What is the Cost of Free Cleft Surgery in the Middle East?
| Autor: | Samar Sheriff, John A. van Aalst, Natalyia Biskup, Lenisa V. Chang, Haithem Elhadi Babiker, Sonay Beyatli, Hassan J Zawahrah, Ashton Roach |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Cleft Lip education Cleft surgery Audiology Hospitals Private 03 medical and health sciences Middle East 0302 clinical medicine Medicine Humans Operations management Palestine Market value health care economics and organizations Government Data collection business.industry Hospitals Public Medical Missions 030206 dentistry Team working Actual cost Cleft Palate Models Economic 030220 oncology & carcinogenesis Costs and Cost Analysis Surgery business |
| Zdroj: | World journal of surgery. 42(5) |
| ISSN: | 1432-2323 |
| Popis: | This project explores the costs of cleft lip and/or palate surgeries in Palestine and Sudan, two low- and middle-income countries (LMIC), in the Middle East. Our purpose is to examine the veracity of advertisements from international cleft organizations claiming that “250 US dollars (USD) covers the cost of a single cleft surgery.” We hypothesize that the actual cost of surgery is greater than 250 USD. Costs for each cleft surgery were organized broadly into 5 categories: hospital charges, personnel (time and money spent for health professionals to travel to LMIC, including lost wages), tests, consumables, and reusables. Each item was priced at market value during the time of data collection. Following itemization of actual costs, we compared the costs per cleft surgery among four surgical practice models: (1) visiting international surgical teams, (2) visiting international surgeon working with local teams, (3) local teams working at government hospitals, and (4) local teams working at private hospitals. Our results suggest that 250 USD is an underestimate of actual costs per cleft surgery in all models. The most expensive model in both Palestine and Sudan was the first model, visiting international teams performing all team functions; the cheapest surgical model in both countries was a local team working at government hospitals. The largest cost for any of these models is travel and lost wages for international team members. Eliminating this single cost (travel) decreases overall cost tremendously, but still does not approach the advertised cost of 250 USD. We conclude that 250 USD underestimates the actual costs to perform a single cleft surgery in Palestine and Sudan. If international cleft organizations are genuinely committed to creating sustainable international cleft programs, they should focus exclusively on training local professionals to perform surgery in hospitals of their own choosing. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink