Talwar Sachin, Choudhary Shiv Kumar, Airan Balram, Juneja Rajnish, Kothari Shyam Sunder, Saxena Anita, Kumar Arkalgud Sampath
Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
Cardiol Young. 2008 Aug;18(4):363-71. doi: 10.1017/S1047951108002448. Epub 2008 Jun 18.
A large number of patients in developing countries require surgical correction of congenitally malformed hearts. Unfortunately, only a limited number of centres offer these patients surgery at an affordable cost. In this review, we discuss the problems in managing these patients, with an emphasis on reduction of costs, so that the maximum number of patients can benefit. It is apparent that containing costs requires a multipronged approach, which begins with timely referral, and continues with early surgical correction and adequate postoperative care carried out in a scientific manner. Indigenization, innovation, training of manpower, and building a team, are essential to cut the costs, and to improve the quality of care.
发展中国家有大量患者需要对先天性心脏畸形进行手术矫正。不幸的是，只有少数几个中心能以患者可承受的费用为这些患者提供手术。在本综述中，我们讨论管理这些患者时存在的问题，重点是降低成本，以便让尽可能多的患者受益。显然，控制成本需要采取多管齐下的方法，从及时转诊开始，接着进行早期手术矫正，并以科学的方式提供充分的术后护理。实现本土化、创新、人力培训以及组建团队，对于降低成本和提高护理质量至关重要。
