An opportunity for diagonal development in global surgery: cleft lip and palate care in resource-limited settings.

Download
Citations
Altmetric
Author
Patel, PB; Hoyler, M; Maine, R; Hughes, CD; Hagander, L; Meara, JGDate
2012Source Title
Plastic Surgery InternationalPublisher
Hindawi LimitedUniversity of Melbourne Author/s
Meara, JohnAffiliation
Paediatrics (RCH)Metadata
Show full item recordDocument Type
Journal ArticleCitations
Patel, P. B., Hoyler, M., Maine, R., Hughes, C. D., Hagander, L. & Meara, J. G. (2012). An opportunity for diagonal development in global surgery: cleft lip and palate care in resource-limited settings.. Plast Surg Int, 2012, pp.892437-. https://doi.org/10.1155/2012/892437.Access Status
Open AccessOpen Access at PMC
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3539333Abstract
Global cleft surgery missions have provided much-needed care to millions of poor patients worldwide. Still, surgical capacity in low- and middle-income countries is generally inadequate. Through surgical missions, global cleft care has largely ascribed to a vertical model of healthcare delivery, which is disease specific, and tends to deliver services parallel to, but not necessarily within, the local healthcare system. The vertical model has been used to address infectious diseases as well as humanitarian emergencies. By contrast, a horizontal model for healthcare delivery tends to focus on long-term investments in public health infrastructure and human capital and has less often been implemented by humanitarian groups for a variety of reasons. As surgical care is an integral component of basic healthcare, the plastic surgery community must challenge itself to address the burden of specific disease entities, such as cleft lip and palate, in a way that sustainably expands and enriches global surgical care as a whole. In this paper, we describe a diagonal care delivery model, whereby cleft missions can enrich surgical capacity through integration into sustainable, local care delivery systems. Furthermore, we examine the applications of diagonal development to cleft care specifically and global surgical care more broadly.
Export Reference in RIS Format
Endnote
- Click on "Export Reference in RIS Format" and choose "open with... Endnote".
Refworks
- Click on "Export Reference in RIS Format". Login to Refworks, go to References => Import References