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An opportunity for diagonal development in global surgery: cleft lip and palate care in resource-limited settings.

Patel PB, Hoyler M, Maine R, Hughes CD, Hagander L, Meara JG - Plast Surg Int (2012)

Bottom Line: By contrast, a horizontal model for healthcare delivery tends to focus on long-term investments in public health infrastructure and human capital and has less often been implemented by humanitarian groups for a variety of reasons.As surgical care is an integral component of basic healthcare, the plastic surgery community must challenge itself to address the burden of specific disease entities, such as cleft lip and palate, in a way that sustainably expands and enriches global surgical care as a whole.Furthermore, we examine the applications of diagonal development to cleft care specifically and global surgical care more broadly.

View Article: PubMed Central - PubMed

Affiliation: Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA 02115, USA ; Department of Plastic and Oral Surgery, Boston Children's Hospital, 300 Longwood Avenue, Enders 1, Boston, MA 02115, USA.

ABSTRACT
Global cleft surgery missions have provided much-needed care to millions of poor patients worldwide. Still, surgical capacity in low- and middle-income countries is generally inadequate. Through surgical missions, global cleft care has largely ascribed to a vertical model of healthcare delivery, which is disease specific, and tends to deliver services parallel to, but not necessarily within, the local healthcare system. The vertical model has been used to address infectious diseases as well as humanitarian emergencies. By contrast, a horizontal model for healthcare delivery tends to focus on long-term investments in public health infrastructure and human capital and has less often been implemented by humanitarian groups for a variety of reasons. As surgical care is an integral component of basic healthcare, the plastic surgery community must challenge itself to address the burden of specific disease entities, such as cleft lip and palate, in a way that sustainably expands and enriches global surgical care as a whole. In this paper, we describe a diagonal care delivery model, whereby cleft missions can enrich surgical capacity through integration into sustainable, local care delivery systems. Furthermore, we examine the applications of diagonal development to cleft care specifically and global surgical care more broadly.

No MeSH data available.


Related in: MedlinePlus

A diagonal approach harnesses the power of horizontal aims and vertical inputs.
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fig1: A diagonal approach harnesses the power of horizontal aims and vertical inputs.

Mentions: “Diagonal” approaches refer to programs which are neither purely vertical nor purely horizontal [34, 35]. Rather, these programs find synergy between the immediate advantages of vertical inputs and the long-term benefits of horizontal aims, ultimately increasing access and enriching capacity of surgical services (Figure 1).


An opportunity for diagonal development in global surgery: cleft lip and palate care in resource-limited settings.

Patel PB, Hoyler M, Maine R, Hughes CD, Hagander L, Meara JG - Plast Surg Int (2012)

A diagonal approach harnesses the power of horizontal aims and vertical inputs.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3539333&req=5

fig1: A diagonal approach harnesses the power of horizontal aims and vertical inputs.
Mentions: “Diagonal” approaches refer to programs which are neither purely vertical nor purely horizontal [34, 35]. Rather, these programs find synergy between the immediate advantages of vertical inputs and the long-term benefits of horizontal aims, ultimately increasing access and enriching capacity of surgical services (Figure 1).

Bottom Line: By contrast, a horizontal model for healthcare delivery tends to focus on long-term investments in public health infrastructure and human capital and has less often been implemented by humanitarian groups for a variety of reasons.As surgical care is an integral component of basic healthcare, the plastic surgery community must challenge itself to address the burden of specific disease entities, such as cleft lip and palate, in a way that sustainably expands and enriches global surgical care as a whole.Furthermore, we examine the applications of diagonal development to cleft care specifically and global surgical care more broadly.

View Article: PubMed Central - PubMed

Affiliation: Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA 02115, USA ; Department of Plastic and Oral Surgery, Boston Children's Hospital, 300 Longwood Avenue, Enders 1, Boston, MA 02115, USA.

ABSTRACT
Global cleft surgery missions have provided much-needed care to millions of poor patients worldwide. Still, surgical capacity in low- and middle-income countries is generally inadequate. Through surgical missions, global cleft care has largely ascribed to a vertical model of healthcare delivery, which is disease specific, and tends to deliver services parallel to, but not necessarily within, the local healthcare system. The vertical model has been used to address infectious diseases as well as humanitarian emergencies. By contrast, a horizontal model for healthcare delivery tends to focus on long-term investments in public health infrastructure and human capital and has less often been implemented by humanitarian groups for a variety of reasons. As surgical care is an integral component of basic healthcare, the plastic surgery community must challenge itself to address the burden of specific disease entities, such as cleft lip and palate, in a way that sustainably expands and enriches global surgical care as a whole. In this paper, we describe a diagonal care delivery model, whereby cleft missions can enrich surgical capacity through integration into sustainable, local care delivery systems. Furthermore, we examine the applications of diagonal development to cleft care specifically and global surgical care more broadly.

No MeSH data available.


Related in: MedlinePlus