Establishing Sustainable Cardiothoracic Surgery Programs in Underserved Countries

Thorac Cardiovasc Surg. 2018 Nov;66(8):661-666. doi: 10.1055/s-0038-1668598. Epub 2018 Aug 24.

Abstract

Congenital heart disease is the most common birth defect worldwide, and accounts for a high proportion of the world's infant mortality. About 9 of every 10 babies born each year are born in areas without adequate access to heart surgery; overcoming this problem will necessitate addressing the worldwide shortage of an estimated 3,700 pediatric cardiac surgeons. Establishing sustainable heart surgery programs requires more than an investment of money: political, social, and cultural issues unique to each environment need to be addressed. Organizations desiring to help develop cardiac surgical centers need to focus on communication and bidirectional education, and to make a long-term commitment to each site. By identifying and addressing obstacles, success rates are high.

MeSH terms

  • Cardiac Surgical Procedures* / education
  • Delivery of Health Care, Integrated / organization & administration*
  • Developing Countries*
  • Education, Medical
  • Health Services Needs and Demand / organization & administration*
  • Heart Defects, Congenital / diagnosis
  • Heart Defects, Congenital / mortality
  • Heart Defects, Congenital / surgery*
  • Humans
  • International Educational Exchange
  • Medical Missions / organization & administration
  • Medically Underserved Area*
  • Needs Assessment / organization & administration*
  • Program Development
  • Surgeons / education