• español
    • English
    • português
  • español 
    • español
    • English
    • português
  • IRIS PAHO Inicio
  • Sitio de la OPS
  • Índices
  • Todas las Colecciones
  • Sobre IRIS
  • Memoria Institucional
  • Contacto
JavaScript is disabled for your browser. Some features of this site may not work without it.
Ver ítem 
  •   IRIS PAHO Inicio
  • 1.PAHO Headquarters / Sede de la OPS
  • Scientific Journals and Newsletters / Revistas Científicas y Boletines
  • Pan American Journal of Public Health
  • Ver ítem
  •   IRIS PAHO Inicio
  • 1.PAHO Headquarters / Sede de la OPS
  • Scientific Journals and Newsletters / Revistas Científicas y Boletines
  • Pan American Journal of Public Health
  • Ver ítem

Telehealth and hepatitis C treatment for indigenous communities in the United States

Thumbnail
Ver/Abrir
v44e132020.pdf (265.1Kb)
Fecha
2020-03
ISSN
1680 5348
DOI
https://doi.org/10.26633/RPSP.2020.13
Autor
Leston, Jessica
Stephens, David
Miller, Matthew
Moran, Brad
Deming, Paulina
Mera, Jorge
Metadatos
Mostrar el registro completo del ítem
Resumen
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. [...]
Series
Rev Panam Salud Publica;44, mar. 2020
Tema
Hepatitis C; Mortality; Communicable Diseases; Alaska Natives; Indians, North American; Urban Health; Urban Health Services; Hepatitis; Telemedicine; Telemedicine for Rural and Remote Areas; Health Services, Indigenous; Health of Indigenous Peoples; Indigenous Organizations
URI
https://iris.paho.org/handle/10665.2/51901
Cita
Leston J, Stephens D, Miller M, Deming P, Moran B, Mera J. Telehealth and hepatitis C treatment for indigenous communities in the United States. Rev Panam Salud Publica. 2020;44:e13. https://doi.org/10.26633/RPSP.2020.13
Colecciones
  • Pan American Journal of Public Health

Ítems relacionados

Mostrando ítems relacionados por Título, autor o materia.

  • Thumbnail

    Tres proyectos simplificados de atencion primaria de salud y su efecto sobre la nutricion y la salud infantiles 

    Delgado, Hernán L; Valverde, Victor; Hurtado, Elena (s.d.)
    This article considers the effects on child nutrition and health achieved by three simplified primary health care projects developed by the Institute of Nutrition of Central America and Panama in rural areas of Guatemala ...
  • Thumbnail

    Síntesis de evidencia y recomendaciones: directrices para el tratamiento de las leishmaniasis en la Región de las Américas 

    Organización Panamericana de la Salud (2023-04-28)
    [RESUMEN]. Introducción. Las leishmaniasis continúan siendo enfermedades infecciosas desatendidas de gran impor- tancia, ya que afectan principalmente a las personas más pobres y con menor acceso a los servicios de salud. ...
  • Thumbnail

    Neonatal transport in developing country settings: a systematic review 

    Niermeyer, Susan; Domek, Gretchen (Montevideo, CLAP, 2016-11)
    Background: Reduction in neonatal mortality is central to achieving global child survival targets in the coming decades. Efforts to prevent the primary causes of neonatal death (prematurity, asphyxia, severe infections, ...

Listar

Todo IRIS PAHOComunidades & ColeccionesFecha de publicaciónAutoresTítulosMateriasTítulo de SerieTipo de materialIdiomaCategoríaUnidad Técnica/Oficina de PaísEsta colecciónFecha de publicaciónAutoresTítulosMateriasTítulo de SerieTipo de materialIdiomaCategoríaUnidad Técnica/Oficina de País

Estadísticas

Ver Estadísticas de uso

Organización Panamericana de la Salud
Organización Mundial de la Salud. Oficina Regional para las Américas
525 Twenty-third Street, N.W., Washington, D.C. 20037, Estados Unidos de América
Tel.: +1 (202) 974-3000 Fax: +1 (202) 974-3663
email: libraryhq@paho.org

Links

  • Publicaciones destacadas de la OPS
  • Biblioteca Digital de la OMS (IRIS)
  • Biblioteca Virtual en Salud (BVS)
  • Global Index Medicus (GIM)