Embedding treatment in stronger care systems
A key lesson from the west Africa (2014–16) Ebola disease epidemic was that outbreak responses fail when they respond to patients through a narrow clinical lens without considering the broader community and social context of care. Here, in the second of two Series papers on the modern landscape of E...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
Elsevier
2024
|
| _version_ | 1824458739583811584 |
|---|---|
| author | Rojek, A Fieggen, J Paterson, A Byakika-Kibwika, P Camara, M Comer, K Fletcher, TE Günther, S Jonckheere, S Mwima, G Dunning, J Horby, P |
| author_facet | Rojek, A Fieggen, J Paterson, A Byakika-Kibwika, P Camara, M Comer, K Fletcher, TE Günther, S Jonckheere, S Mwima, G Dunning, J Horby, P |
| author_sort | Rojek, A |
| collection | OXFORD |
| description | A key lesson from the west Africa (2014–16) Ebola disease epidemic was that outbreak responses fail when they respond to patients through a narrow clinical lens without considering the broader community and social context of care. Here, in the second of two Series papers on the modern landscape of Ebola disease, we review progress made in the last decade to improve patient-centred care. Although the biosafety imperatives of treating Ebola disease remain, recent advances show how to mitigate these so that patients are cared for in a safe and dignified manner that encourages early treatment-seeking behaviour and provides support after the return of patients to their communities. We review advances in diagnostics, including faster Ebola disease detection via real-time RT-PCR, and consider design improvements in Ebola disease treatment units that enhance patient safety and dignity. We also review advances in care provision, such as the integration of palliative care and mobile communication into routine care, and address how greater access to research is possible through harmonised clinical trials. Finally, we discuss how strengthened community engagement and psychosocial programmes are addressing stigma and providing holistic support for survivors. |
| first_indexed | 2025-02-19T04:30:41Z |
| format | Journal article |
| id | oxford-uuid:d648f667-faf5-4383-ab2f-15044d5f2765 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2025-02-19T04:30:41Z |
| publishDate | 2024 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:d648f667-faf5-4383-ab2f-15044d5f27652024-12-29T20:03:41ZEmbedding treatment in stronger care systemsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d648f667-faf5-4383-ab2f-15044d5f2765EnglishSymplectic ElementsElsevier2024Rojek, AFieggen, JPaterson, AByakika-Kibwika, PCamara, MComer, KFletcher, TEGünther, SJonckheere, SMwima, GDunning, JHorby, PA key lesson from the west Africa (2014–16) Ebola disease epidemic was that outbreak responses fail when they respond to patients through a narrow clinical lens without considering the broader community and social context of care. Here, in the second of two Series papers on the modern landscape of Ebola disease, we review progress made in the last decade to improve patient-centred care. Although the biosafety imperatives of treating Ebola disease remain, recent advances show how to mitigate these so that patients are cared for in a safe and dignified manner that encourages early treatment-seeking behaviour and provides support after the return of patients to their communities. We review advances in diagnostics, including faster Ebola disease detection via real-time RT-PCR, and consider design improvements in Ebola disease treatment units that enhance patient safety and dignity. We also review advances in care provision, such as the integration of palliative care and mobile communication into routine care, and address how greater access to research is possible through harmonised clinical trials. Finally, we discuss how strengthened community engagement and psychosocial programmes are addressing stigma and providing holistic support for survivors. |
| spellingShingle | Rojek, A Fieggen, J Paterson, A Byakika-Kibwika, P Camara, M Comer, K Fletcher, TE Günther, S Jonckheere, S Mwima, G Dunning, J Horby, P Embedding treatment in stronger care systems |
| title | Embedding treatment in stronger care systems |
| title_full | Embedding treatment in stronger care systems |
| title_fullStr | Embedding treatment in stronger care systems |
| title_full_unstemmed | Embedding treatment in stronger care systems |
| title_short | Embedding treatment in stronger care systems |
| title_sort | embedding treatment in stronger care systems |
| work_keys_str_mv | AT rojeka embeddingtreatmentinstrongercaresystems AT fieggenj embeddingtreatmentinstrongercaresystems AT patersona embeddingtreatmentinstrongercaresystems AT byakikakibwikap embeddingtreatmentinstrongercaresystems AT camaram embeddingtreatmentinstrongercaresystems AT comerk embeddingtreatmentinstrongercaresystems AT fletcherte embeddingtreatmentinstrongercaresystems AT gunthers embeddingtreatmentinstrongercaresystems AT jonckheeres embeddingtreatmentinstrongercaresystems AT mwimag embeddingtreatmentinstrongercaresystems AT dunningj embeddingtreatmentinstrongercaresystems AT horbyp embeddingtreatmentinstrongercaresystems |