Improving surgical care for children through multicenter Registries and QI collaboratives
The role of the healthcare organization is shifting and must overcome the challenges of fragmented, costly care, and lack of evidence in practice, to reduce cost, ensure quality and deliver high-value care. Notable gaps exist within the expected quality and delivery of pediatric healthcare, necessitating a change in the role of the healthcare organization. To realize these goals, the use of collaborative networks that leverage massive datasets to provide information for the development of learning healthcare systems will become increasingly necessary as efforts are made to narrow the gap in healthcare quality for children....
Source: Seminars in Pediatric Surgery - October 7, 2015 Category: Pediatrics Authors: Grace Hsiung, Fizan Abdullah Source Type: research
The pediatric surgery workforce in low- and middle-income countries: problems and priorities
This article examines the current state of the pediatric surgical workforce in low- and middle-income countries (LMICs) and the reasons for the current shortfalls. We also note progress that has been made in capacity building and discuss priorities going forward. The existing literature on this subject has naturally focused on regions with the greatest workforce needs, particularly sub-Saharan Africa (SSA). (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 18, 2015 Category: Pediatrics Authors: Sanjay Krishnaswami, Benedict C. Nwomeh, Emmanuel A. Ameh Source Type: research
Injuries and surgical needs of children in conflict and disaster: From Boston to Haiti and beyond
Comprehensive care of patients in conflict and disaster requires coordination of medical, social and public health agencies. Pediatric patients in these settings comprise a particularly vulnerable group subject to disruption of social networks and separation from family, inadequate surgical care due to lack of surgeon, anesthetist, and nursing specialization, and a general lack of advocacy within the global public health agenda. In the recent upswell of attention to the global surgical burden of disease and deficiencies in necessary infrastructure, the needs of pediatric surgical patients remain underappreciated and undere...
Source: Seminars in Pediatric Surgery - September 18, 2015 Category: Pediatrics Authors: Maeve O. Trudeau, David H. Rothstein Source Type: research
The pediatric surgery workforce in low and middle income countries: Problems, and priorities
This article examines the current state of the pediatric surgical workforce in low and middle income countries (LMICs) and the reasons for the current shortfalls. We also note progress that has been made in capacity building and discuss priorities going forward. The existing literature on this subject has naturally focused on regions with the greatest workforce needs, particularly sub-Saharan Africa (SSA). (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 18, 2015 Category: Pediatrics Authors: S. Krishnaswami, BC. Nwomeh, EA. Ameh Source Type: research
Developing pediatric surgery in low- and middle-income countries: An evaluation of contemporary education and care delivery models
This article summarizes the burden of pediatric surgical disease and discusses the benefits and shortcomings of the following: faith-based missions; short-term surgical trips; partnerships, twinning, and academic collaborations; teaching workshops, “train the trainer”, and pediatric surgery camps; specialty treatment centers; online conferences, telemedicine, and mobile health; specific programs for exchange and education; and training in high-income countries (HICs) fellowships, and observorships. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 18, 2015 Category: Pediatrics Authors: Marilyn W. Butler Source Type: research
An investment in knowledge: Research in global pediatric surgery for the 21st century
The body of literature addressing surgical and anesthesia care for children in low- and middle-income countries (LMICs) is small. This lack of research hinders full understanding of the nature of many surgical conditions in LMICs and compromises potential efforts to alleviate the significant health, welfare and economic burdens surgical conditions impose on children, families and countries. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 18, 2015 Category: Pediatrics Authors: Sarah LM Greenberg, Josh S Ng-Kamstra, Emmanuel A Ameh, Doruk E Ozgediz, Dan Poenaru, Stephen W Bickler Source Type: research
Financing pediatric surgery in low-, and middle-income countries
Congenital anomalies once considered fatal, are now surgically correctable conditions that now allow children to live a normal life. Pediatric surgery, traditionally thought of as a privilege of the rich, as being too expensive and impractical, and which has previously been overlooked and excluded in resource-poor settings, is now being reexamined as a cost-effective strategy to reduce the global burden of disease-particularly in low, and middle-income countries (LMICs). However, to date, global pediatric surgical financing suffers from an alarming paucity of data. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 17, 2015 Category: Pediatrics Authors: Grace Hsiung, Fizan Abdullah Source Type: research
Financing pediatric surgery in low, and middle-income countries
Congenital anomalies once considered fatal, are now surgically correctable conditions that now allow children to live a normal life. Pediatric surgery, traditionally thought of as a privilege of the rich, as being too expensive, impractical, and which has previously largely been overlooked and excluded in resource-poor settings, is now being reexamined as a cost-effective strategy to reduce the global burden of disease particularly in low, and middle-income countries (LMICs). However, to date, global pediatric surgical financing suffers from an alarming paucity of data. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 17, 2015 Category: Pediatrics Authors: Grace Hsiung, Fizan Abdullah Source Type: research
Congenital anomalies in the context of global surgery
This article will review the state of global pediatric surgery, utilizing congenital anomalies as a framework in which to discuss the promise of pediatric surgery in reducing the global burden of disease. Congenital anomalies are responsible for a substantial burden of morbidity and mortality in low- and middle-income countries (LMICs), as well as significant emotional and economic harms to the families of children with congenital anomalies. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 17, 2015 Category: Pediatrics Authors: Nicole A. Sitkin, Diana L. Farmer Source Type: research
Caring for the injured child in settings of limited resource
Children represent the most vulnerable members of our global society, a truth that is magnified when they are physically wounded. In much of the developed world, society has responded by offering protection in the form of law, injury prevention guidelines, and effective trauma systems to provide care for the injured child. Much of our world, though, remains afflicted by poverty and a lack of protective measures. As the globe becomes smaller by way of ease of travel and technology, surgeons are increasingly able to meet these children where they live and in doing so offer their hands and voices to care and protect these you...
Source: Seminars in Pediatric Surgery - September 17, 2015 Category: Pediatrics Authors: Jacob Stephenson Source Type: research
Contents
(Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 15, 2015 Category: Pediatrics Source Type: research
Forthcoming topics
(Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 15, 2015 Category: Pediatrics Source Type: research
Preface
Despite remarkable progress in improving the health of children worldwide during the past 25 years, there are areas within global health where progress has been much slower. Surgical care of children is perhaps one of the best examples. In many low- and middle-income countries (LMICs) surgical care of children continues to be viewed as a non-essential component of child health programs. In the absence of surgical care, congenital anomalies go unrepaired, treatable injuries result in lifelong disabilities, and children die of easily correctable surgical problems, e.g. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 15, 2015 Category: Pediatrics Authors: Diana Farmer, Stephen Bickler Source Type: research
Pediatric surgery as an essential component of global child health
Recent initiatives in global health have emphasized universal coverage of essential health services. Surgical conditions play a critical role in child health in resource-poor areas. This paper discusses 1) the spectrum of pediatric surgical conditions and their treatment; 2) relevance to recent advances in global surgery; 3) challenges to the prioritization of surgical care within child health, and possible solutions; 4) a case example from a resource-poor area (Uganda) illustrating some of these concepts; and 5) important child health initiatives with which surgical services should be integrated. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 15, 2015 Category: Pediatrics Authors: Doruk Ozgediz, Monica Langer, Phyllis Kisa, Dan Poenaru Source Type: research
Surgical innovation-enhanced quality and the processes that assure patient/provider safety: A surgical conundrum
Innovation is a crucial part of surgical history that has led to enhancements in the quality of surgical care. This comprises both changes which are incremental and those which are frankly disruptive in nature. There are situations where innovation is absolutely required in order to achieve quality improvement or process improvement. Alternatively, there are innovations that do not necessarily arise from some need, but simply are a new idea that might be better. All change must assure a significant commitment to patient safety and beneficence. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - August 31, 2015 Category: Pediatrics Authors: Jennifer Bruny, Moritz Ziegler Source Type: research
