TY - JOUR
T1 - Scalable, sustainable cost-effective surgical care
T2 - A model for safety and quality in the developing world, part III: Impact and sustainability
AU - Campbell, Alex
AU - Restrepo, Carolina
AU - Mackay, Don
AU - Sherman, Randy
AU - Varma, Ajit
AU - Ayala, Ruben
AU - Sarma, Hiteswar
AU - Deshpande, Gaurav
AU - Magee, William
N1 - Publisher Copyright:
Copyright © 2014 by Mutaz B. Habal, MD.
PY - 2014
Y1 - 2014
N2 - Background: The Guwahati Comprehensive Cleft Care Center (GCCCC) utilizes a high-volume, subspecialized institution to provide safe, quality, and comprehensive and cost-effective surgical care to a highly vulnerable patient population.Results: During this time period, the GCCCC provided free operations to 7,034 patients, with improved safety, outcomes, and multidisciplinary services while dramatically decreasing costs and increasing investments in the local community. The center has become a regional referral cleft center, and governments of surrounding states have contracted the GCCCC to provide care for their citizens with cleft lip and cleft palate. Additional regional and global impact is anticipated through continued investments into education and training, comprehensive services, and research and outcomes.Methods: The GCCCC utilized a diagonal model of surgical care delivery, with vertical inputs ofmission-based care transitioning to investments in infrastructure and human capital to create a sustainable, local care delivery system. Over the first 2.5 years of service (May 2011-November 2013), the GCCCC made significant advances in numerous areas. Progress was meticulously documented to evaluate performance and provide transparency to stakeholders including donors, government officials, medical oversight bodies, employees, and patients.Conclusion: The success of this public private partnership demonstrates the value of this model of surgical care in the developing world, and offers a blueprint for reproduction. The GCCCC experience has been consistent with previous studies demonstrating a positive volume-outcomes relationship, and provides evidence for the value of the specialty hospital model for surgical delivery in the developing world.
AB - Background: The Guwahati Comprehensive Cleft Care Center (GCCCC) utilizes a high-volume, subspecialized institution to provide safe, quality, and comprehensive and cost-effective surgical care to a highly vulnerable patient population.Results: During this time period, the GCCCC provided free operations to 7,034 patients, with improved safety, outcomes, and multidisciplinary services while dramatically decreasing costs and increasing investments in the local community. The center has become a regional referral cleft center, and governments of surrounding states have contracted the GCCCC to provide care for their citizens with cleft lip and cleft palate. Additional regional and global impact is anticipated through continued investments into education and training, comprehensive services, and research and outcomes.Methods: The GCCCC utilized a diagonal model of surgical care delivery, with vertical inputs ofmission-based care transitioning to investments in infrastructure and human capital to create a sustainable, local care delivery system. Over the first 2.5 years of service (May 2011-November 2013), the GCCCC made significant advances in numerous areas. Progress was meticulously documented to evaluate performance and provide transparency to stakeholders including donors, government officials, medical oversight bodies, employees, and patients.Conclusion: The success of this public private partnership demonstrates the value of this model of surgical care in the developing world, and offers a blueprint for reproduction. The GCCCC experience has been consistent with previous studies demonstrating a positive volume-outcomes relationship, and provides evidence for the value of the specialty hospital model for surgical delivery in the developing world.
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U2 - 10.1097/SCS.0000000000001207
DO - 10.1097/SCS.0000000000001207
M3 - Article
C2 - 25148631
AN - SCOPUS:84914107623
SN - 1049-2275
VL - 25
SP - 1685
EP - 1689
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
IS - 5
ER -