Evidence map›Paper›PMID 37125388›Full record

ReviewGlobal heart2023

The Guyana Program to Advance Cardiac Care: A Model for Equitable Cardiovascular Care Delivery.

Sheila L Klassen, Karen Then, J Wayne Warnica, Jennifer Burton, W Orrin Stephen, Tanis Lane, Robert Dwhytie, Tracey DeBoice, Mahendra Carpen, Madan Rambaran and 2 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Global heart, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Sheila L KlassenProgram in Global Noncommunicable Disease and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-7065-6668
Karen ThenLibin Cardiovascular Institute of Alberta, Department of Cardiac Sciences, University of Calgary, Calgary AB, Canada.
J Wayne WarnicaLibin Cardiovascular Institute of Alberta, Department of Cardiac Sciences, University of Calgary, Calgary AB, Canada.
Jennifer BurtonDiagnostic Cardiac Sonography Program, Mohawk College, Canada.
W Orrin StephenDepartment of Biomedical Engineering, Peter Lougheed Centre, Alberta Health Services, Canada.
Tanis LaneLibin Cardiovascular Institute of Alberta, Department of Cardiac Sciences, University of Calgary, Calgary AB, Canada.
Robert DwhytieLibin Cardiovascular Institute of Alberta, Department of Cardiac Sciences, University of Calgary, Calgary AB, Canada.
Tracey DeBoiceLibin Cardiovascular Institute of Alberta, Department of Cardiac Sciences, University of Calgary, Calgary AB, Canada.
Mahendra CarpenGeorgetown Public Hospital Corporation, Georgetown, Guyana.
Madan RambaranGeorgetown Public Hospital Corporation, Georgetown, Guyana.
Filio BilliaPeter Munk Cardiac Center, University Health Network, Toronto, ON, Canada.
Debra L IsaacLibin Cardiovascular Institute of Alberta, Department of Cardiac Sciences, University of Calgary, Calgary AB, Canada.ORCID 0000-0001-7152-0941

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Guyana is one of the poorest countries in South America, with the highest rate of cardiovascular mortality on the continent. As is the case in many low- and middle-income countries, cardiovascular care is available through the private sector but is not accessible to much of the urban and rural poor. We present the 10-year experience of the Guyana Program to Advance Cardiac Care (GPACC), an academic partnership aiming to provide high-quality, equitable cardiovascular care in Georgetown's only public hospital. We discuss the implementation of a cardiac care program using the World Health Organization Framework for Action, outlining vital components for care delivery in resource-limited settings. GPACC was able to demonstrate that targeted investment, education of clinicians, and cohesive healthcare delivery strategies can contribute to sustainable service delivery for Guyana's largest burden of disease. This structured approach may provide lessons for implementation of similar programs in other resource-limited settings. Highlights: In many LMICs, specialized cardiovascular care is available in the private, but not public, sector.The WHO Framework for Action can guide development of sustainable programs in low-resource settings.GPACC can serve as a successful and innovative model for delivery of sustainable cardiovascular care.

Indexed as

Delivery of Health CareDeveloping CountriesGuyanaHumansQuality of Health CareSouth Americacardiovascular diseaseglobal healthGuyanahealth systemslow-resource settings

Identifiers

PMID37125388
PMCPMC10144008

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.