Comprehensive Cleft Care Delivery in Developing Countries: Impact of Geographic and Demographic Factors.


Journal

The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410

Informations de publication

Date de publication:
01 Sep 2021
Historique:
pubmed: 13 3 2021
medline: 16 9 2021
entrez: 12 3 2021
Statut: ppublish

Résumé

The authors analyzed the insights of participants and faculty members of Global Smile Foundation's Comprehensive Cleft Care Workshops concerning the barriers and interventions to multidisciplinary cleft care delivery, after stratification based on demographic and geographic factors. During 2 simulation-based Comprehensive Cleft Care Workshops organized by Global Smile Foundation, participants and faculty members filled a survey. Surveys included demographic and geographic data and investigated the most relevant barrier to multidisciplinary cleft care and the most significant intervention to deliver comprehensive cleft care in outreach settings, as perceived by participants. The total response rate was 57.8%. Respondents reported that the greatest barrier to comprehensive cleft care was financial, and the most relevant intervention to deliver multidisciplinary cleft care was building multidisciplinary teams. Stratification by age, gender, and geographical area showed no statistical difference in reporting that the greatest barrier to cleft care was financial. However, lack of multidisciplinary teams was the most important barrier according to respondents with less than 5 years of experience (P = 0.03). Stratification by gender, years in practice, specialty, and geographical area showed no statistical difference, with building multidisciplinary teams reported as the most significant intervention. However, increased training was reported as the main intervention to cleft care for those aged less than 30 years old (P = 0.04). Our study delivers an assessment for barriers facing multidisciplinary cleft care delivery and interventions required to improve cleft care delivery. The authors are hoping that stratification by demographic and geographic factors will help them delineate community-specific road maps to refine cleft care delivery.

Identifiants

pubmed: 33710048
doi: 10.1097/SCS.0000000000007624
pii: 00001665-900000000-92746
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2041-2044

Informations de copyright

Copyright © 2021 by Mutaz B. Habal, MD.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest.

Références

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Auteurs

Rami S Kantar (RS)

Global Smile Foundation, Norwood, MA.
Department of Surgery, The University of Maryland Medical System, Baltimore, MD.

Omar Al Abyad (OA)

Global Smile Foundation, Norwood, MA.

Antonio Melhem (A)

Global Smile Foundation, Norwood, MA.

Elsa M Chahine (EM)

Global Smile Foundation, Norwood, MA.

Serena N Kassam (SN)

Global Smile Foundation, Norwood, MA.
Department of Pediatric Dentistry, British Columbia Children's Hospital, Vancouver, Canada.

Beyhan Annan (B)

Global Smile Foundation, Norwood, MA.

Marie K Nader (MK)

Global Smile Foundation, Norwood, MA.
Department of Pediatrics, Yale School of Medicine, New Haven, CT.

Kristen Keith (K)

Global Smile Foundation, Norwood, MA.

Corstiaan C Breugem (CC)

Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Centers, Amsterdam.
Interplast, Holland, Leiden, The Netherlands.

Usama S Hamdan (US)

Global Smile Foundation, Norwood, MA.
Department of Otology and Laryngology, Harvard Medical School.
Department of Otolaryngology, Tufts University School of Medicine, Boston, MA.

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