骨科护理中的全球健康不平等:超越美国的前景
Emily L DeMaio1, Guido Marra1, Linda I Suleiman1
1Department of Orthopaedic Surgery, Northwestern Memorial Hospital Arkes Family Pavilion, Investigation Performed at McGaw Medical Center of Northwestern University, 676 N Saint Clair, Ste 1350, Chicago, IL, 60611, USA.
Current reviews in musculoskeletal medicine
|September 6, 2024
概括
在低收入和中等收入国家 (LMIC) 中,全球获得优质骨科护理的机会有限,创伤负担和研究差距很大. 合作对于解决这些不平等问题和改善全球肌肉骨健康至关重要.
科学领域:
- 全球健康 全球健康
- 整形外科手术 整形外科手术
- 肌肉骨疾病 肌肉骨疾病
背景情况:
- 全球肌肉骨疾病负担正在上升,不成比例地影响低收入和中等收入国家 (LMIC).
- 在LMIC中,在获得安全,优质的外科护理和专门的骨科创伤专业知识方面存在显著的差异.
研究的目的:
- 审查全球获得骨科护理和创伤负担的机会.
- 评估研究基础设施,外科任务影响,植入物可用性和COVID-19对全球骨科护理的影响.
主要方法:
- 本综述综合了有关骨科护理获取和结果的当前全球数据.
- 分析包括研究出版物著作权,外科任务有效性,植入物监管和与流行病相关的服务中断.
主要成果:
- 低收入国家面临训练有素的骨科创伤科医生的严重短缺,并无法获得安全的外科护理.
- 道路交通事故是LMIC骨折的主要原因,导致高发病率和死亡率.
- 来自LMIC的骨科文献代表性不足;外科任务往往缺乏可持续的合作伙伴关系,而植入物质量/可用性是一个挑战.
- 虽然COVID-19大流行减少了选择性手术,但在全球范围内加速了远程医疗的采用.
结论:
- 对全球骨科护理不平等的认识日益增长,凸显了高收入国家 (HIC) 和LMIC之间加强合作的必要性.
- 关于肌肉骨疾病,护理利用和结果的高质量数据对于公平的资源分配至关重要.
- 加强研究基础设施和确保获得高质量的植入物对于推进全球骨科患者护理至关重要.
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