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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| Format: | Article |
| Language: | English |
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Elsevier
2021-12-01
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| Series: | Health Policy Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590229621000228 |
| _version_ | 1818575361339817984 |
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| author | Venktesh R. Ramnath Linda Hill Jim Schultz Jess Mandel Andres Smith Stacy Holberg Lucy E. Horton Atul Malhotra Lawrence S. Friedman |
| author_facet | Venktesh R. Ramnath Linda Hill Jim Schultz Jess Mandel Andres Smith Stacy Holberg Lucy E. Horton Atul Malhotra Lawrence S. Friedman |
| author_sort | Venktesh R. Ramnath |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-15T00:39:16Z |
| format | Article |
| id | doaj.art-ed900d06b4cc4ab297a3134c4acd246c |
| institution | Directory Open Access Journal |
| issn | 2590-2296 |
| language | English |
| last_indexed | 2024-12-15T00:39:16Z |
| publishDate | 2021-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Health Policy Open |
| spelling | doaj.art-ed900d06b4cc4ab297a3134c4acd246c2022-12-21T22:41:43ZengElsevierHealth Policy Open2590-22962021-12-012100051Designing a critical care solution using in-person and telemedicine approaches in the US-Mexico border area during COVID-19Venktesh R. Ramnath0Linda Hill1Jim Schultz2Jess Mandel3Andres Smith4Stacy Holberg5Lucy E. Horton6Atul Malhotra7Lawrence S. Friedman8Division of Pulmonary, Critical Care, and Sleep Medicine, UC San Diego Health, La Jolla, CA, United States; Corresponding author.Department of Family Medicine and Public Health, UC San Diego Health, La Jolla, CA, United StatesDepartment of Family Medicine and Public Health, UC San Diego Health, La Jolla, CA, United States; Neighborhood Healthcare, San Diego, CA, United StatesDivision of Pulmonary, Critical Care, and Sleep Medicine, UC San Diego Health, La Jolla, CA, United StatesDepartment of Emergency Medicine, Sharp Healthcare, San Diego, CA, United StatesDirector, International Program Operations, UC San Diego Health, La Jolla, CA, United StatesDivision of Infectious Diseases, UC San Diego Health, La Jolla, United StatesDivision of Pulmonary, Critical Care, and Sleep Medicine, UC San Diego Health, La Jolla, CA, United StatesDepartment of Internal Medicine, UC San Diego Health, La Jolla, United StatesBackground: 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.http://www.sciencedirect.com/science/article/pii/S2590229621000228Health care disparitiesBorder healthTelemedicineTele-ICUCOVID-19 |
| spellingShingle | Venktesh R. Ramnath Linda Hill Jim Schultz Jess Mandel Andres Smith Stacy Holberg Lucy E. Horton Atul Malhotra Lawrence S. Friedman Designing a critical care solution using in-person and telemedicine approaches in the US-Mexico border area during COVID-19 Health Policy Open Health care disparities Border health Telemedicine Tele-ICU 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 | Health care disparities Border health Telemedicine Tele-ICU COVID-19 |
| url | http://www.sciencedirect.com/science/article/pii/S2590229621000228 |
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