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Hurdles to the Development of the “Surgical Home” in the Low-Resource World

  • Akwasi Antwi-KusiEmail author
  • Alfred Jacob Aidoo
Global Health Anesthesia (MJ Harris, Section Editor)
  • 7 Downloads
Part of the following topical collections:
  1. Topical Collection on Global Health Anesthesia

Abstract

Purpose of Review

This chapter assesses the current state of practice of anesthesia in a low-resourced hospital and the hurdles envisaged in the development of perioperative surgical home, PSH, at the Komfo Anokye Teaching Hospital, KATH in Ghana.

Recent Findings

In the PSH model, the patient’s experience of care is coordinated by a Director of Perioperative Services, additional Surgical Home Leadership, and supportive personnel, which constitute an interdisciplinary team. KATH is yet to establish working structures that provide a solid foundation that would make implementation of this model possible. Foundational tenets of the PSH being operating room (OR) managers or directors, interdisciplinary teamwork, well-oriented and motivated staff, appreciation of the key roles of the anesthetist by both patients and surgeons among others are either not well established or nonexistent currently at KATH.

Summary

While KATH has the basic infrastructure and personnel compared to other low-resourced countries for delivery of safe anesthesia, there exist several important limitations to the successful establishment of the PSH practice. Besides having to operate currently on limited funding, the necessary interdepartmental cohesion and acceptance of the anesthetist to lead any such model present an important hurdle to be surmounted.

Keywords

Perioperative surgical home Low-resourced world Anesthesia Motivation Incentives Morale Workforce Interdisciplinary team Attitude to work Targets 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Anaesthesiology and Intensive Care, School of Medical Sciences, College of Health SciencesKwame Nkrumah University of Science and TechnologyKumasiGhana
  2. 2.Department of Anaesthesiology and Intensive CareKomfo Anokye Teaching Teaching HospitalKumasiGhana

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