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Reducing the costs of surgical correction of congenitally malformed hearts in developing countries

Published online by Cambridge University Press:  01 August 2008

Sachin Talwar ,
Shiv Kumar Choudhary ,
Balram Airan ,
Rajnish Juneja ,
Shyam Sunder Kothari ,
Anita Saxena  and
Arkalgud Sampath Kumar
Sachin Talwar
Affiliation:
Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India
Shiv Kumar Choudhary*
Affiliation:
Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India
Balram Airan
Affiliation:
Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India
Rajnish Juneja
Affiliation:
Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India
Shyam Sunder Kothari
Affiliation:
Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India
Anita Saxena
Affiliation:
Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India
Arkalgud Sampath Kumar
Affiliation:
Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India
*
Correspondence to: Shiv Kumar Choudhary MCh, Additional Professor, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi110029, India. Tel: +91-11-26588500; Fax: +91-11-26588663; E-mail: [email protected]
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Abstract

A large number of patients in developing countries require surgical correction of congenitally malformed hearts. Unfortunately, only a limited number of centres offer these patients surgery at an affordable cost. In this review, we discuss the problems in managing these patients, with an emphasis on reduction of costs, so that the maximum number of patients can benefit. It is apparent that containing costs requires a multipronged approach, which begins with timely referral, and continues with early surgical correction and adequate postoperative care carried out in a scientific manner. Indigenization, innovation, training of manpower, and building a team, are essential to cut the costs, and to improve the quality of care.

Keywords

Open heart surgerypediatric cardiac surgerycost reduction
Type
Review Article
Information
Cardiology in the Young , Volume 18 , Issue 4 , August 2008 , pp. 363 - 371
Copyright
Copyright © Cambridge University Press 2008

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