1Division of Neurosurgery, Department of Surgery, Universitas Gadjah Mada, Yogyakarta, Special Region of Yogyakarta, Indonesia; and.
2Division of Neurosurgery, University of Saskatchewan College of Medicine, Saskatoon, Saskatchewan, Canada.
Neurosurg Focus. 2020 Mar 1;48(3):E5. doi: 10.3171/2019.12.FOCUS19831.
Educating future neurosurgeons is of paramount importance, and there are many aspects that must be addressed within the process. One of the essential issues is the disproportion in neurosurgical care, especially in low- and middle-income countries (LMICs). As stated in their report "Global Surgery 2030," The Lancet Commission on Global Surgery has emphasized that the availability of adequate neurosurgical care does not match the burden of neurosurgical disease. A strong partnership with the local and national government is very desirable to improve the way everyone addresses this issue. In addition, international collaborative effort is absolutely essential for the transfer of knowledge and technology from a developed country to an LMIC. This paper shows what the authors have done in Yogyakarta to build an educational model that helps to improve neurosurgical care distribution in Indonesia and reduce the inequity between provinces.
The authors gathered data about the number of neurosurgical procedures that were performed in the sister hospital by using data collected by their residents. Information about the distribution of neurosurgeons in Indonesia was adapted from the Indonesian Society of Neurological Surgeons.
The data show that there remains a huge disparity in terms of distribution of neurosurgeons in Indonesia. To tackle the issue, the authors have been able to develop a model of collaboration that can be applied not only to the educational purpose but also for establishing neurosurgical services throughout Indonesia. Currently they have signed a memorandum of understanding with four sister hospitals, while an agreement with one sister hospital has come to an end. There were more than 400 neurosurgical procedures, ranging from infection to trauma, treated by the authors' team posted outside of Yogyakarta.
Indonesia has a high level of inequality in neurological surgery care. This model of collaboration, which focuses on the development of healthcare providers, universities, and related stakeholders, might be essential in reducing such a disparity. By using this model, the authors hope they can be involved in achieving the vision of The Lancet Commission on Global Surgery, which is "universal access to safe, affordable surgical and anesthesia care when needed."
培养未来的神经外科医生至关重要，在这个过程中必须解决许多问题。其中一个重要问题是神经外科护理的不平衡，特别是在低收入和中等收入国家（LMICs）。正如《柳叶刀全球手术委员会》在其报告“全球手术 2030”中所强调的那样，神经外科疾病的负担与神经外科护理的可及性之间存在巨大差距。与地方和国家政府建立强有力的伙伴关系是非常理想的，可以改善每个人解决这个问题的方式。此外，国际合作对于将知识和技术从发达国家转移到 LMIC 国家是绝对必要的。本文展示了作者在日惹所做的工作，以建立一个教育模式，帮助改善印度尼西亚的神经外科护理分布，并减少各省之间的不平等。
作者通过使用其住院医师收集的数据，收集了姊妹医院进行的神经外科手术数量的数据。关于印度尼西亚神经外科医生分布的信息是根据印度尼西亚神经外科学会改编的。
数据显示，印度尼西亚神经外科医生的分布仍然存在巨大差异。为了解决这个问题，作者已经能够开发出一种合作模式，不仅可以用于教育目的，还可以在印度尼西亚各地建立神经外科服务。目前，他们已经与四所姊妹医院签署了谅解备忘录，而与一所姊妹医院的协议已经结束。作者团队在日惹以外的地方进行了超过 400 例神经外科手术，从感染到创伤不等。
印度尼西亚的神经外科护理存在严重的不平等现象。这种合作模式侧重于医疗保健提供者、大学和相关利益相关者的发展，对于减少这种差距可能至关重要。通过使用这种模式，作者希望他们能够参与实现《柳叶刀全球手术委员会》的愿景，即“在需要时普及安全、负担得起的手术和麻醉护理”。
