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Decentralization and integration of advanced cardiac care for the world’s poorest billion through the PEN-plus strategy for severe chronic non-communicable disease

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dc.contributor.authorKlassen, Sheila L.
dc.contributor.authorOkello, Emmy
dc.contributor.authorFerrer, Jose M. E.
dc.contributor.authorAlizadeh, Faraz
dc.contributor.authorBarango, Prebo
dc.contributor.authorChillo, Pilly
dc.contributor.authorChimalizeni, Yamikani
dc.contributor.authorDagnaw, Wubaye Walelgne
dc.contributor.authorEiselé, Jean-Luc
dc.contributor.authorEberly, Lauren
dc.contributor.authorGomanju, Anu
dc.contributor.authorGupta, Neil
dc.contributor.authorKoirala, Bhagawan
dc.contributor.authorKpodonu, Jacques
dc.contributor.authorKwan, Gene
dc.contributor.authorMailosi, Bright G. D.
dc.contributor.authorMbau, Lilian
dc.contributor.authorMutagaywa, Reuben
dc.contributor.authorPfaff, Colin
dc.contributor.authorPiñero, Daniel
dc.contributor.authorPinto, Fausto J.
dc.contributor.authorRusingiza, Emmanuel
dc.contributor.authorSanni, Usman Abiola
dc.contributor.authorSanyahumbi, Amy
dc.contributor.authorShakya, Urmila
dc.contributor.authorSharma, Sanjib Kumar
dc.contributor.authorSherpa, Kunjang
dc.contributor.authorSinabulya, Isaac
dc.contributor.authorWroe, Emily B.
dc.contributor.authorBukhman, Gene
dc.contributor.authorMocumbi, Ana
dc.date.accessioned2024-04-03T15:19:13Z
dc.date.available2024-04-03T15:19:13Z
dc.date.issued2024
dc.description© 2024 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/ licenses/by/4.0/.pt_PT
dc.description.abstractRheumatic and congenital heart disease, cardiomyopathies, and hypertensive heart disease are major causes of suffering and death in low- and lower middle-income countries (LLMICs), where the world's poorest billion people reside. Advanced cardiac care in these counties is still predominantly provided by specialists at urban tertiary centers, and is largely inaccessible to the rural poor. This situation is due to critical shortages in diagnostics, medications, and trained healthcare workers. The Package of Essential NCD Interventions - Plus (PEN-Plus) is an integrated care model for severe chronic noncommunicable diseases (NCDs) that aims to decentralize services and increase access. PEN-Plus strategies are being initiated by a growing number of LLMICs. We describe how PEN-Plus addresses the need for advanced cardiac care and discuss how a global group of cardiac organizations are working through the PEN-Plus Cardiac expert group to promote a shared operational strategy for management of severe cardiac disease in high-poverty settings.pt_PT
dc.description.sponsorshipThe PEN-Plus Cardiac Expert group is supported through grant #192269 from the American Heart Association.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationGlob Heart. 2024 Mar 27;19(1):33pt_PT
dc.identifier.doi10.5334/gh.1313pt_PT
dc.identifier.eissn2211-8179
dc.identifier.issn2211-8160
dc.identifier.urihttp://hdl.handle.net/10451/63934
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherUbiquity Presspt_PT
dc.relation.publisherversionhttps://globalheartjournal.com/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAdvanced cardiac diseasept_PT
dc.subjectDecentralizationpt_PT
dc.subjectHeart failurept_PT
dc.subjectLow-income countrypt_PT
dc.titleDecentralization and integration of advanced cardiac care for the world’s poorest billion through the PEN-plus strategy for severe chronic non-communicable diseasept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.titleGlobal Heartpt_PT
oaire.citation.volume19pt_PT
person.familyNamePinto
person.givenNameFausto J.
person.identifier1308889
person.identifier.ciencia-idC311-AEDD-6DBB
person.identifier.orcid0000-0002-8034-4529
person.identifier.ridG-9363-2015
person.identifier.scopus-author-id7102740158
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication5f44176f-69f5-482c-83cd-ab94425a6ec3
relation.isAuthorOfPublication.latestForDiscovery5f44176f-69f5-482c-83cd-ab94425a6ec3

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