Emergency surgery workforce and its inverse relationship with multidimensional poverty in Colombia

Manzano-Núñez, Ramiro; Sarmiento, Catalina; Villegas-Vargas, Sofía; Angel-Barrios, Jorge A; Puyana, Juan Carlos; Peck, Gregory; Castro, Felipe; Gaviría, Alejandro; García, Alberto

doi:10.1007/s00068-021-01690-4

Cited by 2 publications

(1 citation statement)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Colombia, over 40% of the doctors practice in the primary setting, with a severe lack of tertiary care doctors, including those in the field of neurosurgery and anaesthesia. 36 , 37 Although Colombia and Peru have been able to achieve a 1:1 physician-to-nurse ratio, other nations on the continent have massively struggled to achieve this. 36 In addition, the issue of a shortage of workforce is compounded by inequalities and inequities in distribution.…”

Section: Challenges Associated With the Wide-scale Implementation Of ...mentioning

confidence: 99%

Awake craniotomies in South America: Advancements, challenges, and future prospects

Bharadwaj,

Awuah,

Adebusoye

et al. 2024

J Cent Nerv Syst Dis

View full text Add to dashboard Cite

BACKGROUND: Awake craniotomy has emerged as an advanced surgical technique, characterized by keeping the patient awake during brain surgery. In South America, awake craniotomies have grained traction in neurosurgical practices across various medical centres and hospitals, with notable practitioners contributing to its growth and refinement in the region. PURPOSE: This study aims to explore the integration and impact of awake craniotomies in South American neurosurgical practices. The focus is on understanding the benefits, challenges, and potential transformative effects of the procedure in the region. RESEARCH DESIGN: A comprehensive narrative review and analysis through a thorough examination of the existing literature. RESULTS: The findings indicate that awake craniotomies in South America offer substantial benefits, including cost savings thorugh reduced hospitalization time, quicker recovery and decreased morbidity. Enhanced safety, effective pain management and reduced anaesthesia also contribute to this. CONCLUSION: Whilst the adaptation of awake craniotomies in South America holds great promise in transforming neurosurgical care in the region, significant challenges hinder its widespread adoption. Inadequate infrastructure, limited access to equipment, financial instability, and shortages in trained healthcare providers represent challenges that need to be addressed.

show abstract

Section: Challenges Associated With the Wide-scale Implementation Of ...mentioning

confidence: 99%

Awake craniotomies in South America: Advancements, challenges, and future prospects

Bharadwaj,

Awuah,

Adebusoye

et al. 2024

J Cent Nerv Syst Dis

View full text Add to dashboard Cite

show abstract

Access to paediatric cardiac surgery in Colombia: a population-based study

Sabatino

Dennis

Sandoval-Trujillo

et al. 2021

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

OBJECTIVES Globally congenital heart disease mortality is declining, yet the proportion of infant deaths attributable to heart disease rises in Colombia and other middle-sociodemographic countries. We aimed to assess the accessibility of paediatric cardiac surgery (PCS) to children <18 years of age in 2016 in the South American country of Colombia. METHODS In Bogotá, Colombia, a multi-national team used cross-sectional and retrospective cohort study designs to adapt and evaluate 4 health system indicators at the national level: first, the population with timely geographic access to an institution providing PCS; second, the number of paediatric cardiac surgeons; third, this specialized procedure volume and its national distribution; and fourth, the 30-day perioperative mortality rate after PCS in Colombia. RESULTS Geospatial mapping approximates 64% (n = 9 894 356) of the under-18 Colombian population lives within 2-h drivetime of an institution providing PCS. Twenty-eight cardiovascular surgeons report performing PCS, 82% (n = 23) with formal training. In 2016, 1281 PCS procedures were registered, 90% of whom were performed in 6 of the country’s 32 departments. National non-risk-adjusted all-cause 30-day perioperative mortality rate after PCS was 2.73% (n = 35). CONCLUSIONS Colombia’s paediatric population had variable access to cardiac surgery in 2016, largely dependent upon geography. While the country may have the capacity to provide timely, high-quality care to those who need it, our study enables future comparative analyses to measure the impact of health system interventions facilitating healthcare equity for the underserved populations across Colombia and the Latin American region.

show abstract

Emergency surgery workforce and its inverse relationship with multidimensional poverty in Colombia

Cited by 2 publications

References 12 publications

Awake craniotomies in South America: Advancements, challenges, and future prospects

Awake craniotomies in South America: Advancements, challenges, and future prospects

Access to paediatric cardiac surgery in Colombia: a population-based study

Contact Info

Product

Resources

About