Abstract：
Background:UC San Diego Health System (UCSDHS) is an academic medical center and integrated care network in the US-Mexico border area of California contiguous to the Mexican Northern Baja region. The COVID-19 pandemic deeply influenced UCSDHS activities as new public health challenges increasingly related to high population density, cross-border traffic, economic disparities, and interconnectedness between cross-border communities, which accelerated development of clinical collaborations between UCSDHS and several border community hospitals - one in the US, two in Mexico - as high volumes of severely ill patients overwhelmed hospitals. Objective:We describe the development, implementation, feasibility, and acceptance of a novel critical care support program in three community hospitals along the US-Mexico border. Methods:We created and instituted a hybrid critical care program involving: 1) in-person activities to perform needs assessments of equipment and supplies and hands-on training and education, and 2) creation of a telemedicine-based (Tele-ICU) service for direct patient management and/or consultative, education-based experiences. We collected performance metrics surrounding adherence to evidence-based practices and staff perceptions of critical care delivery. Findings:In-person intervention phase identified and filled gaps in equipment and supplies, and Tele-ICU program promoted adherence to evidence-based practices and improved staff confidence in caring for critically ill COVID-19 patients at each hospital. Conclusion:A collaborative, hybrid critical care program across academic and community centers is feasible and effective to address cross-cultural public health emergencies.
journal_name
Ann Glob Healthjournal_title
Annals of global healthauthors
Ramnath VR,Hill L,Schultz J,Mandel J,Smith A,Morris T,Holberg S,Horton LE,Malhotra A,Friedman LSdoi
10.5334/aogh.3108subject
Has Abstractpub_date
2021-01-04 00:00:00pages
1issue
1issn
2214-9996journal_volume
87pub_type
杂志文章abstract：:Heavy metal contamination of food crops is an issue of global concern that ultimately results in toxicity and diseases in humans and animals through consumption of contaminated soils and food crops. With a population of 182 million people, Nigeria is regarded as the most populous country in Africa. The people suffer e...
journal_title：Annals of global health
pub_type： 杂志文章,评审
doi：10.29024/aogh.2314
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abstract：BACKGROUND:Waste from end-of-life electrical and electronic equipment, known as e-waste, is a rapidly growing global problem. E-waste contains valuable materials that have an economic value when recycled. Unfortunately, the majority of e-waste is recycled in the unregulated informal sector and results in significant ri...
journal_title：Annals of global health
pub_type： 杂志文章,评审
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abstract：Background:More than one billion people worldwide live with a disability, yet rehabilitation professionals are scarce in low- and middle-income countries. Attempts to expand access to rehabilitation services have encountered barriers on multiple levels: limited resources on the systemic level, hierarchies on the profes...
journal_title：Annals of global health
pub_type： 杂志文章
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journal_title：Annals of global health
pub_type： 杂志文章
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更新日期：2019-10-15 00:00:00
abstract：Background:Although the incidence of cervical cancer has declined in developed countries, cervical cancer remains a major problem in those that are developing. Past studies suggest that Indian women, who account for at least one-fourth of the global disease burden, are not routinely screened. Objectives:Among the wome...
journal_title：Annals of global health
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journal_title：Annals of global health
pub_type： 杂志文章
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更新日期：2018-04-30 00:00:00
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journal_title：Annals of global health
pub_type： 杂志文章
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更新日期：2017-01-01 00:00:00
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journal_title：Annals of global health
pub_type： 杂志文章,meta分析
doi：10.5334/aogh.2348
更新日期：2019-07-12 00:00:00
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journal_title：Annals of global health
pub_type： 杂志文章,多中心研究
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journal_title：Annals of global health
pub_type： 杂志文章,评审
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journal_title：Annals of global health
pub_type： 杂志文章
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更新日期：2016-01-01 00:00:00
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journal_title：Annals of global health
pub_type： 杂志文章
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更新日期：2020-02-25 00:00:00
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journal_title：Annals of global health
pub_type： 杂志文章
doi：10.1016/j.aogh.2017.10.006
更新日期：2017-01-01 00:00:00
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journal_title：Annals of global health
pub_type： 杂志文章
doi：10.1016/j.aogh.2017.10.007
更新日期：2017-01-01 00:00:00
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journal_title：Annals of global health
pub_type： 杂志文章
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更新日期：2019-04-05 00:00:00
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journal_title：Annals of global health
pub_type： 杂志文章
doi：10.1016/j.aogh.2013.12.002
更新日期：2014-01-01 00:00:00
abstract：BACKGROUND:Viral hepatitis B is a disease condition of the liver caused by the hepatitis B virus, and it leads to complications such as cancer and cirrhosis. This poses an occupational hazard because about 66,000 health care workers get infected with the virus annually. Adequate knowledge and right attitude of health w...
journal_title：Annals of global health
pub_type： 杂志文章
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更新日期：2019-02-28 00:00:00
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journal_title：Annals of global health
pub_type： 杂志文章
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更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:Stunting, a form of malnutrition characterized by impaired linear growth in the first two years of life, affects one quarter of children globally. While nutritional status remains the key cause of stunting, there is evidence that environmental risk factors are associated with stunting. OBJECTIVE:The objecti...
journal_title：Annals of global health
pub_type： 杂志文章
doi：10.9204/aogh.2361
更新日期：2018-11-05 00:00:00
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journal_title：Annals of global health
pub_type： 杂志文章
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journal_title：Annals of global health
pub_type： 杂志文章
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journal_title：Annals of global health
pub_type： 杂志文章
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更新日期：2020-11-02 00:00:00
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journal_title：Annals of global health
pub_type： 杂志文章
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更新日期：2020-07-30 00:00:00
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journal_title：Annals of global health
pub_type： 杂志文章
doi：10.5334/aogh.2514
更新日期：2019-08-16 00:00:00
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journal_title：Annals of global health
pub_type： 评论,社论
doi：10.5334/aogh.2519
更新日期：2019-06-17 00:00:00
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journal_title：Annals of global health
pub_type： 杂志文章
doi：10.29024/aogh.912
更新日期：2018-07-27 00:00:00
abstract：BACKGROUND:In 1977 the World Health Organization created its first Model List of Essential Medicines-a list designed to aid countries in determining which medicines to prioritize on their National Essential Medicines Lists. In classifying drugs as "essential," the World Health Organization has historically stressed dru...
journal_title：Annals of global health
pub_type： 杂志文章
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更新日期：2017-01-01 00:00:00
abstract：:There is a high demand for global health experiences among medical students. However, creating and engaging successful global health experiences for students is not without significant challenges for faculty. Lack of broad global health knowledge, first hand experiences in a variety of global health settings, and limi...
journal_title：Annals of global health
pub_type： 杂志文章
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更新日期：2019-05-09 00:00:00
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journal_title：Annals of global health
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更新日期：2020-10-01 00:00:00
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journal_title：Annals of global health
pub_type： 杂志文章
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更新日期：2019-07-03 00:00:00
