Topics in global public health.
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).
Spiegel
David A
DA
Division of Orthopaedic Surgery, Children's Hospital of Philadelphia, 2nd Floor Wood Building, 34th Street & Civic Center Blvd, Philadelphia, PA 19104, USA. spiegeld@email.chop.edu
Gosselin
Richard A
RA
Coughlin
R Richard
RR
Kushner
Adam L
AL
Bickler
Stephen B
SB
D017281:Cost of Illness; D003362:Cost-Benefit Analysis; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration; D003906:Developing Countries / Q000191:economics / Q000706:statistics & numerical data; D004185:Disability Evaluation; D014943:Global Health; D017048:Health Care Costs; D006297:Health Services Accessibility; D006302:Health Services Research; D006308:Health Systems Plans; D006801:Humans; D009141:Musculoskeletal System / Q000293:injuries*; D009313:National Health Programs; D019637:Orthopedic Procedures / Q000191:economics; D016730:Program Development; D011634:Public Health / Q000191:economics; D014947:Wounds and Injuries / Q000191:economics / Q000628:therapy*