Novick William M, Molloy Frank, Bowtell Karen, Forsberg Brian, Pavanić Martina, Polivenok Igor, Rao Sri, Muñoz Yamile, Cardarelli Marcelo
University of Tennessee Health Science Center, Global Surgery Institute, Memphis, TN, United States.
William Novick Global Cardiac Alliance, Memphis, TN, United States.
Front Pediatr. 2019 Sep 20;7:359. doi: 10.3389/fped.2019.00359. eCollection 2019.
Pediatric cardiac services are deficient in most of the world. Various estimates are that between 80 and 90% of the world's children do not receive adequate cardiac care for their congenital or acquired heart disease. We began a modest effort in 1992 to assist in the development of pediatric cardiac services in low- and middle-Income countries (LMIC). Since then, we have provided services in 32 countries based on 3 distinctive development strategies, in order to meet the local needs for pediatric cardiac services. Our goal has always been to provide education, training and sufficient experience so that eventually we leave a site with a fully functional, independently operating pediatric cardiac service that is sustainable over time. The margin between success and failure is dependent upon a number of factors and we hope that this chapter will provide others with the tools for success.
世界上大多数地区的儿科心脏服务都很匮乏。据各种估计，全球80%至90%的儿童因先天性或后天性心脏病未得到充分的心脏护理。1992年，我们开始了一项适度的努力，以协助低收入和中等收入国家（LMIC）发展儿科心脏服务。从那时起，我们根据三种独特的发展战略在32个国家提供服务，以满足当地对儿科心脏服务的需求。我们的目标一直是提供教育、培训和足够的经验，以便最终我们离开一个地方时，留下一个功能齐全、独立运作且能长期持续的儿科心脏服务机构。成败之间的差距取决于许多因素，我们希望本章能为其他人提供成功的工具。
