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Published on: May 26, 2023
Paediatric cardiac surgery in low-income and middle-income countries: a continuing challenge
Nguyenvu Nguyen1, Juan Leon-Wyss2, Krishna S Iyer3
1Division of Cardiology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA Division of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Insights
Congenital heart disease (CHD) care disparities persist globally. This review explores reasons for inequality and proposes strategies to improve pediatric cardiac care access in underserved regions.
Area of Science:
- Cardiology
- Global Health
- Public Health
Background:
- Advances in surgical and catheter-based treatments for congenital heart disease (CHD) have not eliminated global disparities in care.
- Significant inequalities in accessing quality pediatric cardiac care persist, particularly in low- and middle-income countries (LMICs).
Purpose of the Study:
- To analyze the underlying reasons for global disparities in congenital heart disease (CHD) treatment.
- To propose innovative strategies for enhancing the accessibility and sustainability of pediatric cardiac programs in LMICs.
Main Methods:
- This review synthesizes existing literature on global CHD care.
- It examines factors contributing to healthcare inequalities.
- It identifies potential solutions for program improvement.
Main Results:
- Identified key factors contributing to disparities in CHD care access.
- Highlighted the need for targeted interventions to improve care quality and quantity.
- Explored novel approaches for sustainable pediatric cardiac programs.
Conclusions:
- Addressing global inequalities in congenital heart disease (CHD) care requires a multifaceted approach.
- Sustainable and accessible pediatric cardiac programs are crucial for improving outcomes in underserved regions.
Abstract:
Despite advances in surgical and catheter-based treatment for congenital heart disease (CHD), there remain wide disparities across the globe. Ongoing international humanitarian and in-country programmes are working to address these issues with the ultimate goal to increase the quality and quantity of paediatric cardiac care, particularly in under-served regions of the world. This review aims to illustrate the reasons for these inequalities and suggests novel ways of improving access and sustainability of CHD programmes in low-income and middle-income countries.
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