Raposo-Amaral Cassio Eduardo, Raposo-Amaral Cesar Augusto
SOBRAPAR: Institute of Plastic and Craniofacial Plastic Surgery, Campinas, São Paulo, Brazil.
J Craniofac Surg. 2012 Jan;23(1):206-9. doi: 10.1097/SCS.0b013e318241ae70.
The organization and management of specialized cleft lip and palate centers in developing countries are challenging because of the lack of financial resources devoted to the national health care system. The treatment of cleft lip and palate is of low priority for health care and budgets; however, gradual progress is possible. As an example of how care might be improved in the developing world, we suggest guidelines to strengthen the local cleft lip and palate centers in Brazil based on the ideal geographic distribution of cleft centers around the country, to achieve the following objectives: first, avoid patient's migration; second, facilitate patient's adherence; third, focus on a global and continuous multidisciplinary treatment; and fourth, avoid indiscriminate opening of nonprepared cleft lip and palate centers in our country. This ideal scenario would put the cleft lip and palate health attention on the right path in Brazil.
由于发展中国家的国家医疗保健系统缺乏专门用于唇腭裂治疗的财政资源，因此在这些国家组织和管理专门的唇腭裂治疗中心具有挑战性。唇腭裂治疗在医疗保健和预算中处于低优先级；然而，逐步取得进展是有可能的。作为在发展中世界改善治疗的一个例子，我们建议根据巴西全国唇腭裂治疗中心的理想地理分布制定指导方针，以加强巴西当地的唇腭裂治疗中心，实现以下目标：第一，避免患者外流；第二，促进患者坚持治疗；第三，专注于全面和持续的多学科治疗；第四，避免在我国随意开设未做好准备的唇腭裂治疗中心。这种理想的情况将使巴西的唇腭裂医疗保健走上正轨。
