The Impact of Implementing a Comprehensive Surgical Program on the Surgical Cohort at a Remote Referral Hospital in Southeastern Liberia

The Impact of Implementing a Comprehensive Surgical Program on the Surgical Cohort at a Remote Referral Hospital in Southeastern Liberia

Background Liberia has an extreme health workforce shortage, particularly with respect to surgery. JJ Dossen Memorial (JJD) is a public referral hospital supported by Partners in Health. Methods We designed and implemented a comprehensive surgical program at JJD. Using case logs, clinic records, and...

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Veröffentlicht in:World journal of surgery 2020-03, Vol.44 (3), p.680-688
Hauptverfasser: Joharifard, Shahrzad, Price, Natalie, Ipanaqué, Josué Gabriel Yarlequé, Clarke, Robert Harold, Nyemah, Emmanuel, Wallace, Andrew F., Dobboh, Charles, Howe, Christiana, Kortimai, Lucia Gizzie, Chukwuemeka, Nnajieneh Stanley, Mentoe, Sianeh Jackson, Kabeto, Abdissa Kurkie, Beste, Jason, Dunbar, Elizabeth
Format: Artikel
Sprache:eng
Schlagworte:
Abdominal Surgery
Adolescent
Adult
Aged
Anesthesia
Cardiac Surgery
Child
Child, Preschool
Cohort Studies
Demographics
Demography
Female
Females
General Surgery
Health
Hospitals, Public
Humans
Infant
Liberia
Life Sciences & Biomedicine
Male
Medical personnel
Medicine
Medicine & Public Health
Middle Aged
Patients
Referral and Consultation
Science & Technology
Surgery
Surgery in Low and Middle Income Countries
Surgical Procedures, Operative
Thoracic Surgery
Vascular Surgery
Young Adult
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Zusammenfassung:Background Liberia has an extreme health workforce shortage, particularly with respect to surgery. JJ Dossen Memorial (JJD) is a public referral hospital supported by Partners in Health. Methods We designed and implemented a comprehensive surgical program at JJD. Using case logs, clinic records, and transfer data between December 2016 and April 2018, we evaluated the impact of this program on the surgical cohort and examined temporal trends in patient origin using GIS. Results The mean number of cases per day increased from 1.7 ± 1.0 to 2.4 ± 1.3 ( p  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-019-05277-4