija | [f] Medical Intensive Care Unit, University Clinical Centre of Ljubljana, Ljubljana, Slovenija
Correspondence: [*] Corresponding author: Pedja Kovacevic, Filipa Kljajica Fice 49, Banja Luka 78000, Bosnia and Herzegovina. E-mail: peko051@yahoo.com.
Abstract: BACKGROUND: Critical care medicine is a young branch of medicine, of which the development was much faster in High Income Countries (HICs) than in Low Resources Settings (LRS). Slovenia, as one of the successor states of former Yugoslavia, passed the process of transition and joined the European Union successfully. On the contrary, Bosnia and Herzegovina (B&H) went through the extremely difficult process of transition (four years of civil war), which left a deep scar to the healthcare system, including critical care medicine. OBJECTIVE: To examine the impact of HICs on the development of critical care in LRS. METHOD: This review examined the process of growing up the first modern Medical Intensive Care Unit (MICU) in the Republic of Srpska. RESULTS: The five-year process of transferring critical care knowledge from Slovenia to the health care system of Republic of Srpska has contributed to the existence of modern and state of the art MICU with tremendous social effects. CONCLUSION: The model of using the impact of HICs for improving critical care in LRS can be extrapolated to other similar settings.
Keywords: Critical care, low resources settings, high-income countries, translation
DOI: 10.3233/THC-230117
Journal: Technology and Health Care, vol. 31, no. 5, pp. 1949-1955, 2023
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