155 lines
5.2 KiB
YAML
155 lines
5.2 KiB
YAML
abstract: 'PurposeThis study aims to facilitate access to vascular disease
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screening for low-income individuals living in remote and conflict areas
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based on the results of a pilot trial in Colombia. Also, to increase the
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amount of diagnosis training of vascular surgery (VS) in civilians.
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Design/methodology/approachThe operation method includes five stages:
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strategy development and adjustment; translation of the strategy into a
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real-world setting; operation logistics planning; strategy analysis and
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adoption. The operation plan worked efficiently in this study''s sample.
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It demonstrated high sensibility, efficiency and safety in a real-world
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setting. FindingsThe authors developed and implemented a flow model
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operating plan for screening vascular pathologies in low-income patients
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pro bono without proper access to vascular health care. A total of 140
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patients from rural areas in Colombia were recruited to a controlled
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screening session where they underwent serial noninvasive ultrasound
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assessments conducted by health professionals of different training
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stages in VS. Research limitations/implicationsThe plan was designed to
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be implemented in remote, conflict areas with limited access to VS care.
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Vascular injuries are critically important and common among civilians
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and military forces in regions with active armed conflicts. As this
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strategy can be modified and adapted to different medical specialties
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and geographic areas, the authors recommend checking the related
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legislation and legal aspects of the intended areas where we will
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implement this tool. Practical implicationsDifferent sub-specialties can
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implement the described method to be translated into significant areas
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of medicine, as the authors can adjust the deployment and execution for
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the assessment in peripheral areas, conflict zones and other public
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health crises that require a faster response. This is necessary, as the
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amount of training to which VS trainees are exposed is low. A simulated
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exercise offers a novel opportunity to enhance their current diagnostic
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skills using ultrasound in a controlled environment. Social
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implicationsEvaluating and assessing patients with limited access to
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vascular medicine and other specialties can decrease the burden of
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vascular disease and related complications and increase the number of
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treatments available for remote communities. Originality/valueIt is
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essential to assess the most significant number of patients and treat
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them according to their triage designation. This management is similar
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to assessment in remote areas without access to a proper VS consult. The
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authors were able to determine, classify and redirect to therapeutic
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interventions the patients with positive findings in remote areas with a
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fast deployment methodology in VS. Plain language summaryAccess to
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health care is limited due to multiple barriers and the assessment and
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response, especially in peripheral areas that require a highly skilled
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team of medical professionals and related equipment. The authors tested
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a novel mobile assessment tool for remote and conflict areas in a rural
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zone of Colombia.'
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affiliation: 'Rocha, O (Corresponding Author), Univ Los Andes, Med Sch, Bogota, Colombia.
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Rocha, O (Corresponding Author), Fdn Santa Fe Bogota Univ Hosp, Div Vasc \& Endovasc
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Surg, Bogota, Colombia.
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Rocha, O (Corresponding Author), Univ Michigan, Dept Vasc Surg, Ann Arbor, MI 48109
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USA.
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Rocha, Oscar Moreno Y.; Pinto, Paula; Cifuentes, Sebastian; Ulloa, Jorge H., Univ
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Los Andes, Med Sch, Bogota, Colombia.
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Rocha, Oscar Moreno Y.; Pinto, Paula; Cifuentes, Sebastian; Ulloa, Jorge H., Fdn
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Santa Fe Bogota Univ Hosp, Div Vasc \& Endovasc Surg, Bogota, Colombia.
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Rocha, Oscar Moreno Y., Univ Michigan, Dept Vasc Surg, Ann Arbor, MI 48109 USA.
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Consuegra, Maria C., Univ Norte, Med Sch, Barranquilla, Colombia.'
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author: Rocha, Oscar Moreno Y. and Pinto, Paula and Consuegra, Maria C. and Cifuentes,
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Sebastian and Ulloa, Jorge H.
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author-email: 'oscar.md@icloud.com
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p.pinto@uniandes.edu.co
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cconsuegram@uninorte.edu.co
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js.cifuentes12@uniandes.edu.co
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vascuandes@icloud.com'
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author_list:
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- family: Rocha
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given: Oscar Moreno Y.
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- family: Pinto
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given: Paula
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- family: Consuegra
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given: Maria C.
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- family: Cifuentes
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given: Sebastian
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- family: Ulloa
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given: Jorge H.
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da: '2023-09-28'
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doi: 10.1108/JHLSCM-04-2022-0047
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earlyaccessdate: JUL 2023
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eissn: 2042-6755
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files: []
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issn: 2042-6747
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journal: JOURNAL OF HUMANITARIAN LOGISTICS AND SUPPLY CHAIN MANAGEMENT
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keywords: 'Flow assessment; Assembly line; Aortic aneurysm; Chronic venous disease;
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Ultrasound; Combat casualty care'
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keywords-plus: 'ABDOMINAL AORTIC-ANEURYSMS; CARE; IMPLEMENTATION; POPULATION; MORTALITY;
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SURGERY; LESSONS; SYSTEM; WAR'
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language: English
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month: 2023 JUL 11
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number-of-cited-references: '59'
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papis_id: adfdfb9ce586847d9d7bfbf8f4154e6b
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ref: Rocha2023mobileultrasound
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times-cited: '0'
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title: Mobile ultrasound vascular assessment (MUVA) for remote and conflict areas
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type: article
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unique-id: WOS:001023619300001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '1'
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web-of-science-categories: Management
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year: '2023'
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