Universidad Peruana Cayetano Heredia

Addressing post-stroke care in rural areas with Peru as a case study. Placing emphasis on evidence-based pragmatism

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dc.contributor.author Miranda, J. Jaime
dc.contributor.author Moscoso, Miguel G.
dc.contributor.author Yan, Lijing L.
dc.contributor.author Diez-Canseco Montero, Francisco
dc.contributor.author Málaga Rodríguez, Germán Javier
dc.contributor.author García Lescano, Héctor Hugo
dc.contributor.author Ovbiagele, Bruce
dc.date.accessioned 2019-01-25T16:59:36Z
dc.date.available 2019-01-25T16:59:36Z
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12866/4869
dc.description.abstract Stroke is a major cause of death and disability, with most of its burden now affecting low- and middle-income countries (LMIC). People in rural areas of LMIC who have a stroke receive very little acute stroke care and local healthcare workers and family caregivers in these regions lack the necessary knowledge to assist them. Intriguingly, a recent rapid growth in cell-phone use and digital technology in rural areas has not yet been appropriately exploited for health care training and delivery purposes. What should be done in rural areas, at the community setting-level, where access to healthcare is limited remains a challenge. We review the evidence on improving post-stroke outcomes including lowering the risks of functional disability, stroke recurrence, and mortality, and propose some approaches, to target post-stroke care and rehabilitation, noting key challenges in designing suitable interventions and emphasizing the advantages mHealth and communication technologies can offer. In the article, we present the prevailing stroke care situation and technological opportunities in rural Peru as a case study. As such, by addressing major limitations in rural healthcare systems, we investigate the potential of task-shifting complemented with technology to utilize and strengthen both community-based informal caregivers and community healthcare workers. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Journal of the Neurological Sciences
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject mHealth en_US
dc.subject Stroke en_US
dc.subject Telemedicine en_US
dc.subject Disabled Persons en_US
dc.subject Peru/epidemiology en_US
dc.subject Evidence-Based Practice en_US
dc.subject Implementation science en_US
dc.subject Rural Population/statistics & numerical data en_US
dc.subject Stroke Rehabilitation/statistics & numerical data en_US
dc.subject Stroke/epidemiology/therapy en_US
dc.subject Task-shifting en_US
dc.title Addressing post-stroke care in rural areas with Peru as a case study. Placing emphasis on evidence-based pragmatism en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1016/j.jns.2017.02.027
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.25
dc.relation.issn 1878-5883


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