Clinical Orthopaedics and Related Research

, Volume 466, Issue 10, pp 2377–2384

Topics in Global Public Health

  • David A. Spiegel
  • Richard A. Gosselin
  • R. Richard Coughlin
  • Adam L. Kushner
  • Stephen B. Bickler
Symposium: ABJS/C.T. Brighton Workshop on Trauma in the Developing World

DOI: 10.1007/s11999-008-0413-2

Cite this article as:
Spiegel, D.A., Gosselin, R.A., Coughlin, R.R. et al. Clin Orthop Relat Res (2008) 466: 2377. doi:10.1007/s11999-008-0413-2

Abstract

Deficiencies in the delivery of musculoskeletal trauma care in low- and middle-income countries can be attributed to a variety of causes, all of which can be linked to failure of the health system to deliver the necessary services to prevent death and disability. As such, a “systems” approach will be required to improve the delivery of services. The goal of this review is to familiarize the orthopaedic surgeon with selected topics in public health, including health systems, burden of disease, disability adjusted life year (DALY), cost-effective analysis, and related concepts (eg, met versus unmet need, access, utilization, effective coverage).

Copyright information

© The Association of Bone and Joint Surgeons 2008

Authors and Affiliations

  • David A. Spiegel
    • 1
  • Richard A. Gosselin
    • 2
    • 3
  • R. Richard Coughlin
    • 2
    • 3
  • Adam L. Kushner
    • 4
  • Stephen B. Bickler
    • 5
  1. 1.Division of Orthopaedic SurgeryChildren’s Hospital of PhiladelphiaPhiladelphiaUSA
  2. 2.University of California at Berkeley School of Public HealthBerkeleyUSA
  3. 3.University of California at San FranciscoSan FranciscoUSA
  4. 4.The New York Society of International Humanitarian Surgeons (NYSIHS)New YorkUSA
  5. 5.Department of SurgeryUniversity of California at San DiegoSan DiegoUSA

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