Robust multi-period capacity, location, and access of rural cardiovascular services under uncertainty

2022 ◽  
Author(s):  
Dominic J. Breuer ◽  
Nadia Lahrichi ◽  
Mohit Shukla ◽  
James C. Benneyan
Keyword(s):  
Cardiovascular Services

Cardiovascular Services

2013 ◽  
pp. 149-160
Author(s):  
Bradley Leonard ◽  
William Cooksey ◽  
Michael Sanborn ◽  
Mark Valentine ◽  
Michael Mack ◽  
...  
Keyword(s):  
Cardiovascular Services

Abstract 164: Impact of Sex and Race on the Likelihood of Mortality, Cardiology Consultation, and Coronary Angiography Among Hospitalized Patients Evaluated With Cardiac Troponin

2017 ◽  
Vol 10 (suppl_3) ◽  
Author(s):  
David E Winchester ◽  
Christopher Estel ◽  
Kristopher Kline ◽  
Sean Taasan ◽  
Ki Park ◽  
...  
Keyword(s):  
Cardiac Catheterization ◽  
Black Race ◽  
Risk Of Death ◽  
Cox Proportional Hazard ◽  
Risk Of Mortality ◽  
Black Patients ◽  
Highly Sensitive ◽  
Comorbidity Index ◽  
Male Sex ◽  
Cardiovascular Services

Introduction: Serum troponin (Tn) is a highly sensitive test useful in diagnosing acute myocardial infarction. Elevated Tn is associated with higher mortality and greater use of cardiovascular services. The effect of sex and race on these observations has not been well characterized. We hypothesize that sex and race will be independent predictors of cardiology consultation and cardiac catheterization. Methods: We analyzed adult patients hospitalized between 2012 and 2015 who had Tn testing. Patients were compared in 2 cohorts: those with and those without elevation in Tn. We extracted data on demographics, self-reported race, medical history, new inpatient diagnoses, Charlson comorbidity index (CCI), and mortality (up to 3 years). We developed a Cox proportional hazard model for mortality and used logistic regression to determine associations with cardiology consultation and cardiac catheterization. Results: Of the 26,663 included, 22.0% were black, 50.1% were women, 9.8% had diabetes, and 6.4% had pre-existing coronary disease. Cardiac catheterization was performed on 1,800 (6.8%), 3,672 (13.8%) had a cardiology consult, and 4,962 (18.6%) had elevated Tn. Among the variables associated with cardiology consultation were elevated Tn (odds ratio [OR] =3.44, 95% confidence interval [CI] 3.19-3.72, p<0.0001), male sex (OR=1.29, 95% CI 1.20-1.39, p<0.0001) and black race (OR=0.85, 95% CI 0.77-0.93, p=0.0006). Cardiac catheterization was associated with elevated Tn (OR=8.16, 95% CI 7.34-9.06, p<0.0001), male sex (OR=1.45, 95% CI 1.31-1.61, p<0.0001), CCI >4 (OR=0.44, 95% CI 0.35-0.54, p<0.0001), and black race (OR=0.72, 95% CI 0.63-0.82, p<0.0001). A total of 4,697 patients died during follow-up. Elevated Tn (hazard ratio [HR] =2.05, p<0.0001), male sex (HR=1.14, p<0.0001), and CCI >4 (HR=3.33, p<0.0001) were associated with a higher risk of death, while risk among black patients was lower (HR=0.86, p<0.0001). Conclusion: As observed in other investigations, elevated Tn is associated with a higher risk of mortality, cardiac catheterization, and cardiology consultation. We observed that men were more likely to undergo catheterization and consultation, while black patients were less likely to have either. Further investigation into reasons for the observed disparities is warranted.

Sanders Hospital and Health Center: A Case Study

1997 ◽  
Vol 22 (1) ◽  
pp. 75-89 ◽  
Author(s):  
Ken Chadwick ◽  
James J. Chrisman ◽  
Anthony F. Jurkus
Keyword(s):  
Health Center ◽  
Market Area ◽  
Hospital Industry ◽  
Cardiovascular Services ◽  
Regional Hospitals

This case study examines Sanders Hospital's (fictitious name) decision on a strategy for developing a specialized cardiovascular program. Cardiovascular services had been identified as an opportunity to assist Sanders better compete in the turbulent hospital industry. The hospital was in the process of determining the best alternative for seizing and pursuing this opportunity. Two options were under consideration. First, Sanders could implement the program internally and compete directly in the market. The second option was to jointly develop the cardiovascular program through an alliance with one of the two regional hospitals who were contemplating entering Sanders’ market area.

scholarly journals Assessing the readiness of health facilities for diabetes and cardiovascular services in Bangladesh: a cross-sectional survey

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e022817 ◽  
Author(s):  
Tuhin Biswas ◽  
M Moinuddin Haider ◽  
Rajat Das Gupta ◽  
Jasim Uddin
Keyword(s):  
Health Facilities ◽  
Diagnosis And Treatment ◽  
Secondary Outcome ◽  
Cross Sectional Survey ◽  
Readiness Assessment ◽  
Cross Sectional ◽  
Trained Staff ◽  
Facility Survey ◽  
Cardiovascular Services ◽  
Medicine Supply

ObjectiveThe objective of this study was to assess the readiness of health facilities for diabetes and cardiovascular services in Bangladesh.DesignThis study was a cross-sectional survey.SettingThis study used data from a nationwide Bangladesh Health Facility Survey conducted by the Ministry of Health and Social Welfare in 2014.ParticipantsA total of 319 health facilities delivering services focused on diabetes and cardiovascular diseases (CVD) were included in the survey. Some of these facilities were run by the public sector while others were managed by the private sector and non-governmental organisations. It was a mix of primary and secondary care facilities.Primary and secondary outcome measuresThe primary outcome was readiness of health facilities for diabetes and cardiovascular services. We analysed relevant data following the Service Availability and Readiness Assessment manual of the WHO to assess the readiness of selected health facilities towards services for diabetes and CVD.Results58% and 24.1% of the facilities had diagnosis and treatment services for diabetes and CVD, respectively. Shortage of trained staff (18.8% and 14.7%) and lack of adequate medicine supply (23.5% and 43.9%) were identified to be factors responsible for inadequate services for diabetes and CVD. Among the facilities that offer services for diabetes and CVD, only 0.4% and 0.9% had all the four service readiness factors (guideline, trained staff, equipment and medicine).ConclusionsThe study suggests that health facilities suffered from numerous drawbacks, such as shortage of trained staff and required medicine. Most importantly, they lack effective guidelines on the diagnosis and treatment for diabetes and CVD. It is, therefore, essential now to ensure that there are trained staff, adequate medicine supply, and appropriate guidelines on the diagnosis and treatment for diabetes and CVD in Bangladesh.

scholarly journals Safe Reintroduction of Cardiovascular Services During the COVID-19 Pandemic: From the North American Society Leadership

2020 ◽  
Vol 36 (7) ◽  
pp. 971-976 ◽  
Author(s):  
David A. Wood ◽  
Ehtisham Mahmud ◽  
Vinod H. Thourani ◽  
Janarthanan Sathananthan ◽  
Alice Virani ◽  
...  
Keyword(s):  
North American ◽  
North American Society ◽  
The North ◽  
American Society ◽  
Cardiovascular Services

scholarly journals Establishing Pediatric Cardiovascular Services in the Developing World

Circulation ◽  
2007 ◽  
Vol 116 (17) ◽  
pp. 1876-1878 ◽  
Author(s):  
Magdi H. Yacoub
Keyword(s):  
Developing World ◽  
Cardiovascular Services

scholarly journals CARDIAC-ARIA: Measuring the Accessibility to Cardiovascular Services in Rural and Remote Australia Via Applied Geographical Spatial Technology (GIS)

2008 ◽  
Vol 17 ◽  
pp. S23
Author(s):  
Robyn Clark ◽  
Andrew Tonkin ◽  
David Wilkinson ◽  
Kerena Eckert ◽  
Neil Coffee ◽  
...  
Keyword(s):  
Rural And Remote ◽  
Cardiovascular Services ◽  
Spatial Technology
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