Department of Neurological Surgery, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USA.
Division of Pediatric Neurosurgery, Department of Neurosurgery, Children's of Alabama, University of Alabama at Birmingham, 1600 7th Avenue South, Lowder 400, Birmingham, AL 35233, USA.
Neurosurg Clin N Am. 2024 Oct;35(4):475-480. doi: 10.1016/j.nec.2024.05.009. Epub 2024 Jun 15.
Health care disparities between high-income countries (HICs) and low- and middle-income countries (LMICs) are well established. The focus of the surgical aspect of health was identified in the early twenty-first century, and efforts to provide safe surgical intervention require the shift of resources from HICs to LMICs with specialized surgeons, anesthesiologists, and equipment. This intervention may make a difference on the short run; however, to achieve a long-term self-sustaining surgical service in the region of need, education and training of local physicians is key.
高收入国家(HICs)和中低收入国家(LMICs)之间的医疗保健差距是显而易见的。二十一世纪初,人们就已经关注到了医疗保健中外科手术的重要性,而要为 LMICs 提供安全的外科手术干预,就需要将资源从 HICs 转移到那里,并配备专业的外科医生、麻醉师和设备。这种干预可能会在短期内产生影响;然而,要在需要的地区实现长期可持续的外科手术服务,关键是对当地医生进行教育和培训。