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Designing a critical care solution using in-person and telemedicine approaches in the US-Mexico border area during COVID-19

BACKGROUND: UC San Diego Health System (UCSDHS) is the largest academic medical center and integrated care network in US-Mexico border area of California contiguous to the Northern Baja region of Mexico. The COVID-19 pandemic compelled several UCSDHS and local communities to create awareness around...

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Autores principales: Ramnath, Venktesh R., Hill, Linda, Schultz, Jim, Mandel, Jess, Smith, Andres, Holberg, Stacy, Horton, Lucy E., Malhotra, Atul, Friedman, Lawrence S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8356755/
https://www.ncbi.nlm.nih.gov/pubmed/34396088
http://dx.doi.org/10.1016/j.hpopen.2021.100051
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author Ramnath, Venktesh R.
Hill, Linda
Schultz, Jim
Mandel, Jess
Smith, Andres
Holberg, Stacy
Horton, Lucy E.
Malhotra, Atul
Friedman, Lawrence S.
author_facet Ramnath, Venktesh R.
Hill, Linda
Schultz, Jim
Mandel, Jess
Smith, Andres
Holberg, Stacy
Horton, Lucy E.
Malhotra, Atul
Friedman, Lawrence S.
author_sort Ramnath, Venktesh R.
collection PubMed
description BACKGROUND: UC San Diego Health System (UCSDHS) is the largest academic medical center and integrated care network in US-Mexico border area of California contiguous to the Northern Baja region of Mexico. The COVID-19 pandemic compelled several UCSDHS and local communities to create awareness around best methods to promote regional health in this economically, socially, and politically important border area. PURPOSE: To improve understanding of optimal strategies to execute critical care collaborative programs between academic and community health centers facing public health emergencies during the COVID-19 pandemic, based on the experience of UCSDHS and several community hospitals (one US, two Mexican) in the US-Mexico border region. METHODS: After taking several preparatory steps, we developed a two-phase program that included 1) in-person activities to perform needs assessments, hands-on training and education, and morale building and 2) creation of a telemedicine-based (Tele-ICU) service for direct patient management and/or educational coaching experiences. Findings. A clinical and educational program between academic and community border hospitals was feasible, effective, and well received. CONCLUSION: We offer several policy-oriented recommendations steps for academic and community healthcare programs to build educational, collaborative partnerships to address COVID-19 and other cross-cultural, international public health emergencies.
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spelling pubmed-83567552021-08-11 Designing a critical care solution using in-person and telemedicine approaches in the US-Mexico border area during COVID-19 Ramnath, Venktesh R. Hill, Linda Schultz, Jim Mandel, Jess Smith, Andres Holberg, Stacy Horton, Lucy E. Malhotra, Atul Friedman, Lawrence S. Health Policy Open Original Article BACKGROUND: UC San Diego Health System (UCSDHS) is the largest academic medical center and integrated care network in US-Mexico border area of California contiguous to the Northern Baja region of Mexico. The COVID-19 pandemic compelled several UCSDHS and local communities to create awareness around best methods to promote regional health in this economically, socially, and politically important border area. PURPOSE: To improve understanding of optimal strategies to execute critical care collaborative programs between academic and community health centers facing public health emergencies during the COVID-19 pandemic, based on the experience of UCSDHS and several community hospitals (one US, two Mexican) in the US-Mexico border region. METHODS: After taking several preparatory steps, we developed a two-phase program that included 1) in-person activities to perform needs assessments, hands-on training and education, and morale building and 2) creation of a telemedicine-based (Tele-ICU) service for direct patient management and/or educational coaching experiences. Findings. A clinical and educational program between academic and community border hospitals was feasible, effective, and well received. CONCLUSION: We offer several policy-oriented recommendations steps for academic and community healthcare programs to build educational, collaborative partnerships to address COVID-19 and other cross-cultural, international public health emergencies. Elsevier 2021-08-11 /pmc/articles/PMC8356755/ /pubmed/34396088 http://dx.doi.org/10.1016/j.hpopen.2021.100051 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Ramnath, Venktesh R.
Hill, Linda
Schultz, Jim
Mandel, Jess
Smith, Andres
Holberg, Stacy
Horton, Lucy E.
Malhotra, Atul
Friedman, Lawrence S.
Designing a critical care solution using in-person and telemedicine approaches in the US-Mexico border area during COVID-19
title Designing a critical care solution using in-person and telemedicine approaches in the US-Mexico border area during COVID-19
title_full Designing a critical care solution using in-person and telemedicine approaches in the US-Mexico border area during COVID-19
title_fullStr Designing a critical care solution using in-person and telemedicine approaches in the US-Mexico border area during COVID-19
title_full_unstemmed Designing a critical care solution using in-person and telemedicine approaches in the US-Mexico border area during COVID-19
title_short Designing a critical care solution using in-person and telemedicine approaches in the US-Mexico border area during COVID-19
title_sort designing a critical care solution using in-person and telemedicine approaches in the us-mexico border area during covid-19
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8356755/
https://www.ncbi.nlm.nih.gov/pubmed/34396088
http://dx.doi.org/10.1016/j.hpopen.2021.100051
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