Addressing Noncommunicable Disease on Short-Term Medical Trips: A Longitudinal Study of Hypertension Treatment in Santo Domingo

Background: Noncommunicable diseases (NCDs) are the leading cause of mortality worldwide and pose complex challenges in developing nations. Short-term medical trips, which often operate independently of government and pharmaceutical companies, are in a unique position to address NCDs in developing n...

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Autores principales:	Camille Hochheimer, Marwah Khalid, Michelle Vy, Goldie Chang, Dien Tu, Mark Ryan
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	blood pressure global health hypertension noncommunicable disease official medical mission short-term medical trips Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/6acf9c4fb83244408a4cf997c0f0f333
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spelling	oai:doaj.org-article:6acf9c4fb83244408a4cf997c0f0f3332021-12-02T02:36:37ZAddressing Noncommunicable Disease on Short-Term Medical Trips: A Longitudinal Study of Hypertension Treatment in Santo Domingo2214-999610.1016/j.aogh.2017.10.004https://doaj.org/article/6acf9c4fb83244408a4cf997c0f0f3332017-12-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/159https://doaj.org/toc/2214-9996Background: Noncommunicable diseases (NCDs) are the leading cause of mortality worldwide and pose complex challenges in developing nations. Short-term medical trips, which often operate independently of government and pharmaceutical companies, are in a unique position to address NCDs in developing nations. In 2010, the Dominican Aid Society of Virginia shifted the focus of their semiannual clinic to addressing NCDs in Paraíso, Santo Domingo. Objective: This study analyzes the longitudinal impact of a short-term medical trip on the control of <a title="Learn more about Hypertension" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/hypertension">hypertension</a> in their patient population. Methods: Returning patients were identified through a review of medical records from 2014 and 2016. A sample of patients who only visited in either 2014 or 2016 were matched on sex and age and served as an internal comparison group. A generalized linear mixed model was applied to assess changes in blood pressure, the proportion of patients receiving blood pressure treatment, and the intensity of blood pressure treatment within and between returning and new patients over the study period. Findings: There was a significant decrease in <a title="Learn more about Diastole" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diastole">diastolic</a> blood pressure within returning patients. Change in <a title="Learn more about Systole" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/systole">systolic</a> blood pressure was significantly different between returning and new patients, with improvement in returning patients. There was a significant increase in the proportion of new patients receiving blood pressure treatment and a higher intensity of blood pressure treatment over time. The change in the proportion of patients receiving blood pressure treatment in the new patient group was significantly higher than that of the returning patient group. Conclusions</h3>Short-term medical trips with a recurrent presence in a community may improve control of hypertension and other NCDs in developing nations. Further research into the impact that short-term medical trips may have on NCDs is needed.Camille HochheimerMarwah KhalidMichelle VyGoldie ChangDien TuMark RyanUbiquity Pressarticleblood pressureglobal healthhypertensionnoncommunicable diseaseofficial medical missionshort-term medical tripsInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 3-4, Pp 471-477 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	blood pressure global health hypertension noncommunicable disease official medical mission short-term medical trips Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	blood pressure global health hypertension noncommunicable disease official medical mission short-term medical trips Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Camille Hochheimer Marwah Khalid Michelle Vy Goldie Chang Dien Tu Mark Ryan Addressing Noncommunicable Disease on Short-Term Medical Trips: A Longitudinal Study of Hypertension Treatment in Santo Domingo
description	Background: Noncommunicable diseases (NCDs) are the leading cause of mortality worldwide and pose complex challenges in developing nations. Short-term medical trips, which often operate independently of government and pharmaceutical companies, are in a unique position to address NCDs in developing nations. In 2010, the Dominican Aid Society of Virginia shifted the focus of their semiannual clinic to addressing NCDs in Paraíso, Santo Domingo. Objective: This study analyzes the longitudinal impact of a short-term medical trip on the control of <a title="Learn more about Hypertension" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/hypertension">hypertension</a> in their patient population. Methods: Returning patients were identified through a review of medical records from 2014 and 2016. A sample of patients who only visited in either 2014 or 2016 were matched on sex and age and served as an internal comparison group. A generalized linear mixed model was applied to assess changes in blood pressure, the proportion of patients receiving blood pressure treatment, and the intensity of blood pressure treatment within and between returning and new patients over the study period. Findings: There was a significant decrease in <a title="Learn more about Diastole" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diastole">diastolic</a> blood pressure within returning patients. Change in <a title="Learn more about Systole" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/systole">systolic</a> blood pressure was significantly different between returning and new patients, with improvement in returning patients. There was a significant increase in the proportion of new patients receiving blood pressure treatment and a higher intensity of blood pressure treatment over time. The change in the proportion of patients receiving blood pressure treatment in the new patient group was significantly higher than that of the returning patient group. Conclusions</h3>Short-term medical trips with a recurrent presence in a community may improve control of hypertension and other NCDs in developing nations. Further research into the impact that short-term medical trips may have on NCDs is needed.
format	article
author	Camille Hochheimer Marwah Khalid Michelle Vy Goldie Chang Dien Tu Mark Ryan
author_facet	Camille Hochheimer Marwah Khalid Michelle Vy Goldie Chang Dien Tu Mark Ryan
author_sort	Camille Hochheimer
title	Addressing Noncommunicable Disease on Short-Term Medical Trips: A Longitudinal Study of Hypertension Treatment in Santo Domingo
title_short	Addressing Noncommunicable Disease on Short-Term Medical Trips: A Longitudinal Study of Hypertension Treatment in Santo Domingo
title_full	Addressing Noncommunicable Disease on Short-Term Medical Trips: A Longitudinal Study of Hypertension Treatment in Santo Domingo
title_fullStr	Addressing Noncommunicable Disease on Short-Term Medical Trips: A Longitudinal Study of Hypertension Treatment in Santo Domingo
title_full_unstemmed	Addressing Noncommunicable Disease on Short-Term Medical Trips: A Longitudinal Study of Hypertension Treatment in Santo Domingo
title_sort	addressing noncommunicable disease on short-term medical trips: a longitudinal study of hypertension treatment in santo domingo
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/6acf9c4fb83244408a4cf997c0f0f333
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Addressing Noncommunicable Disease on Short-Term Medical Trips: A Longitudinal Study of Hypertension Treatment in Santo Domingo

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