Ganapathy K
Department of Neurosurgery, Apollo Hospitals, Chennai, India.
Surg Neurol. 2002 Dec;58(6):388-94. doi: 10.1016/s0090-3019(02)00924-2.
It is a universally accepted fact that the number of neurosurgeons in developing countries is woefully inadequate. It is also unrealistic to expect this limited number to work in professional isolation, in suburban and rural areas, without adequate infrastructure. Therefore, this has resulted in concentration of neurosurgeons in developing countries, in metropolitan areas, even at the risk of being underemployed. The phenomenal advances in communications and information technology in India are resulting in a new look at how secondary and tertiary health care can be provided to the underprivileged masses. Following a proof of concept validation ISRO (Indian Space Research Organization) in conjunction with the Apollo Hospitals, is ready to use satellite technology to provide specialist care not only to suburban and rural India but to other countries as well, by using the large number of highly qualified and trained specialists in urban India. The implications of these developments for the delivery of neurosurgical care to suburban and rural India is briefly reviewed.
发展中国家神经外科医生数量严重不足,这是一个普遍公认的事实。指望这数量有限的神经外科医生在缺乏足够基础设施的情况下,在郊区和农村地区独自开展专业工作,也是不现实的。因此,这导致发展中国家的神经外科医生集中在大都市地区,甚至存在就业不足的风险。印度通信和信息技术的显著进步,正促使人们重新审视如何为贫困群众提供二级和三级医疗保健服务。在经过概念验证后,印度空间研究组织(ISRO)与阿波罗医院合作,准备利用卫星技术,借助印度城市中大量高素质且训练有素的专家,不仅为印度的郊区和农村地区,也为其他国家提供专科护理。本文简要回顾了这些发展对印度郊区和农村地区神经外科护理服务的影响。