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Understanding and Addressing the Global Need for Orthopaedic Trauma Care
Kiran J Agarwal-Harding1, Arvind von Keudell2, Lewis G Zirkle3
1Harvard Combined Orthopaedic Residency Program, Massachusetts General Hospital, Boston, Massachusetts kagarwal-harding@partners.org.
Abstract:
➤The burden of musculoskeletal trauma is high worldwide, disproportionately affecting the poor, who have the least access to quality orthopaedic trauma care.➤Orthopaedic trauma care is essential, and must be a priority in the horizontal development of global health systems.➤The education of surgeons, nonphysician clinicians, and ancillary staff in low and middle income countries is central to improving access to and quality of care.➤Volunteer surgical missions from rich countries can sustainably expand and strengthen orthopaedic trauma care only when they serve a local need and build local capacity.➤Innovative business models may help to pay for care of the poor. Examples include reducing costs through process improvements and cross-subsidizing from profitable high-volume activities.➤Resource-poor settings may foster innovations in devices or systems with universal applicability in orthopaedics.
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