title: The Imperative of Academia in the Globalization of Plastic Surgery.
abstract: Although vertical health care delivery models certainly will remain a vital component in the provision of surgery in low-and-middle-income countries, it is clear now that the sustainability of global surgery will depend on more than just surgeons operating. Instead, what is needed is a comprehensive approach, that is, a horizontal integration that develops sustainable human resources, physical infrastructure, administrative oversight, and financing mechanisms in the developing world. We propose that such a strategy for development would necessarily involve an active role by academic institutions of high-income countries.
authors.affiliation: *Division of Plastic and Reconstructive Surgery, University of Wisconsin Hospital and Clinics, Madison, WI †Department of Plastic Surgery, Universidad Nacional Autonoma de Nicaragua, Leon, Nicaragua; and ‡Department of Plastic Surgery, Catholic University, Guayaquil, Ecuador.
authors.forename: Harry S
authors.initials: HS
authors.lastname: Nayar
authors.forename: Michael L
authors.initials: ML
authors.lastname: Bentz
authors.forename: Gustavo Herdocia
authors.initials: GH
authors.lastname: Baus
authors.forename: Jorge
authors.initials: J
authors.lastname: Palacios
authors.forename: David G
authors.initials: DG
authors.lastname: Dibbell
authors.forename: John
authors.initials: J
authors.lastname: Noon
authors.forename: Samuel O
authors.initials: SO
authors.lastname: Poore
authors.forename: Timothy W
authors.initials: TW
authors.lastname: King
authors.forename: Delora L
authors.initials: DL
authors.lastname: Mount
mesh_terms: D003695:Delivery of Health Care / Q000191:economics*; D003906:Developing Countries; D006301:Health Services Needs and Demand; D006801:Humans; D013518:Surgery, Plastic / Q000191:economics*