Geographical and socioeconomic disparities in the use of percutaneous coronary intervention in the Philippines

Callanta, Maria Llaine J.; Cando, Leslie Faye T.; Ceriales, Jeremy A.; Punzalan, Felix Eduardo R.; Tantengco, Ourlad Alzeus G.

doi:10.1016/j.lanwpc.2022.100477

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…31 The implications can carry over to other developing Asian countries with large populations, such as Indonesia, Philippines, and Bangladesh, where there is a similar trend of top-ranked cardiovascular care facilities residing in 3 main cities/states in the country. [32][33][34] In poorer areas having access to care via mHealth can help strengthen primary care to prevent and manage chronic conditions. mHealth can also provide a medium to disseminate cardiovascular health education and promotion to regions that often would not receive such information.…”

Section: Socioeconomic Implicationsmentioning

confidence: 99%

Revolutionizing access to cardiovascular care for 1.4 billion people - How mobile health apps and services evolved from 2016-2020 in China and its implications

Gao

2024

Preprint

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Background Cardiovascular diseases (CVDs) create a large disease burden in China. The country’s large population and land mass make access to CVD care difficult. The virtual model of care provided through mobile health (mHealth) can improve access to care and management of chronic CVDs on a population level. The article aims to examine the evolution of mHealth coverage, patient usage, and service development and delivery for CVD on a national level and describe its potential to impact access to cardiovascular care in developing countries. Methods We collected data on mHealth platforms for telemedicine of CVDs in the Chinese market in 2016, 2017, 2019 and 2020 from platforms available to the general public. Factors affecting access to CVD care were analyzed including 1) longitudinal changes of mHealth services provided per region; 2) medical facility coverage rate per province by mHealth apps; 3) distribution of specific cardiovascular conditions being sought on mHealth apps; and 4) the flow of patients across geographies to receive telemedicine. Descriptive statistics were used. Findings 45.8% of tertiary hospitals were accessible by mHealth apps in 2016, this grew at an average annual growth rate of 10.7% between 2016 to 2020. Regions with a higher economic level, population, percentage of elderly, and internet penetration, rather than CVD burden, had better mHealth coverage. 34% and 67% of patients consulted doctors outside of their own provinces in 2016 and 2020, respectively. Wealthiest areas of Beijing, Shanghai and Guangdong were the preferred destinations (57.1% in 2016, 38.4% in 2020) for patients seeking interprovincial care. The top 3 disease types were the common chronic CVDs of hypertension, coronary artery disease and arrhythmia. Interpretation The uniform functionality available across provinces and apps suggest a mature technological and health service infrastructure across Mainland China, where the widespread adoption of service delivery and offerings (such as payment, tracking, telemedicine, etc.) via mHealth apps show a step toward democratizing access to care across the country. The inter-provincial flow of patients to HCPs suggests poorer and resource-scarce areas are poised to benefit more while the burden on major cities can be ameliorated; We found regions that are traditionally underdeveloped and lacking in access to care had the most increase in services available. However, adequate technological infrastructure needs to be available and mobile technology widely adopted by patients and medical facilities. Funding None of the authors were paid by a company or other agency for the writing of this manuscript. This study was supported by the National High Level Hospital Clinical Research Funding grant awarded by the Chinese Academy of Medical Sciences to Wei Chen (grant nos.: 2022-PUMCH-B-0252 and 2022-PUMCH-C-069) for data analysis and interpretation.

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Section: Socioeconomic Implicationsmentioning

confidence: 99%

Revolutionizing access to cardiovascular care for 1.4 billion people - How mobile health apps and services evolved from 2016-2020 in China and its implications

Gao

2024

Preprint

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“…However, regional differences in access to these services, such as the unevenly distributed percutaneous coronary interventions (PCI)-capable hospitals, are a continuing concern. A limited number of PCI centers in the country are only concentrated in 13, 7, and 5 hospitals in highly-urbanized cities of Luzon, Visayas, and Mindanao respectively [66]. Cardiology training programs are also only accessible in major urbanized areas, having only 20 accredited training institutions in 17 major cities in Luzon, 3 in the Visayas, and none in Mindanao [67].…”

Section: Mortality By Confounding Factorsmentioning

confidence: 99%

Heart disease mortality in the Philippines from 1960 to 2019: a big data analysis

Cabanlit

Morilla²,

Luga³

et al. 2023

IJPHS

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Heart diseases remain one of the major health concerns worldwide, inflicting a tremendous financial burden, especially in low to middle-income countries like the Philippines. An exhaustive time-trend analysis, including recent data, is essential to measure the nation's progress in cardiac health, capturing the effect of national-scale changes over time. Thus, using stored data from the Philippine health statistics, this study analyzed trends and profiles of heart disease mortality in the Philippines from 1960 to 2019 and discussed relevant national policies for greater recognition and awareness. Ischaemic heart disease constituted the most significant proportion of mortality among all types. Steadily increasing trends by cause, gender, age group were observed, and with males and the elderly population having higher rates. Regional differences also existed, having the highest rates in Luzon, the Visayas, and Mindanao respectively. Like global patterns, heart disease remained one of the country's leading causes of mortality over decades. Differences between genderes, age groups, and regions are attributed to complex and interrelated factors making males, the elderly, and highly urbanized areas most vulnerable among the population.

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“…Over 60% of hospitalizations for ACS are due to STEMI in India, and 80%. in China [9][10][11][12] ACS, particularly STEMI, requires prompt intervention and coordination of systems. Creating efficient systems in resource-constrained contexts is challenging.…”

Section: Acs Treatment In Lmicmentioning

confidence: 99%

Catheter Laboratory Facilities in Indonesia: Number, Growth, and Distribution in The Largest Archipelago Nation

Muharram

Andrianto

Salsabilla

et al. 2023

Preprint

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Background: Indonesia, the world's largest archipelago and fourth most populous nation, has limited transportation due to geographical obstacles. This affects the provision of acute time-dependent therapy such as Percutaneous Coronary Intervention (PCI). Indonesia's ageing population, which will increase Acute Coronary Syndrome prevalence in the next decade, will worsen this problem. Therefore, the analysis and enhancement of cardiovascular care are crucial. The catheterization laboratory (cath lab) performs PCI procedures. This study maps the number and distribution of Indonesia's cath lab facilities. Methods: A direct survey was used to collect cath lab location data. Population data came from the Ministry of Home Affairs. The growth of cath labs is shown and analyzed by region. The ratio and the Gini index are the primary comparison tools between regions and over time. Findings: The number of cath labs in Indonesia significantly increased from 181 to 310 in the last five years, with 44 of the 119 new labs built in an area that did not have one. Java has the most cath labs (208 cath labs, 67%). The cath lab ratio in the provinces of Indonesia ranges from 0.0 in West Papua and Maluku to 4.46 in Jakarta; the median is 1.09. (IQR 0.71-1.18). The distribution remains a problem, as shown by the high cath lab Gini index (0.48). Interpretation The number of cath labs in Indonesia has increased significantly in recent years. However, maldistribution remains a concern. in order to improve Indonesia's cardiovascular emergency services, Future cath lab development must be planned better by considering the facility accessibility and density. Funding: The study was conducted with the researcher's funds

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Geographical and socioeconomic disparities in the use of percutaneous coronary intervention in the Philippines

Cited by 3 publications

References 3 publications

Revolutionizing access to cardiovascular care for 1.4 billion people - How mobile health apps and services evolved from 2016-2020 in China and its implications

Revolutionizing access to cardiovascular care for 1.4 billion people - How mobile health apps and services evolved from 2016-2020 in China and its implications

Heart disease mortality in the Philippines from 1960 to 2019: a big data analysis

Catheter Laboratory Facilities in Indonesia: Number, Growth, and Distribution in The Largest Archipelago Nation

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