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Cooperation in Surgery of the 21st Century
Cooperación en cirugía en el siglo XXI
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José Gil Martínez
Corresponding author
pepegilmartinez@gmail.com

Corresponding author.
, José Manuel Rodríguez González, Pascual Parrilla Paricio
Servicio de Cirugía, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Received 22 May 2018. Accepted 03 July 2018
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Abstract

The need for healthcare cooperation in low- and middle-income countries is known and is implemented day by day. However, the surgical sanitary assistance in these countries in the 21st century is very controversial, as it is still below desirable levels and entails complex solutions. On the other hand, the number of surgeons seeking to get involved is increasing progressively. We analyze the causes of the low levels of medical assistance, such as the lack of qualified personnel, the brain drain of surgeons, healthcare costs or the lack of quantified needs. Opportunities for improvement, such as institutional twinning, short-term surgical missions or activities aimed at education, evaluation, evidence and training, are some of the possibilities proposed.

Keywords:
International cooperation
Volunteer surgical project
Resumen

La necesidad de cooperación sanitaria en países de bajo desarrollo es conocida y se implementa día a día. Sin embargo, la asistencia sanitaria quirúrgica en estos países, en el siglo XXI, es más discutida, y se encuentra por debajo de niveles deseables y con soluciones más complejas. Por otra parte, el número de cirujanos que buscan implicarse aumenta progresivamente. Se analizan las causas que originan estos bajos niveles de asistencia, como la falta de personal cualificado, fuga de profesionales, coste de la asistencia o la falta de cuantificación de las necesidades. Las oportunidades de mejora, como el hermanamiento institucional, las misiones quirúrgicas de corta duración o la realización de acciones dirigidas a la educación, evaluación, evidencia y formación son algunas de las posibilidades propuestas.

Palabras clave:
Cooperación internacional
Voluntariado quirúrgico

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