Pediatric Cardiac Service Development Programs for Low- and Middle-Income Countries in Need of Improving or Initiating Local Services

Frontiers in Pediatrics

article

William M. Novick¹  Frank Molloy²  Karen Bowtell¹  Brian Forsberg¹  Martina Pavanić¹  Igor Polivenok¹  Sri Rao¹  Yamile Muñoz⁶  Marcelo Cardarelli¹ 

[1] University of Tennessee Health Science Center, Global Surgery Institute, United States;Great Ormond Street Hospital, United Kingdom;Children's Memorial Hermann Hospital, United States;Zaitcev Institute for General and Urgent Surgery;Department of Pediatrics, University of South Carolina School of Medicine, United States;Clinica Cardiovid;Department of Surgery, Inova Children's Hospital, United States

关键词: global surgery;    humanitarian assistance;    pediatric cardiac surgery;    congenital heart;    education;   

DOI  :  10.3389/fped.2019.00359

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Pediatric cardiac services are deficient in most of the world. Various estimates are that between 80 and 90% of the world's children do not receive adequate cardiac care for their congenital or acquired heart disease. We began a modest effort in 1992 to assist in the development of pediatric cardiac services in low- and middle-Income countries (LMIC). Since then, we have provided services in 32 countries based on 3 distinctive development strategies, in order to meet the local needs for pediatric cardiac services. Our goal has always been to provide education, training and sufficient experience so that eventually we leave a site with a fully functional, independently operating pediatric cardiac service that is sustainable over time. The margin between success and failure is dependent upon a number of factors and we hope that this chapter will provide others with the tools for success.

【 授权许可】

CC BY