Building Sustainable Capacity for Cardiovascular Care at a Public Hospital in Western Kenya.

Autor:	Binanay CA; Duke Clinical Research Institute, Duke University, Durham, North Carolina; Hubert Yeargan Center for Global Health, Duke University, Durham, North Carolina., Akwanalo CO; Moi Teaching and Referral Hospital, Eldoret, Kenya., Aruasa W; Moi Teaching and Referral Hospital, Eldoret, Kenya., Barasa FA; Moi Teaching and Referral Hospital, Eldoret, Kenya., Corey GR; Duke Clinical Research Institute, Duke University, Durham, North Carolina; Hubert Yeargan Center for Global Health, Duke University, Durham, North Carolina; Duke University Medical Center, Durham, North Carolina; Duke Global Health Institute, Duke University, Durham, North Carolina., Crowe S; Purdue University College of Pharmacy, West Lafayette, Indiana., Esamai F; College of Health Sciences, Moi University, Eldoret, Kenya., Einterz R; Indiana University, Indianapolis, Indiana., Foster MC; Duke University Medical Center, Durham, North Carolina., Gardner A; Indiana University, Indianapolis, Indiana., Kibosia J; Moi Teaching and Referral Hospital, Eldoret, Kenya., Kimaiyo S; Moi Teaching and Referral Hospital, Eldoret, Kenya; College of Health Sciences, Moi University, Eldoret, Kenya., Koech M; Moi Teaching and Referral Hospital, Eldoret, Kenya., Korir B; Hubert Yeargan Center for Global Health, Duke University, Durham, North Carolina., Lawrence JE; Hubert Yeargan Center for Global Health, Duke University, Durham, North Carolina; Duke University Medical Center, Durham, North Carolina., Lukas S; Purdue University College of Pharmacy, West Lafayette, Indiana., Manji I; Moi Teaching and Referral Hospital, Eldoret, Kenya., Maritim P; Moi Teaching and Referral Hospital, Eldoret, Kenya., Ogaro F; Moi Teaching and Referral Hospital, Eldoret, Kenya., Park P; Hubert Yeargan Center for Global Health, Duke University, Durham, North Carolina; Indiana University, Indianapolis, Indiana., Pastakia SD; Purdue University College of Pharmacy, West Lafayette, Indiana., Sugut W; Moi Teaching and Referral Hospital, Eldoret, Kenya., Vedanthan R; Icahn School of Medicine at Mount Sinai, New York, New York., Yanoh R; Moi Teaching and Referral Hospital, Eldoret, Kenya., Velazquez EJ; Duke Clinical Research Institute, Duke University, Durham, North Carolina; Duke University Medical Center, Durham, North Carolina; Duke Global Health Institute, Duke University, Durham, North Carolina., Bloomfield GS; Duke Clinical Research Institute, Duke University, Durham, North Carolina; Duke University Medical Center, Durham, North Carolina; Duke Global Health Institute, Duke University, Durham, North Carolina. Electronic address: gerald.bloomfield@duke.edu.
Jazyk:	angličtina
Zdroj:	Journal of the American College of Cardiology [J Am Coll Cardiol] 2015 Dec 08; Vol. 66 (22), pp. 2550-60.
DOI:	10.1016/j.jacc.2015.09.086
Abstrakt:	Cardiovascular disease deaths are increasing in low- and middle-income countries and are exacerbated by health care systems that are ill-equipped to manage chronic diseases. Global health partnerships, which have stemmed the tide of infectious diseases in low- and middle-income countries, can be similarly applied to address cardiovascular diseases. In this review, we present the experiences of an academic partnership between North American and Kenyan medical centers to improve cardiovascular health in a national public referral hospital. We highlight our stepwise approach to developing sustainable cardiovascular services using the health system strengthening World Health Organization Framework for Action. The building blocks of this framework (leadership and governance, health workforce, health service delivery, health financing, access to essential medicines, and health information system) guided our comprehensive and sustainable approach to delivering subspecialty care in a resource-limited setting. Our experiences may guide the development of similar collaborations in other settings. (Copyright © 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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