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Understanding and Addressing the Global Need for Orthopaedic Trauma Care

2016; Wolters Kluwer; Volume: 98; Issue: 21 Linguagem: Inglês

10.2106/jbjs.16.00323

1535-1386

Kiran J. Agarwal-Harding, Arvind von Keudell, Lewis G. Zirkle, John G. Meara, George S.M. Dyer,

Trauma and Emergency Care Studies

➤ The burden of musculoskeletal trauma is high worldwide, disproportionately affecting the poor, who have the least access to quality orthopaedic trauma care. ➤ Orthopaedic trauma care is essential, and must be a priority in the horizontal development of global health systems. ➤ The education of surgeons, nonphysician clinicians, and ancillary staff in low and middle income countries is central to improving access to and quality of care. ➤ Volunteer surgical missions from rich countries can sustainably expand and strengthen orthopaedic trauma care only when they serve a local need and build local capacity. ➤ Innovative business models may help to pay for care of the poor. Examples include reducing costs through process improvements and cross-subsidizing from profitable high-volume activities. ➤ Resource-poor settings may foster innovations in devices or systems with universal applicability in orthopaedics.