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dc.contributor.authorPatel, Pratik Bharat
dc.contributor.authorHoyler, Marguerite Mcmillan
dc.contributor.authorMaine, Rebecca Gwynne
dc.contributor.authorHughes, Christopher D.
dc.contributor.authorHagander, Lars Erik
dc.contributor.authorMeara, John Gerard
dc.date.accessioned2013-05-09T16:13:03Z
dc.date.issued2012
dc.identifier.citationPatel, Pratik Bharat, Marguerite Mcmillan Hoyler, Rebecca Gwynne Maine, Christopher D. Hughes, Lars Erik Hagander, and John Gerard Meara. 2012. An opportunity for diagonal development in global surgery: Cleft lip and palate care in resource-limited settings. Plastic Surgery International 2012:892437.en_US
dc.identifier.issn2090-1461en_US
dc.identifier.issn2090-147Xen_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:10612958
dc.description.abstractGlobal cleft surgery missions have provided much-needed care to millions of poor patients worldwide. Still, surgical capacity in low- and middle-income countries is generally inadequate. Through surgical missions, global cleft care has largely ascribed to a vertical model of healthcare delivery, which is disease specific, and tends to deliver services parallel to, but not necessarily within, the local healthcare system. The vertical model has been used to address infectious diseases as well as humanitarian emergencies. By contrast, a horizontal model for healthcare delivery tends to focus on long-term investments in public health infrastructure and human capital and has less often been implemented by humanitarian groups for a variety of reasons. As surgical care is an integral component of basic healthcare, the plastic surgery community must challenge itself to address the burden of specific disease entities, such as cleft lip and palate, in a way that sustainably expands and enriches global surgical care as a whole. In this paper, we describe a diagonal care delivery model, whereby cleft missions can enrich surgical capacity through integration into sustainable, local care delivery systems. Furthermore, we examine the applications of diagonal development to cleft care specifically and global surgical care more broadly.en_US
dc.language.isoen_USen_US
dc.publisherHindawi Publishing Corporationen_US
dc.relation.isversionofdoi:10.1155/2012/892437en_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3539333/pdf/en_US
dash.licenseLAA
dc.titleAn Opportunity for Diagonal Development in Global Surgery: Cleft Lip and Palate Care in Resource-Limited Settingsen_US
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden_US
dc.relation.journalPlastic Surgery Internationalen_US
dash.depositing.authorHagander, Lars Erik
dc.date.available2013-05-09T16:13:03Z
dc.identifier.doi10.1155/2012/892437*
dash.contributor.affiliatedHoyler, Marguerite Mcmillan
dash.contributor.affiliatedPatel, Pratik Bharat
dash.contributor.affiliatedHagander, Lars
dash.contributor.affiliatedMaine, Rebecca
dash.contributor.affiliatedMeara, John


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