Accelerating international MS care through videoconference-based education and case consultation
| Autor: | Gary Stobbe, Annette Wundes, Igor Kuzmanovski, Katharine S. Alexander, Kevin N. Alschuler, Gloria von Geldern, Bojan Boskovski, Dennis W. Dietrich |
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| Rok vydání: | 2016 |
| Předmět: |
Multiple Sclerosis
Quality management Case consultation Health Personnel education Global Health computer.software_genre 03 medical and health sciences 0302 clinical medicine Videoconferencing Nursing Global health Humans Immunologic Factors Medicine 030212 general & internal medicine Program Development Medical prescription Societies Medical Remote Consultation business.industry Global Perspectives International community Quality Improvement Republic of North Macedonia General partnership Neurology (clinical) business computer 030217 neurology & neurosurgery |
| Zdroj: | Neurology. 87:e8-e10 |
| ISSN: | 1526-632X 0028-3878 |
| Popis: | Disparities exist in the international management of multiple sclerosis (MS). For example, when stratified by income, only high-income countries have a high rate of availability of all disease-modifying therapies (DMTs); as income decreases, the availability of DMTs declines rapidly, such that even upper-middle-income countries commonly only have access to first-line therapies but not the newer, potentially more potent agents, and low-income countries have no access to DMTs.1 As newer DMTs associated with greater risk of toxicity become more available, providers in those countries are playing catch-up to the international community in providing guideline-level MS care.2 This adds to the challenge already described by providers where advanced MS treatments are available: it is difficult to remain current on important domains related to DMT prescription, including selecting the correct DMT for a specific patient's characteristics, safety data, and monitoring guidelines, resulting in a call for targeted continuing medical education.3 Taken together, it is in the interest of the international MS community to have providers with more experience using these DMTs spread the knowledge they have gleaned to providers in countries where these same treatments are emerging. Our videoconference-based education and case consultation program can efficiently meet this need. The team that delivered the international version of this project thanks collaborators Kurt Johnson, PhD, George Kraft, MD, John Scott, MD, and Kent Unruh, PhD, from the University of Washington for their assistance in adapting the Project ECHO model for MS providers, as well as Deborah Hertz, MPH, Rosalind Kalb, PhD, and Piper Reynolds from the National Multiple Sclerosis Society for their partnership on this project. |
| Databáze: | OpenAIRE |
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