Access to specialist plastic surgery in rural vs. Urban areas of Africa.

IF 1.6 3区 医学 Q2 SURGERY
Nadine Mugisha, Olivier Uwishema, Rawan Noureddine, Boluwatife Samuel Fatokun, Clever Byiringiro, Lolita Fawaz, Laura Ghanem, Victoire Mukamitari, Jack Wellington
{"title":"Access to specialist plastic surgery in rural vs. Urban areas of Africa.","authors":"Nadine Mugisha, Olivier Uwishema, Rawan Noureddine, Boluwatife Samuel Fatokun, Clever Byiringiro, Lolita Fawaz, Laura Ghanem, Victoire Mukamitari, Jack Wellington","doi":"10.1186/s12893-024-02735-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Plastic surgery is an essential yet underdeveloped field in many African nations, especially in rural areas. The demand for plastic surgery is increasing, but differences in access to respective services between rural and urban domiciles remain ever existent, despite the exponentiation of trauma, burns, and congenital disorders. According to this review, urban areas have access to better facilities and specialized surgeons, while rural areas frequently lack infrastructure, educated healthcare personnel, and medical resources. This review compares the quality and accessibility of plastic surgery services in African rural and urban settings in order to determine the variables influencing said differences in access.</p><p><strong>Methods: </strong>This literature review was performed using electronic search databases comprising PubMed/MEDLINE, Google Scholar, and Africa Journals online (AJOL). Regional medical journals were also reviewed using keywords and associated Boolean operators pertaining to \"plastic surgery\", \"plastic surgery in rural\" and plastic surgery in urban\" by selecting studies based on their relevance and content quality. Studies focusing on plastic surgery in Africa were included. A total of 37 articles were analyzed to provide insights into the disparities between rural and urban access to plastic surgery services in Africa. Studies not focusing on plastic surgery were excluded.</p><p><strong>Results: </strong>The review highlighted significant disparities in access to plastic surgery services between Africa's rural and urban areas. Rural areas usually lack medical resources, specialized surgeons, infrastructure, while urban areas have access to better facilities and specialized surgeons. Urban regions not only hail more training opportunities for surgeons but also foster further specialized facilities, greater training options, access to modern surgical equipment, sterile facilities and advanced instruments, contributing to clinical and surgical excellence alongside patient satisfaction and outcomes. However, there is a scarcity of qualified plastic surgeons in rural regions, including antiquated technology and a dearth of resources and expertise. Besides, socioeconomic variables that hinder said indifference between rural and urban areas, such as poverty, education, money, and cultural attitudes, precipitated limited access to critical surgical intervention in rural populations.</p><p><strong>Conclusion: </strong>Further research should be done on how plastic surgery services differ in urban and rural areas. Availability of financial expertise and specialists who can provide specialized care in rural settings is recommended. To enhance patient outcomes, the implementation of technological innovation, improved healthcare infrastructure, and effective training initiatives should be implemented in rural Africa. Also, in the field of plastic surgery, emphasizing the use of telemedicine and mobile surgical units may aid universal healthcare for residents in rural domiciles. Significant progress towards ensuring equitable access to high-quality plastic surgery in rural Africa may be achieved through these initiatives.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"24 1","pages":"418"},"PeriodicalIF":1.6000,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670430/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12893-024-02735-2","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: Plastic surgery is an essential yet underdeveloped field in many African nations, especially in rural areas. The demand for plastic surgery is increasing, but differences in access to respective services between rural and urban domiciles remain ever existent, despite the exponentiation of trauma, burns, and congenital disorders. According to this review, urban areas have access to better facilities and specialized surgeons, while rural areas frequently lack infrastructure, educated healthcare personnel, and medical resources. This review compares the quality and accessibility of plastic surgery services in African rural and urban settings in order to determine the variables influencing said differences in access.

Methods: This literature review was performed using electronic search databases comprising PubMed/MEDLINE, Google Scholar, and Africa Journals online (AJOL). Regional medical journals were also reviewed using keywords and associated Boolean operators pertaining to "plastic surgery", "plastic surgery in rural" and plastic surgery in urban" by selecting studies based on their relevance and content quality. Studies focusing on plastic surgery in Africa were included. A total of 37 articles were analyzed to provide insights into the disparities between rural and urban access to plastic surgery services in Africa. Studies not focusing on plastic surgery were excluded.

Results: The review highlighted significant disparities in access to plastic surgery services between Africa's rural and urban areas. Rural areas usually lack medical resources, specialized surgeons, infrastructure, while urban areas have access to better facilities and specialized surgeons. Urban regions not only hail more training opportunities for surgeons but also foster further specialized facilities, greater training options, access to modern surgical equipment, sterile facilities and advanced instruments, contributing to clinical and surgical excellence alongside patient satisfaction and outcomes. However, there is a scarcity of qualified plastic surgeons in rural regions, including antiquated technology and a dearth of resources and expertise. Besides, socioeconomic variables that hinder said indifference between rural and urban areas, such as poverty, education, money, and cultural attitudes, precipitated limited access to critical surgical intervention in rural populations.

Conclusion: Further research should be done on how plastic surgery services differ in urban and rural areas. Availability of financial expertise and specialists who can provide specialized care in rural settings is recommended. To enhance patient outcomes, the implementation of technological innovation, improved healthcare infrastructure, and effective training initiatives should be implemented in rural Africa. Also, in the field of plastic surgery, emphasizing the use of telemedicine and mobile surgical units may aid universal healthcare for residents in rural domiciles. Significant progress towards ensuring equitable access to high-quality plastic surgery in rural Africa may be achieved through these initiatives.

非洲农村与城市地区专科整形手术的获取情况。
导言:整形外科在许多非洲国家,尤其是农村地区,是一个重要但不发达的领域。对整形手术的需求正在增加,但尽管创伤、烧伤和先天性疾病呈指数增长,但城乡居民在获得相应服务方面的差异仍然存在。根据这项审查,城市地区有更好的设施和专业外科医生,而农村地区往往缺乏基础设施、受过教育的保健人员和医疗资源。本综述比较了非洲农村和城市整形手术服务的质量和可及性,以确定影响可及性差异的变量。方法:使用PubMed/MEDLINE、谷歌Scholar和Africa Journals online (AJOL)等电子检索数据库进行文献综述。区域性医学期刊也使用与“整形外科”、“农村整形外科”和“城市整形外科”有关的关键字和相关布尔运算符进行审查,根据相关性和内容质量选择研究。研究重点包括非洲的整形手术。共分析了37篇文章,以深入了解非洲农村和城市获得整形手术服务之间的差异。不关注整形手术的研究被排除在外。结果:该审查强调了非洲农村和城市地区在获得整形手术服务方面的显著差异。农村地区通常缺乏医疗资源、专业外科医生和基础设施,而城市地区有更好的设施和专业外科医生。城市地区不仅为外科医生提供了更多的培训机会,而且还促进了进一步的专业化设施、更多的培训选择、现代手术设备、无菌设施和先进仪器的使用,从而促进了临床和手术的卓越性,以及患者的满意度和结果。然而,农村地区缺乏合格的整形外科医生,包括技术陈旧,缺乏资源和专业知识。此外,阻碍城乡差异的社会经济变量,如贫困、教育、金钱和文化态度,导致农村人口获得关键手术干预的机会有限。结论:城乡整形服务差异有待进一步研究。建议提供能够在农村环境中提供专门护理的金融专业知识和专家。为提高患者的治疗效果,应在非洲农村实施技术创新、改善保健基础设施和有效的培训举措。此外,在整形外科领域,强调远程医疗和流动外科单位的使用可能有助于农村居民的普遍保健。通过这些举措,可以在确保非洲农村公平获得高质量整形手术方面取得重大进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
BMC Surgery
BMC Surgery SURGERY-
CiteScore
2.90
自引率
5.30%
发文量
391
审稿时长
58 days
期刊介绍: BMC Surgery is an open access, peer-reviewed journal that considers articles on surgical research, training, and practice.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信