Specialist shortage in developing countries: comprehending delays in care
Khalid Javeed Khan1, Vishal Farid Raza2
1General Surgery, Fatima Jinnah Medical University, Lahore, Pakistan drkjkhan2@gmail.com.
BMJ Case Reports
|January 12, 2021
Summary
This case study details managing choledocholithiasis in Pakistan. It highlights challenges in public healthcare access, including long waits and high costs, impacting patient outcomes.
Area of Science:
- Gastroenterology
- Health Economics
Background:
- Describes a case of progressive jaundice suspected as choledocholithiasis.
- Initial management involved balloon extraction via endoscopic retrograde cholangiopancreatography.
Observation:
- Healthcare in Pakistan is bifurcated into public and private sectors.
- Public healthcare may involve significant waiting times for urgent procedures.
- Lack of specialists and technical expertise can strain the public system.
Findings:
- Patients seeking specialized care may face delays and substantial out-of-pocket expenses.
- This can lead to 'catastrophic healthcare expenditure' for families.
Implications:
- Highlights the economic burden on patients within developing healthcare systems.
- Underscores the need for improved access to timely and affordable specialized medical care.
- Suggests a need for policy interventions to mitigate financial toxicity in healthcare.
Keywords:
biliary interventiongeneral surgeryglobal healthhealth economicshealthcare improvement and patient safetyMore Related Videos
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