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The Last Mile IHIG @Stanford, 2008

The Last Mile IHIG @Stanford, 2008. Nap Hosang , MD, MPH, MBA UC Berkeley School of Public Health 3/1/08. Today’s topic. What can we do on our campuses t o improve the delivery of health care i n difficult to reach places

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The Last Mile IHIG @Stanford, 2008

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  1. The Last MileIHIG @Stanford, 2008 Nap Hosang, MD, MPH, MBA UC Berkeley School of Public Health 3/1/08

  2. Today’s topic • What can we do on our campuses • to improve the delivery of health care • in difficult to reach places • “designing strategies to cross the last mile”

  3. Important Questions • What’s our goal? • Why? (Whose interests are being served?) • Does scale matter? • Define our target population? • Young, old, women, men, children, your church

  4. Important Questions • How will we know that we are successful? • What is the difference between ‘health’ and ‘health care’

  5. Perspectives • Smart delivery of health care with technology: telemedicine, robotics, cameras • Reduce premature deaths and illness burden in hard to reach places.

  6. Health Care access • Even with the best prevention, people do get sick. • So what’s on the list of core essential services that still need to be provided? -seek audience input here!

  7. Essentials • Drugs • Ability to treat: - appendicitis - safe delivery - post miscarriage (post-abortion) care. - vaginal bleeding - optical needs/cataracts - pregnancy prevention

  8. Essentials continued • Ability to treat: - Dental infections/dental caries - communicable diseases (immunization) - chronic diseases (diabetes,hypertension) - gallstones -urinary tract infections - common ailments

  9. Essentials continued • How does one make these essential services accessible and affordable to the rural poor? • What can we do on our campuses to make a difference?

  10. Barrier • Current economic model does not work.

  11. Tasks • Bring technology to the people. • Bring people to the technology. • Figure out an economic model that is sustainable, without sig. external inputs.

  12. The last mile • Now you have decided what can be offered, - how do you deliver it? What can we on our respective campuses to facilitate this process?

  13. What can our campuses do to facilitate this process? • 1 • 2 • 3 • 4 • 5 • 6 • 7

  14. Let’s open it up for discussion:with your ideas! Gavin Yamey PLoS Med. 2007 Oct 23;4 (10):e303 17958464 (P,S,E,B) Which Single Intervention Would Do the Most to Improve the Health of Those Living on Less Than $1 Per Day?

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