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Topics in Global Public Health

  • Symposium: ABJS/C.T. Brighton Workshop on Trauma in the Developing World
  • Published:
Clinical Orthopaedics and Related Research

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).

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Author information

Authors and Affiliations

  1. Division of Orthopaedic Surgery, Children’s Hospital of Philadelphia, 2nd Floor Wood Building, 34th Street & Civic Center Blvd, Philadelphia, PA, 19104, USA

    David A. Spiegel MD

  2. University of California at Berkeley School of Public Health, Berkeley, CA, USA

    Richard A. Gosselin MD & R. Richard Coughlin MD

  3. University of California at San Francisco, San Francisco, CA, USA

    Richard A. Gosselin MD & R. Richard Coughlin MD

  4. The New York Society of International Humanitarian Surgeons (NYSIHS), New York, NY, USA

    Adam L. Kushner MD

  5. Department of Surgery, University of California at San Diego, San Diego, USA

    Stephen B. Bickler MD

Authors
  1. David A. Spiegel MD
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  2. Richard A. Gosselin MD
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  3. R. Richard Coughlin MD
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  4. Adam L. Kushner MD
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  5. Stephen B. Bickler MD
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Corresponding author

Correspondence to David A. Spiegel MD.

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Spiegel, D.A., Gosselin, R.A., Coughlin, R.R. et al. Topics in Global Public Health. Clin Orthop Relat Res 466, 2377–2384 (2008). https://doi.org/10.1007/s11999-008-0413-2

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  • DOI: https://doi.org/10.1007/s11999-008-0413-2

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