tailieunhanh - báo cáo khoa học: "Turning a blind eye: the mobilization of radiology services in resource-poor regions"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Turning a blind eye: the mobilization of radiology services in resource-poor regions | Maru et al. Globalization and Health 2010 6 18 http content 6 1 18 H2 GLOBALIZATION . 7 AND HEALTH DEBATE Open Access Turning a blind eye the mobilization of radiology services in resource-poor regions 14 16 Duncan Smith-Rohrberg Maru Ryan Schwarz Jason Andrews Sanjay Basu Aditya Sharma Christopher Moore1 7 Abstract While primary care obstetrical and surgical services have started to expand in the world s poorest regions there is only sparse literature on the essential support systems that are required to make these operations function. Diagnostic imaging is critical to effective rural healthcare delivery yet it has been severely neglected by the academic public and private sectors. Currently a large portion of the world s population lacks access to any form of diagnostic imaging. In this paper we argue that two primary imaging modalities-diagnostic ultrasound and X-Ray-are ideal for rural healthcare services and should be scaled-up in a rapid and standardized manner. Such machines if designed for resource-poor settings should a be robust in harsh environmental conditions b function reliably in environments with unstable electricity c minimize radiation dangers to staff and patients d be operable by nonspecialist providers and e produce high-quality images required for accurate diagnosis. Few manufacturers are producing ultrasound and X-Ray machines that meet the specifications needed for rural healthcare delivery in resource-poor regions. A coordinated effort is required to create demand sufficient for manufacturers to produce the desired machines and to ensure that the programs operating them are safe effective and financially feasible. Diagnostic Radiology A Neglected Essential Service Diagnostic radiology is a major growth industry in the healthcare sector worldwide but most citizens in rural and impoverished areas currently lack access to any form of imaging. While 96 of emergency departments in the United States .