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Global neurosurgery: innovators, strategies, and the way forward
Michael M Haglund1,2,3, Anthony T Fuller1,2,3
11Duke University Division of Global Neurosurgery and Neurology; and.
Journal of Neurosurgery
|October 2, 2019
Summary
Global neurosurgery initiatives aim to bridge the gap in neurosurgical care in low- and middle-income countries (LMICs). Collaborative strategies are essential for sustainable neurosurgical capacity building worldwide.
Area of Science:
- Global Health
- Neurosurgery
- Health Systems Strengthening
Background:
- Low- and middle-income countries (LMICs) face significant deficits in neurosurgical capacity and access to care.
- Advancements in neurosurgery have disproportionately benefited high-income nations, exacerbating global health inequities.
Purpose of the Study:
- To broadly examine engagement strategies in global neurosurgery.
- To identify key approaches for addressing neurosurgical challenges in LMICs.
Main Methods:
- Review of diverse engagement methods in global neurosurgery.
- Analysis of strategies including surgical camps, educational and training programs.
- Examination of health system strengthening, policy development, and advocacy efforts.
Main Results:
- Global neurosurgery efforts are consolidating, developing a unified voice.
- Multifaceted strategies are being employed to build neurosurgical capacity in LMICs.
- International collaboration is emerging as a critical component of global neurosurgery.
Conclusions:
- A coordinated, multilateral approach is vital for advancing global neurosurgery.
- The future of global neurosurgery is promising due to increasing collaboration and engagement.
Keywords:
DGNN = Duke Global Neurosurgery and NeurologyFIENS = Foundation for International Education in Neurological SurgeryGNI = Global Neurosurgery InitiativeLMICs = low- and middle-income countriesNGO = nongovernmental organizationPGSSC = Program in Global Surgery and Social ChangeWFNS = World Federation of Neurosurgical Societiesglobal neurosurgeryglobal surgeryhealth system strengthening
