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Published Paper Details:
Socioeconomic Disparities in Neurosurgical Care in Low-Income Countries: A literature Review
Authors
Vidushi Joshi,Ilham Bel Gaid,Masumeh Nozzari Varkani,Amusa Ridwan Oyewale,Batoul Yahya AlAkraa
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Keywords
low-income nations, neurosurgery, healthcare inequalities, telemedicine, artificial intelligence, workforce shortages
Abstract
Lack of qualified people, poor infrastructure, and budgetary restrictions (Dewan et al., 2018) continue to greatly limit overall access to neurosurgical care in low- and middle-income countries (LMICs). More than 5 billion people globally lack access to basic neurosurgery operations for traumatic brain injuries (TBI), hydrocephalus, and brain tumors, therefore resulting in significant rates of preventable morbidity and death ( Murray et al., 2012). Examining 42 papers, this systematic review looks at policy interventions, inequities, and constraints impacting neurosurgical treatment in LMICs. Results show that neurosurgical manpower shortages are severe: LICs have less than one neurosurgeon per million persons, compared to 30-70 per million in high-income countries (HICs). Furthermore less than 30% of LIC hospitals have MRI or CT scanners, which delays diagnosis and produces inadequate surgical results (Perera et al., 2022). Financial constraints further impede access since most patients cannot get timely treatment due to out-of-pocket (OOP) costs for neurosurgery often exceeding annual household incomes (Grimes et al., 2014). Policy-driven reforms, such public-private partnerships (PPRs) and universal health coverage (UHC), have enhanced Neurosurgery accessibility, so lowering death risks with a risk ratio (RR) of 0.78 (95% CI: 0.65-0.92) (Dewan et al., 2018). Furthermore lowering surgical delays by 50% in remote locations (Tini et al., 2024) are telemedicine and task-sharing policies. Future initiatives should concentrate on improving financial models, increasing neurosurgical training, and including AI-driven diagnoses (Robertson et al., 2019) to provide fair access. Ensuring better neurosurgical treatment in low-resource environments depends critically on legislative reforms, international cooperation, and technical developments.
IJCRT's Publication Details
Unique Identification Number - IJCRT2503243
Paper ID - 278894
Author type - Indian Author
Page Number(s) - c62-c74
Pubished in - Volume 13 | Issue 3 | March 2025
DOI (Digital Object Identifier) - http://doi.one/10.1729/Journal.44040
No Of Downloads - 118
Author Country - India, 263139, Haldwani, Haldwani, 263139, Humanities All
Publisher Name - IJPUBLICATION | www.ijcrt.org | ISSN : 2320-2882
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Vidushi Joshi,Ilham Bel Gaid,Masumeh Nozzari Varkani,Amusa Ridwan Oyewale,Batoul Yahya AlAkraa, "Socioeconomic Disparities in Neurosurgical Care in Low-Income Countries: A literature Review", International Journal of Creative Research Thoughts (IJCRT), ISSN:2320-2882, Volume.13, Issue 3, pp.c62-c74, March 2025, Available at :http://www.ijcrt.org/papers/IJCRT2503243.pdf
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The International Journal of Creative Research Thoughts (IJCRT) aims to explore advances in research pertaining to applied, theoretical and experimental Technological studies.
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