我们能建设得更好吗？加勒比地区地理空间和金融可达性方面的挑战。实例分析。
Can we build better? Challenges with geospatial and financial accessibility in the Caribbean. Illustrative case.
作者信息
Dos Santos Rubio Ellianne J, Calderon Chrystal, Boeykens Annegien, Park Kee B
机构信息
1Neurosurgery/Mind and Brain, Curaçao Medical Center, Willemstad, Curaçao.
5Department of Neurosurgery, Erasmus Medical Center, Rotterdam, The Netherlands.
出版信息
J Neurosurg Case Lessons. 2023 Nov 27;6(22). doi: 10.3171/CASE23472.
BACKGROUND
Within the Caribbean, Curaçao provides a neurosurgical hub to other Dutch Caribbean islands. At times, the inefficiency of neurosurgical referrals leads to unsatisfactory patient outcomes in true emergency cases.
OBSERVATIONS
This article reports an illustrative case of a patient in need of emergency neurosurgical care, who was referred to a tertiary health institution in Curaçao. This case highlights the challenges of timely neurosurgical referrals within the Dutch Caribbean.
LESSONS
Highlighting this case may provide a foundation for further discussions that may improve neurosurgical care and access. Limiting long-distance surgical referrals in the acute care setting will aid in saving lives.
背景
在加勒比地区，库拉索岛为其他荷属加勒比岛屿提供神经外科中心服务。有时，神经外科转诊效率低下会导致真正的紧急病例患者预后不佳。
观察结果
本文报告了一例需要紧急神经外科治疗的患者，该患者被转诊至库拉索岛的一家三级医疗机构。该病例凸显了荷属加勒比地区及时进行神经外科转诊所面临的挑战。
经验教训
突出这一病例可能为进一步讨论提供基础，这些讨论可能会改善神经外科护理和可及性。在急性护理环境中限制长途手术转诊将有助于挽救生命。
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