Timely Access to Neurosurgical Care in the Caribbean Using Geospatial Analysis

Rolle, Myron; Garba, Deen L.; Buda, Alexandra; Vital, Anchelo; Ekedede, Magnus

doi:10.1016/j.wneu.2021.04.077

Cited by 11 publications

(13 citation statements)

References 20 publications

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“…It has been postulated that 3.5 million persons (22%) within CARICOM, the English-speaking Caribbean community, do not have access to timely neurosurgical management ( Rolle et al., 2021 ).We believe that the inadequate accessibility of neurosurgical graduate training is a direct contributing factor to this. However, only redistributing neurosurgeons or creating more training programs will not suffice.…”

Section: Discussionmentioning

confidence: 90%

Neurosurgical training in the Caribbean

Calderon

Rubio

Negida³

et al. 2022

Brain and Spine

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Section: Discussionmentioning

confidence: 90%

Neurosurgical training in the Caribbean

Calderon

Rubio

Negida³

et al. 2022

Brain and Spine

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“…Systemic gaps in equitable and accessible neurosurgical care pose significant public health challenges for providers and major stakeholders. Approximately 3.5 million Caribbean citizens live outside of the timely-access zone for urgent or emergent neurosurgical care, with approximately 1 neurosurgeon for every 380,000 persons ( Rolle et al., 2021 ). To date, there is no comprehensive neurosurgical registry or database to track pathologies and several of the low-income Caribbean countries have poor preventative governance around road traffic safety ( Rolle et al., 2022 ).…”

Section: Discussionmentioning

confidence: 99%

The impact of traumatic brain injury on economic productivity in the Caribbean

Rolle,

Garba,

Kharbat

et al. 2023

Brain and Spine

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“…15 Manhattan distance, a metric based on existing road infrastructure, was used to estimate the most accurate catchment area from each hospital. 16 Subnational population density data were obtained from a publicly available resource (https://data.humdata.org/dataset/cod-ps-eth). 17 Towns were also grouped into national regional states (NRS) based on Global Positioning System coordinates and the Ethiopian regional state shapefile.…”

Section: Discussionmentioning

confidence: 99%

Current Neurosurgical Care in Ethiopia Using the Lens of the Lancet Global Health Commission on High-Quality Health Systems

Asfaw¹,

Barthélemy²,

Tirsit

et al. 2023

Neurosurgery

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BACKGROUND: Neurosurgery is a rapidly developing specialty in Ethiopia. Previous global neurosurgery studies have highlighted the need for synchronizing workforce increase with improving quality, access, and capacity to provide neurosurgical care. OBJECTIVE: To evaluate Ethiopia's neurosurgical system and highlight the critical interventions required for the sustained development of Ethiopian neurosurgery as part of a high-quality health system (HQHS). METHODS: A comprehensive survey was sent to all practicing neurosurgeons. Public databases on Ethiopian census reports and current road infrastructure were used for spatial analysis of neurosurgical access. RESULTS: The survey response rate was 90% (45/50). Most respondents were men (95.6%), aged 30 to 40 years (82%), who worked at national referral hospitals (71%). The reported annual caseload per practicing neurosurgeon was >150 cases for 40% of urban and 20% of rural neurosurgeons. Head and spine neurotrauma and tumors were the most common neurosurgical indications. Computed tomography scanner was the most widely available diagnostic equipment (62%). 76% of respondents indicated the presence of postoperative rehabilitation care at their institutions. Thirteen percent and 27% of the nation lived within a 2-hour and 4-hour driving distance from a neurosurgical center, respectively. CONCLUSION: The results highlight the need for vital improvements in neurosurgical capacity to sustain progress toward HQHS. Promoting sustained development in all components of HQHS can be achieved by diversifying the workforce and training residency candidates committed to practicing in underserved regions. Additional strategies might include establishing a national registry for neurosurgical data and implementing policy changes conducive to improving perihospital care and other health system components.

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Timely Access to Neurosurgical Care in the Caribbean Using Geospatial Analysis

Cited by 11 publications

References 20 publications

Neurosurgical training in the Caribbean

Neurosurgical training in the Caribbean

The impact of traumatic brain injury on economic productivity in the Caribbean

Current Neurosurgical Care in Ethiopia Using the Lens of the Lancet Global Health Commission on High-Quality Health Systems

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