Saccone Michel, Jain Anil K
Division of Orthopaedic Surgery, Department of Surgery and Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
Indian J Orthop. 2009 Apr;43(2):175-81. doi: 10.4103/0019-5413.50853.
The availability of fracture healing therapies to the general public is limited in India. The infrastructure of the health system in India, involving both public and private sectors, does not provide adequate opportunity for rural and low-income inhabitants to access needed care. Also the lack of funding from the government and the overall lack of physicians place a large strain on the system. This paper will take an in-depth look at the state of the current health care system and how it affects bone stimulation therapy in India. The Indian Journal of Orthopaedics was used as a reference for the bone stimulation therapies currently utilized in India. A general search of the therapies and technologies was performed to determine protocols and indications. A table of fracture healing therapies and technologies was composed which provides a description of each therapy, as well as its specific indications and protocols. This information was then used by the authors to hypothesize the most feasible methods of fracture healing to meet the Indian demographic. Based on an assessment of the health system of India, the most practical methods of bone stimulation therapy were determined. It was also determined that nearly all forms of therapy could be made available if sufficient resources were set aside for it. Bone stimulation therapy in India remains a large void in the health care system.
在印度，普通民众获得骨折愈合治疗的机会有限。印度卫生系统的基础设施，包括公共和私营部门，没有为农村和低收入居民提供足够的机会来获得所需的医疗服务。此外，政府资金的缺乏以及医生的整体短缺给该系统带来了巨大压力。本文将深入探讨当前医疗保健系统的状况以及它如何影响印度的骨刺激治疗。《印度矫形外科学杂志》被用作印度目前使用的骨刺激治疗的参考资料。对这些治疗方法和技术进行了全面搜索，以确定方案和适应症。编制了一份骨折愈合治疗方法和技术表，其中对每种治疗方法及其具体适应症和方案进行了描述。然后，作者利用这些信息推测出最可行的骨折愈合方法，以满足印度的人口需求。基于对印度卫生系统的评估，确定了骨刺激治疗最实用的方法。还确定如果预留足够的资源，几乎所有形式的治疗都可以实现。印度的骨刺激治疗在医疗保健系统中仍然存在很大空白。
