Version 1
: Received: 27 October 2022 / Approved: 28 October 2022 / Online: 28 October 2022 (09:30:44 CEST)
How to cite:
Kost, G.; Fuzery, A.; Caratao, L.; Tinsay, S.; Zadran, A.; Ybanez, A. Point-of-Care Testing, Spatial Care Paths, and Enhanced Standards of Care – Preparing Island Communities for Global Warming and Rising Oceans. Preprints2022, 2022100446. https://doi.org/10.20944/preprints202210.0446.v1
Kost, G.; Fuzery, A.; Caratao, L.; Tinsay, S.; Zadran, A.; Ybanez, A. Point-of-Care Testing, Spatial Care Paths, and Enhanced Standards of Care – Preparing Island Communities for Global Warming and Rising Oceans. Preprints 2022, 2022100446. https://doi.org/10.20944/preprints202210.0446.v1
Kost, G.; Fuzery, A.; Caratao, L.; Tinsay, S.; Zadran, A.; Ybanez, A. Point-of-Care Testing, Spatial Care Paths, and Enhanced Standards of Care – Preparing Island Communities for Global Warming and Rising Oceans. Preprints2022, 2022100446. https://doi.org/10.20944/preprints202210.0446.v1
APA Style
Kost, G., Fuzery, A., Caratao, L., Tinsay, S., Zadran, A., & Ybanez, A. (2022). Point-of-Care Testing, Spatial Care Paths, and Enhanced Standards of Care – <i>Preparing Island Communities for Global Warming and Rising Oceans</i>. Preprints. https://doi.org/10.20944/preprints202210.0446.v1
Chicago/Turabian Style
Kost, G., Amanullah Zadran and Adrian Ybanez. 2022 "Point-of-Care Testing, Spatial Care Paths, and Enhanced Standards of Care – <i>Preparing Island Communities for Global Warming and Rising Oceans</i>" Preprints. https://doi.org/10.20944/preprints202210.0446.v1
Abstract
Abstract: Our goal is to create point-of-care (POC) strategies that accelerate decision making, increase efficiency, improve outcomes, and enhance standards of care in island communities faced with global warming, rising oceans, population migration, and intensifying weather disasters. We assessed needs in the Bantayan Archipelago and mainland Cebu Province, Visayas Islands, Philippines, to map POC diagnostics, rescue times, and spatial care paths. Significant deficiencies were lack of cardiac troponin testing for rapid diagnosis of acute myocardial infarction, absence of blood gas and pH testing for support of critically ill patients, and geographic gaps prolonging patient transfers and delaying treatment. Strengths comprised primary care that can be facilitated by POC testing, logical inter-island transfers for which decision making and triage could be accelerated with onboard diagnostic testing, and healthcare small-world networks amenable to POC advances, such as pre-hospital testing, that avoid overloading emergency rooms. Healthcare resources must be distributed to archipelago islands, not concentrated in large metropolitan areas inaccessible for emergency interventions. We conclude that a point-of-need focus will help improve public health, decrease disparities in mortality among rural islanders versus urban dwellers, and pave the way for heightened resilience in anticipation of the adverse impact of global warming on vulnerable coastal areas.
Keywords
acute myocardial infarction; coronavirus disease 2019 (COVID-19); island communities; point-of-care testing; spatial care paths
Subject
Public Health and Healthcare, Nursing
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
