Cargando…

Increasing access to comprehensive care for Chagas disease: development of a patient-centered model in Colombia

Worldwide, over 6 million people are infected with Trypanosoma cruzi, the pathogen that causes Chagas disease (CD). In the Americas, CD creates the greatest burden in disability-adjusted life years of any parasitic infection. In Colombia, 437 000 people are infected with T. cruzi, of whom 131 000 su...

Descripción completa

Detalles Bibliográficos
Autores principales: Marchiol, Andrea, Forsyth, Colin, Bernal, Oscar, Valencia Hernández, Carlos, Cucunubá, Zulma, Pachón Abril, Eduin, Vera Soto, Mauricio Javier, Batista, Carolina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Organización Panamericana de la Salud 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6645187/
https://www.ncbi.nlm.nih.gov/pubmed/31384272
http://dx.doi.org/10.26633/RPSP.2017.153
_version_ 1783437409186217984
author Marchiol, Andrea
Forsyth, Colin
Bernal, Oscar
Valencia Hernández, Carlos
Cucunubá, Zulma
Pachón Abril, Eduin
Vera Soto, Mauricio Javier
Batista, Carolina
author_facet Marchiol, Andrea
Forsyth, Colin
Bernal, Oscar
Valencia Hernández, Carlos
Cucunubá, Zulma
Pachón Abril, Eduin
Vera Soto, Mauricio Javier
Batista, Carolina
author_sort Marchiol, Andrea
collection PubMed
description Worldwide, over 6 million people are infected with Trypanosoma cruzi, the pathogen that causes Chagas disease (CD). In the Americas, CD creates the greatest burden in disability-adjusted life years of any parasitic infection. In Colombia, 437 000 people are infected with T. cruzi, of whom 131 000 suffer from cardiomyopathy. Colombia’s annual costs for treating patients with advanced CD reach US$ 175 016 000. Although timely etiological treatment can significantly delay or prevent development of cardiomyopathy—and costs just US$ 30 per patient—fewer than 1% of people with CD in Colombia and elsewhere receive it. This represents a missed opportunity for increasing patients’ healthy, productive years of life while significantly reducing the economic burden on the health care system. Key barriers are complexities and delays in the diagnosis and treatment process, lack of awareness of CD among both patients and health care professionals, and administrative barriers at the primary care level. In 2015, stakeholders from government, academia, nongovernmental organizations, and patient associations participated in a seminar in the city of Bogotá on eliminating barriers to diagnosis and treatment for CD. The seminar gave birth to a model of care for increasing patient access, including a patient road map that simplifies diagnostic and treatment processes, shifting them from specialists to primary care facilities. The patient road map was implemented in a pilot project in four endemic communities beginning in 2016, with the goal of testing and refining the model so it can be implemented nationally. This article describes key components in the development of a new, recently implemented model of care for CD in Colombia.
format Online
Article
Text
id pubmed-6645187
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Organización Panamericana de la Salud
record_format MEDLINE/PubMed
spelling pubmed-66451872019-08-05 Increasing access to comprehensive care for Chagas disease: development of a patient-centered model in Colombia Marchiol, Andrea Forsyth, Colin Bernal, Oscar Valencia Hernández, Carlos Cucunubá, Zulma Pachón Abril, Eduin Vera Soto, Mauricio Javier Batista, Carolina Rev Panam Salud Publica Special Report Worldwide, over 6 million people are infected with Trypanosoma cruzi, the pathogen that causes Chagas disease (CD). In the Americas, CD creates the greatest burden in disability-adjusted life years of any parasitic infection. In Colombia, 437 000 people are infected with T. cruzi, of whom 131 000 suffer from cardiomyopathy. Colombia’s annual costs for treating patients with advanced CD reach US$ 175 016 000. Although timely etiological treatment can significantly delay or prevent development of cardiomyopathy—and costs just US$ 30 per patient—fewer than 1% of people with CD in Colombia and elsewhere receive it. This represents a missed opportunity for increasing patients’ healthy, productive years of life while significantly reducing the economic burden on the health care system. Key barriers are complexities and delays in the diagnosis and treatment process, lack of awareness of CD among both patients and health care professionals, and administrative barriers at the primary care level. In 2015, stakeholders from government, academia, nongovernmental organizations, and patient associations participated in a seminar in the city of Bogotá on eliminating barriers to diagnosis and treatment for CD. The seminar gave birth to a model of care for increasing patient access, including a patient road map that simplifies diagnostic and treatment processes, shifting them from specialists to primary care facilities. The patient road map was implemented in a pilot project in four endemic communities beginning in 2016, with the goal of testing and refining the model so it can be implemented nationally. This article describes key components in the development of a new, recently implemented model of care for CD in Colombia. Organización Panamericana de la Salud 2017-12-05 /pmc/articles/PMC6645187/ /pubmed/31384272 http://dx.doi.org/10.26633/RPSP.2017.153 Text en https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. No modifications or commercial use of this article are permitted. In any reproduction of this article there should not be any suggestion that PAHO or this article endorse any specific organization or products. The use of the PAHO logo is not permitted. This notice should be preserved along with the article’s original URL.
spellingShingle Special Report
Marchiol, Andrea
Forsyth, Colin
Bernal, Oscar
Valencia Hernández, Carlos
Cucunubá, Zulma
Pachón Abril, Eduin
Vera Soto, Mauricio Javier
Batista, Carolina
Increasing access to comprehensive care for Chagas disease: development of a patient-centered model in Colombia
title Increasing access to comprehensive care for Chagas disease: development of a patient-centered model in Colombia
title_full Increasing access to comprehensive care for Chagas disease: development of a patient-centered model in Colombia
title_fullStr Increasing access to comprehensive care for Chagas disease: development of a patient-centered model in Colombia
title_full_unstemmed Increasing access to comprehensive care for Chagas disease: development of a patient-centered model in Colombia
title_short Increasing access to comprehensive care for Chagas disease: development of a patient-centered model in Colombia
title_sort increasing access to comprehensive care for chagas disease: development of a patient-centered model in colombia
topic Special Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6645187/
https://www.ncbi.nlm.nih.gov/pubmed/31384272
http://dx.doi.org/10.26633/RPSP.2017.153
work_keys_str_mv AT marchiolandrea increasingaccesstocomprehensivecareforchagasdiseasedevelopmentofapatientcenteredmodelincolombia
AT forsythcolin increasingaccesstocomprehensivecareforchagasdiseasedevelopmentofapatientcenteredmodelincolombia
AT bernaloscar increasingaccesstocomprehensivecareforchagasdiseasedevelopmentofapatientcenteredmodelincolombia
AT valenciahernandezcarlos increasingaccesstocomprehensivecareforchagasdiseasedevelopmentofapatientcenteredmodelincolombia
AT cucunubazulma increasingaccesstocomprehensivecareforchagasdiseasedevelopmentofapatientcenteredmodelincolombia
AT pachonabrileduin increasingaccesstocomprehensivecareforchagasdiseasedevelopmentofapatientcenteredmodelincolombia
AT verasotomauriciojavier increasingaccesstocomprehensivecareforchagasdiseasedevelopmentofapatientcenteredmodelincolombia
AT batistacarolina increasingaccesstocomprehensivecareforchagasdiseasedevelopmentofapatientcenteredmodelincolombia