Telehealth and hepatitis C treatment for indigenous communities in the United States
Rev Panam Salud Publica
; 44, mar. 2020
Artigo
em Inglês
| PAHO-IRIS
| ID: phr-51901
Biblioteca responsável:
US1.1
ABSTRACT
To the editor In the United States (US), an estimated 2.4 million persons have chronic infection with hepatitis C virus (HCV). The number of deaths from HCV-related mortality is greater than that of HIV and tuberculosis combined. Treatment with direct-acting antivirals (DAAs), usually 1-3 pills a day for 8 or 12 weeks, can cure over 95% of patients. Successful treatment of HCV has been shown to greatly reduce liver-related as well as all-cause mortality. American Indian and Alaska Native (AI/AN) people have over twice the national rate of HCV-related mortality. The largest health care provider for AI/AN communities is the Indian Health System, a national network of federal (Indian Health Service), tribal, and urban health facilities, comprised mostly of rural primary care clinics. As part of the Indian Health System response to HCV, health facilities have access to tele-mentoring support such as the ECHO (Extension for Community Healthcare Outcomes) model, which has demonstrated excellent outcomes in treating HCV. The program connects rural clinicians (‘spokes’) to a specialist team (‘hub’). These participants meet regularly via low-bandwidth video conference technology. The format of case-based learning, supported by short didactic presentations, aims to scale up clinical capacity across a health network. Patient presentations entail a brief de-identified standardized form with a patient’s clinical history to assess liver disease severity and determine optimal HCV treatment. [...]
Texto completo:
Disponível
Coleções:
Bases de dados de organismos internacionais
Contexto em Saúde:
ODS3 - Meta 3.7 Acesso universal aos serviços de saude reprodutiva
/
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
/
ODS3 - Saúde e Bem-Estar
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Doenças Negligenciadas
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ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
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ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Infecções Sexualmente Transmissíveis: Prevenção e Cuidados
/
Arranjos de Entrega
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Meta 3.3: Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
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Tuberculose
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Hepatite
/
Tuberculose
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Doenças do Sistema Digestório
Base de dados:
PAHO-IRIS
Assunto principal:
Índios Norte-Americanos
/
Saúde da População Urbana
/
Doenças Transmissíveis
/
Mortalidade
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Hepatite C
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Telemedicina
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Serviços Urbanos de Saúde
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Saúde de Populações Indígenas
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Nativos do Alasca
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Telemedicina para as Zonas Rurais e Remotas
Tipo de estudo:
Estudo prognóstico
Aspecto:
Determinantes sociais da saúde
Idioma:
Inglês
Ano de publicação:
2020
Tipo de documento:
Artigo