Delivery of Subspecialty Surgical Care in Low-Resource Settings



Subspecialty surgery, the provision of surgical care by trained subspecialists which typically requires advanced technology, materials, and infrastructure, is an emerging field on a global scale. Worldwide, there is a large burden of disease correctable by subspecialty surgery despite insufficient personnel and inadequate access to care for the majority of patients. Historically, subspecialty surgery in resource-limited settings has slowly progressed along a continuum of care. Numerous models and methods of delivery, each with notable advantages and disadvantages, have been utilized to provide care along this continuum. Based on these, providers and those they partner with can apply a model to further the provision of care. When done well, this delivery of subspecialty surgical care benefits not only the individual patient, but the community as a whole. Tenwek Hospital, a faith-based mission hospital that utilizes multiple methods of delivery, represents one example of how the continuum of the delivery of care can be used to promote cardiac surgery for individual patients while improving infrastructure and capacity to care for a community. This chapter illustrates some of the potential models available to enhance the subspecialist in global surgery.


Global Surgery Subspecialty Surgery Delivery of Healthcare Health Resources Health Priorities 


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© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of SurgeryTenwek HospitalBometKenya
  2. 2.Warren Alpert School of Medicine at Brown UniversityProvidenceUSA

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