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An opportunity for diagonal development in global surgery: cleft lip and palate care in resource-limited settings

Patel, Pratik B.; Hoyler, Marguerite; Maine, Rebecca; Hughes, Christopher D.; Hagander, Lars LU and Meara, John G. (2012) In Plastic Surgery International 2012. p.892437-892437
Abstract
Global cleft surgery missions have provided much-needed care to millions of poor patients worldwide. Still, surgical capacity in low- and middle-income countries is generally inadequate. Through surgical missions, global cleft care has largely ascribed to a vertical model of healthcare delivery, which is disease specific, and tends to deliver services parallel to, but not necessarily within, the local healthcare system. The vertical model has been used to address infectious diseases as well as humanitarian emergencies. By contrast, a horizontal model for healthcare delivery tends to focus on long-term investments in public health infrastructure and human capital and has less often been implemented by humanitarian groups for a variety of... (More)
Global cleft surgery missions have provided much-needed care to millions of poor patients worldwide. Still, surgical capacity in low- and middle-income countries is generally inadequate. Through surgical missions, global cleft care has largely ascribed to a vertical model of healthcare delivery, which is disease specific, and tends to deliver services parallel to, but not necessarily within, the local healthcare system. The vertical model has been used to address infectious diseases as well as humanitarian emergencies. By contrast, a horizontal model for healthcare delivery tends to focus on long-term investments in public health infrastructure and human capital and has less often been implemented by humanitarian groups for a variety of reasons. As surgical care is an integral component of basic healthcare, the plastic surgery community must challenge itself to address the burden of specific disease entities, such as cleft lip and palate, in a way that sustainably expands and enriches global surgical care as a whole. In this paper, we describe a diagonal care delivery model, whereby cleft missions can enrich surgical capacity through integration into sustainable, local care delivery systems. Furthermore, we examine the applications of diagonal development to cleft care specifically and global surgical care more broadly. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Plastic Surgery International
volume
2012
pages
892437 - 892437
publisher
Hindawi Publishing Corporation
ISSN
2090-1461
DOI
10.1155/2012/892437
language
English
LU publication?
yes
id
7f98fd56-bde5-4a4b-9285-60ed79bbcd42 (old id 4281619)
date added to LUP
2014-02-10 15:56:18
date last changed
2016-04-16 02:27:55
@article{7f98fd56-bde5-4a4b-9285-60ed79bbcd42,
  abstract     = {Global cleft surgery missions have provided much-needed care to millions of poor patients worldwide. Still, surgical capacity in low- and middle-income countries is generally inadequate. Through surgical missions, global cleft care has largely ascribed to a vertical model of healthcare delivery, which is disease specific, and tends to deliver services parallel to, but not necessarily within, the local healthcare system. The vertical model has been used to address infectious diseases as well as humanitarian emergencies. By contrast, a horizontal model for healthcare delivery tends to focus on long-term investments in public health infrastructure and human capital and has less often been implemented by humanitarian groups for a variety of reasons. As surgical care is an integral component of basic healthcare, the plastic surgery community must challenge itself to address the burden of specific disease entities, such as cleft lip and palate, in a way that sustainably expands and enriches global surgical care as a whole. In this paper, we describe a diagonal care delivery model, whereby cleft missions can enrich surgical capacity through integration into sustainable, local care delivery systems. Furthermore, we examine the applications of diagonal development to cleft care specifically and global surgical care more broadly.},
  author       = {Patel, Pratik B. and Hoyler, Marguerite and Maine, Rebecca and Hughes, Christopher D. and Hagander, Lars and Meara, John G.},
  issn         = {2090-1461},
  language     = {eng},
  pages        = {892437--892437},
  publisher    = {Hindawi Publishing Corporation},
  series       = {Plastic Surgery International},
  title        = {An opportunity for diagonal development in global surgery: cleft lip and palate care in resource-limited settings},
  url          = {http://dx.doi.org/10.1155/2012/892437},
  volume       = {2012},
  year         = {2012},
}