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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.
  • Ramnath VR; Division of Pulmonary, Critical Care, and Sleep Medicine, UC San Diego Health, La Jolla, CA, United States.
  • Hill L; Department of Family Medicine and Public Health, UC San Diego Health, La Jolla, CA, United States.
  • Schultz J; Department of Family Medicine and Public Health, UC San Diego Health, La Jolla, CA, United States.
  • Mandel J; Neighborhood Healthcare, San Diego, CA, United States.
  • Smith A; Division of Pulmonary, Critical Care, and Sleep Medicine, UC San Diego Health, La Jolla, CA, United States.
  • Holberg S; Department of Emergency Medicine, Sharp Healthcare, San Diego, CA, United States.
  • Horton LE; Director, International Program Operations, UC San Diego Health, La Jolla, CA, United States.
  • Malhotra A; Division of Infectious Diseases, UC San Diego Health, La Jolla, United States.
  • Friedman LS; Division of Pulmonary, Critical Care, and Sleep Medicine, UC San Diego Health, La Jolla, CA, United States.
Health Policy Open ; 2: 100051, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-1454155
ABSTRACT

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.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Clinical Practice Guide / Randomized controlled trials Country/Region as subject: Mexico Language: English Journal: Health Policy Open Year: 2021 Document Type: Article Affiliation country: J.hpopen.2021.100051

Full text: Available Collection: International databases Database: MEDLINE Type of study: Clinical Practice Guide / Randomized controlled trials Country/Region as subject: Mexico Language: English Journal: Health Policy Open Year: 2021 Document Type: Article Affiliation country: J.hpopen.2021.100051