【正文】
past president of the Society of Critical Care Medicine and Professor of Surgery at Washington University School of Medicine in St. Louis, Missouri. JeanLouis Vincent, MD, PhD, past president of the European Society of Intensive Care Medicine and the European Shock Society West China Hospital, Sichuan University Open versus Closed ICUs it is very important to place critically ill patients in the hands of a properly trained, experienced doctor who is part of a team available 24 hours a day. The key feature is an integrated team of dedicated experts that brings multiprofessional perspective to bear on the needs of each patient. Intensivists are trained and ideally suited to provide this sort of leadership, which is why I personally practice and support the intensivistled model. West China Hospital, Sichuan University Relative Risk = (95% CI = –) 29% Reduction in Mortality Relative Risk = (95% CI = –) 39% Reduction in Mortality HighIntensity vs. Low Intensity ICU Physician Staffing Pronovost PJ et al, JAMA, 288:2151 (2022) West China Hospital, Sichuan University Financial solution to the rising ICU requirements The future of minimally reasonable healthcare will be tough, as the cost of medicine continues to increase dramatically and the population will continue to age. In the future we may face a need to limit the expenses for those at the end of their lives. make our care as effective and as efficient as possible. But the greater imperative is to identify those