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community based care for Ob ptsFrom: Susan Wassenhove (LFSW@acad2.alaska.edu)Fri Oct 6 15:29:34 1995
This is exactly what happens in Alaska. There is a program that trains people from the smaller communities how to provide medical care for their communities. Alaska is 2 1/2 times the size of Texas with a population of 500,000. Needless to say, medical care outside of the larger communities was not available. Unlike "Northern Exposure" these rural communities can't afford MDs and often not even PAs or NPs. The community Health Aide Program consists of 4 month long sessions in which CHA students are taught how to take a medical history, do a complete PE, perform lab work, do procedures, make an assessment and initiate a treatment plan. They have a manual that they use that helps guide them through the The Community Health Aide is *it* for that community. For otitis media to pneumonia to the unexpected early delivery (or the on time delivery if the woman refuses to leave the village on time), for the ectopic or MI... Emergencies can be medevaced out but often weather prohibits this. It is entirely possible that the CHA will have to "babysit" the pt with the ectopic or MI for 3 days until the weather clears enough to chopper them out. Often the CHA students have only an 8th grade reading level and the students from up north often have English as a second language. These health care workers have a daunting task and for the most part, do a wonderful job. You will be hearing more about this program because many inner city areas are looking at implementing a similar system as a way to increase access to health care.
-- Susan Wassenhove, PA-C (I taught for 2 1/2 years in the CHAP Program) lfsw@acad3.alaska.edu
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