Effective Orthopaedic Care Delivery Models in Low- And Middle- Income Countries
Location
LSUHSC-NO Medical Education Building
Event Website
www.medschool.lsuhsc.edu/ortho/resident_programs.aspx
Document Type
Presentation
Start Date
23-6-2023 10:20 AM
End Date
23-6-2023 10:30 AM
Publication Date
June 2023
Description
Background: The global burden of musculoskeletal injuries is high. Trauma kills more people than HIV/AIDS, malaria, and tuberculosis combined. Road traffic injuries are the leading cause of death among ages 5-29. Non- governmental organizations (NGOs) have developed a wide spectrum of orthopaedic care delivery models in low- and-middle income countries (LMICs), e.g. specialized implants and postoperative rehabilitation. This study defines and compares 15 predominant models of care: the combination or services provided by an organization in its mission to deliver orthopaedic care. Methods: A literature review and Internet investigation was conducted which identified 409 orthopaedic care models. Of those,15 were selected for this study. Publicly available financial information and clinical data was reviewed for the years 2018-2020. Results: The mean number of years in operation was 27.5. Most organizations trained local MDs and ancillary medical staff. (Table 2) The majority had a non-profit status, did not have a religious affiliation, and reported some research activity. (Table 3) The predominant orthopaedic care activities include facilitating visits by foreign surgeons; educating local providers; supplying implants; conducting research; performing surgeries and creating cost-sharing for-profit payment models. Total expenses and the percent spent on medical operations per surgery completed were analyzed. The majority of costs were medical operation expenses expressed as a mean (84%), followed by non-medical related activities (9%) and fund raising (7%). The number of annual surgeries performed or facilitated ranged from 123 to 117,600. The cost of the least expensive model, SIGN, averaged $23.00 per surgery. Conclusions: These findings suggest that combining various models of care is the most efficient means of delivering orthopaedic care appropriate for the population.
Recommended Citation
Van Deventer, Leland, "Effective Orthopaedic Care Delivery Models in Low- And Middle- Income Countries" (2023). Dept. of Orthopaedics: Robert D. D’Ambrosia Lectureship & Research Day. 1.
https://digitalscholar.lsuhsc.edu/ortho_rd/2023/pres2/1
Effective Orthopaedic Care Delivery Models in Low- And Middle- Income Countries
LSUHSC-NO Medical Education Building
Background: The global burden of musculoskeletal injuries is high. Trauma kills more people than HIV/AIDS, malaria, and tuberculosis combined. Road traffic injuries are the leading cause of death among ages 5-29. Non- governmental organizations (NGOs) have developed a wide spectrum of orthopaedic care delivery models in low- and-middle income countries (LMICs), e.g. specialized implants and postoperative rehabilitation. This study defines and compares 15 predominant models of care: the combination or services provided by an organization in its mission to deliver orthopaedic care. Methods: A literature review and Internet investigation was conducted which identified 409 orthopaedic care models. Of those,15 were selected for this study. Publicly available financial information and clinical data was reviewed for the years 2018-2020. Results: The mean number of years in operation was 27.5. Most organizations trained local MDs and ancillary medical staff. (Table 2) The majority had a non-profit status, did not have a religious affiliation, and reported some research activity. (Table 3) The predominant orthopaedic care activities include facilitating visits by foreign surgeons; educating local providers; supplying implants; conducting research; performing surgeries and creating cost-sharing for-profit payment models. Total expenses and the percent spent on medical operations per surgery completed were analyzed. The majority of costs were medical operation expenses expressed as a mean (84%), followed by non-medical related activities (9%) and fund raising (7%). The number of annual surgeries performed or facilitated ranged from 123 to 117,600. The cost of the least expensive model, SIGN, averaged $23.00 per surgery. Conclusions: These findings suggest that combining various models of care is the most efficient means of delivering orthopaedic care appropriate for the population.
https://digitalscholar.lsuhsc.edu/ortho_rd/2023/pres2/1