Barthélemy Ernest J, Gabriel Phabinly J, Lafortune Yudy, Clervius Hélène, Pyda Jordan, Park Kee B
Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA; Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Rutgers New Jersey Medical School, Newark, New Jersey, USA.
World Neurosurg. 2019 Apr;124:208-213. doi: 10.1016/j.wneu.2018.12.205. Epub 2019 Jan 17.
Even though surgical conditions account for as much as 32% of the global burden of disease, 5 billion people worldwide do not have access to timely, affordable surgical and anesthetic care. Access to surgical care is separated along socioeconomic divides, and these disparities are most pronounced in low-and middle-income countries, such as the Caribbean nation of Haiti, where the availability of specialty surgical services like neurosurgery are scant, or completely absent.
This paper provides a narrative account of current neurosurgery-related activity in Haiti, a nation whose social, political, and economic context is unique in the Americas.
After some background information and a bibliometric analysis of recent research efforts, we provide brief biographical sketches of Haiti's local neurosurgical leaders and an overview of recent initiatives in Haitian neurosurgical capacity building.
The paper concludes with recommendations to guide the international neurosurgery community in future contributions.
尽管外科疾病占全球疾病负担的32%，但全球有50亿人无法获得及时、可负担的外科和麻醉护理。获得外科护理的机会因社会经济差异而不同，这些差距在低收入和中等收入国家最为明显，例如加勒比国家海地，那里神经外科等专科手术服务稀缺，甚至完全没有。
本文叙述了海地目前与神经外科相关的活动，海地在美洲的社会、政治和经济背景独具特色。
在提供一些背景信息并对近期研究工作进行文献计量分析之后，我们简要介绍了海地当地神经外科领军人物的生平，并概述了海地神经外科能力建设的近期举措。
本文最后提出了一些建议，以指导国际神经外科界未来的贡献。
