Evidence map›Paper›PMID 34396088›Full record

ArticleHealth policy OPEN2021

Designing a critical care solution using in-person and telemedicine approaches in the US-Mexico border area during COVID-19.

Venktesh R Ramnath, Linda Hill, Jim Schultz, Jess Mandel, Andres Smith, Stacy Holberg, Lucy E Horton, Atul Malhotra, Lawrence S Friedman

Abstract read
In one paragraph

Article in Health policy OPEN, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Venktesh R RamnathDivision of Pulmonary, Critical Care, and Sleep Medicine, UC San Diego Health, La Jolla, CA, United States.
Linda HillDepartment of Family Medicine and Public Health, UC San Diego Health, La Jolla, CA, United States.
Jim SchultzDepartment of Family Medicine and Public Health, UC San Diego Health, La Jolla, CA, United States.
Jess MandelDivision of Pulmonary, Critical Care, and Sleep Medicine, UC San Diego Health, La Jolla, CA, United States.
Andres SmithDepartment of Emergency Medicine, Sharp Healthcare, San Diego, CA, United States.
Stacy HolbergDirector, International Program Operations, UC San Diego Health, La Jolla, CA, United States.
Lucy E HortonDivision of Infectious Diseases, UC San Diego Health, La Jolla, United States.
Atul MalhotraDivision of Pulmonary, Critical Care, and Sleep Medicine, UC San Diego Health, La Jolla, CA, United States.
Lawrence S FriedmanDepartment of Internal Medicine, UC San Diego Health, La Jolla, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUC 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.

methodsAfter 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.

conclusionWe 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.

Indexed as

Border healthCOVID-19ECRMC, El Centro Regional Medical Center, El Centro, CAHealth care disparitiesHGM, Hospital General de Mexicali (Mexicali General Hospital), Mexicali, MexicoHGT, Hospital General de Tijuana (Tijuana General Hospital), Tijuana, MexicoICU, Intensive Care UnitROI, Returns on investmentTele-ICUTele-ICU, Telemedicine in the Intensive Care UnitTelemedicineUCSDHS, University of California San Diego Health System, San Diego, CA

Identifiers

PMID34396088
PMCPMC8356755

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.