The model takes into account the proportion of people likely to be using public transport as a function of estimated walking time to clinic , the quality and distribution of the road network and natural barriers, and was calibrated using reported travel times. Sixty-seven of 159 42% facilities accepted self-referred women. The scarcity of imaging services in developing regions contributes to a widening disparity of health care and limits global public health programs that require imaging. This chapter addresses many of the legal issues involved in creating and operating a nonprofit organization that is capable of conducting an international radiology project. © 2014 Springer Science+Business Media New York.
Methods: Inner-city Hispanic children were followed prospectively in an asthma-specific disease management system Breathmobile for a period of 2 years. It is important to understand the socioeconomic and the demographic data as related to trauma in the developing world, including traumatic brain injury, spinal cord injury, abdominal injury, and extremity injury. It explores the role of radiology in addressing health care disparities and highlights strategies for radiology services planning and implementation in low resource settings. During the 2002-2010 period, 2,292,592 screening mammograms were performed, of which 42,279 1. Global Health Radiology Strategies and Implementation Radiology in Global Health.
Logistic regression was fitted using generalized estimating equations to account for potential repeat annual visits to the mobile unit. The estimated median travel time to the district hospital is 170 min. This chapter outlines the economic components of different radiology services and discusses the impact of different national systems and practice management strategies inherent in promoting the growth of imaging services. The E-mail message field is required. Examples in this presentation include India, China, Haiti, Latin America and Africa. Examination of the published epidemiologic data from around the world reveals unique characteristics and dissimilarities of these countries with high maternal mortality.
Factors associated with good asthma control were compliance, no previous emergency room visits and previous visit during spring season. Many illnesses disproportionately affect certain populations, due to disparities in healthcare access and social determinants of health. One hundred fourteen of 152 75% facilities charged +80. Improvement in local training will be critical with the concomitant expansion of imaging services to provide improved distribution channels for therapies. A more widespread use of medical imaging would enable more targeted treatment plans that could ultimately reduce disease mortality while improving the quality of life in developing countries. Since the adoption of the Millennium Development goals, there has been increased deployment of resources towards this issue with little improvement.
To systematically deploy clinical imaging services to low-resource settings requires contributions from a variety of disciplines such as clinical radiology, epidemiology, public health, finance, radiation physics, information technology, engineering, and others. © 2014 Springer Science+Business Media New York. Overall, high-level work has been accomplished towards medical exposure justification and optimization, but low-resource grassroots healthcare has yet to reap full benefits of the Bonn Call for Action. The only book of its kind to Daniel J. The exhibit will further detail the strategies outlined above. By understanding what has been done and what remains to be done, one can construct a better picture of how to close the gap in access to imaging technology around the word.
Objective: Mobile mammography units have increasingly been used to address patient health care disparities; however, there are limited data comparing mobile units to stationary sites. To help define radiology's role in present and future influenza outbreaks, it is important to understand how radiologists have responded to past epidemics and how these outbreaks influenced the development of imaging science. © 2014 Springer Science+Business Media New York. Aim: The goal of this study reviewed the challenges faced when creating mobile clinics to understand the challenges and provide accessible and feasible medical care in remote locations. Performance was measured by screening sensitivity, false-positive rate 1-specificity , positive likelihood ratio as well as abnormal call rate, detection rate, interval cancer rate, positive predictive value, and tumour characteristics. We conducted a cluster randomized clinical trial to compare the benefit of offering on-site mobile mammography in addition to an outreach program designed to increase mammography use by educating patients. Strategies for responsible education and sustainable outreach program development include designing and executing a formalized curriculum focused on components necessary for medical imaging utilization in low-resource settings.
Low-income countries, on the other hand, have not benefitted from such technological developments due to a variety of factors, including persistent weaknesses in infrastructure; human resources, economical constraints, and culture also contribute as significant barriers. It is your own responsibility to adhere to these terms. For more than a century, radiology has been mobilized on transport vehicles to reach isolated populations. An important general safety consideration for all imaging modalities is assuring proper clinical utilization; proper utilization includes factors such as not performing imaging procedures without medical referral and supervision, attention to image quality to ensure that procedures do not need to be repeated unnecessarily, and carefully considering the clinical appropriateness of any requested imaging procedure. Objective: To determine whether significant numbers of asthmatic children with initially rated intermittent asthma later suffer poor asthma control and require the addition of controller medications. To address this worldwide problem, multidisciplinary approaches should be optimized to include economic development, health care system evaluation, technology innovation, clinical education, and technical training.
Diseases such as amebiasis, echinococcosis, and neurocysticercosis are seen frequently in the developing world; one should have a high index of suspicion of these diagnoses when evaluating imaging of patients from endemic regions. Creative implementation of the most basic and relatively inexpensive radiological equipment has made interventional procedures possible in the underserved world; commonly performed procedures in developed nations can be modified as a lower-cost technique with minimal changes in efficacy or safety. © 2014 Springer Science+Business Media New York. However, appropriately considering the cultural norms and expectations of the community can contribute to the success of the project, while neglecting to do so may lead to misunderstanding and ultimately failure. Mobile programs provide an opportunity to increase access to screening mammography, but they face many obstacles.