Clinical spine care partnerships between high-income countries and low-and-middle-income countries: A scoping review.

<h4>Background</h4>Clinical collaboration between spine professionals in high-income countries (HICs) and low-and-middle-income countries (LMICs) may provide improvements in the accessibility, efficacy, and safety of global spine care. Currently, the scope and effectiveness of these coll...

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Main Authors: Hannah Lin, Kristin Halvorsen, Myat Thu Win, Michael Yancey, Nada Rbil, Abhinaba Chatterjee, Bridget Jivanelli, Sariah Khormaee
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0287355&type=printable
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author Hannah Lin
Kristin Halvorsen
Myat Thu Win
Michael Yancey
Nada Rbil
Abhinaba Chatterjee
Bridget Jivanelli
Sariah Khormaee
author_facet Hannah Lin
Kristin Halvorsen
Myat Thu Win
Michael Yancey
Nada Rbil
Abhinaba Chatterjee
Bridget Jivanelli
Sariah Khormaee
author_sort Hannah Lin
collection DOAJ
description <h4>Background</h4>Clinical collaboration between spine professionals in high-income countries (HICs) and low-and-middle-income countries (LMICs) may provide improvements in the accessibility, efficacy, and safety of global spine care. Currently, the scope and effectiveness of these collaborations remain unclear. In this review, we describe the literature on the current state of these partnerships to provide a framework for exploring future best practices.<h4>Methods</h4>PubMed, Embase, and Cochrane Library were queried for articles on spine-based clinical partnerships between HICs and LMICs published between 2000 and March 10, 2023. This search yielded 1528 total publications. After systematic screening, nineteen articles were included in the final review.<h4>Results</h4>All published partnerships involved direct clinical care and 13/19 included clinical training of local providers. Most of the published collaborations reviewed involved one of four major global outreach organizations with the majority of sites in Africa. Participants were primarily physicians and physicians-in-training. Only 5/19 studies reported needs assessments prior to starting their partnerships. Articles were split on evaluative focus, with some only evaluating clinical outcomes and some evaluating the nature of the partnership itself.<h4>Conclusions</h4>Published studies on spine-focused clinical partnerships between HICs and LMICs remain scarce. Those that are published often do not report needs assessments and formal metrics to evaluate the efficacy of such partnerships. Toward improving the quality of spine care globally, we recommend an increase in the quality and quantity of published studies involving clinical collaborations between HICs and LICs, with careful attention to reporting early needs assessments and evaluation strategies.
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spelling doaj.art-e1ac8eeae5bf477c9cf06f394630ba622023-11-04T05:33:24ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011810e028735510.1371/journal.pone.0287355Clinical spine care partnerships between high-income countries and low-and-middle-income countries: A scoping review.Hannah LinKristin HalvorsenMyat Thu WinMichael YanceyNada RbilAbhinaba ChatterjeeBridget JivanelliSariah Khormaee<h4>Background</h4>Clinical collaboration between spine professionals in high-income countries (HICs) and low-and-middle-income countries (LMICs) may provide improvements in the accessibility, efficacy, and safety of global spine care. Currently, the scope and effectiveness of these collaborations remain unclear. In this review, we describe the literature on the current state of these partnerships to provide a framework for exploring future best practices.<h4>Methods</h4>PubMed, Embase, and Cochrane Library were queried for articles on spine-based clinical partnerships between HICs and LMICs published between 2000 and March 10, 2023. This search yielded 1528 total publications. After systematic screening, nineteen articles were included in the final review.<h4>Results</h4>All published partnerships involved direct clinical care and 13/19 included clinical training of local providers. Most of the published collaborations reviewed involved one of four major global outreach organizations with the majority of sites in Africa. Participants were primarily physicians and physicians-in-training. Only 5/19 studies reported needs assessments prior to starting their partnerships. Articles were split on evaluative focus, with some only evaluating clinical outcomes and some evaluating the nature of the partnership itself.<h4>Conclusions</h4>Published studies on spine-focused clinical partnerships between HICs and LMICs remain scarce. Those that are published often do not report needs assessments and formal metrics to evaluate the efficacy of such partnerships. Toward improving the quality of spine care globally, we recommend an increase in the quality and quantity of published studies involving clinical collaborations between HICs and LICs, with careful attention to reporting early needs assessments and evaluation strategies.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0287355&type=printable
spellingShingle Hannah Lin
Kristin Halvorsen
Myat Thu Win
Michael Yancey
Nada Rbil
Abhinaba Chatterjee
Bridget Jivanelli
Sariah Khormaee
Clinical spine care partnerships between high-income countries and low-and-middle-income countries: A scoping review.
PLoS ONE
title Clinical spine care partnerships between high-income countries and low-and-middle-income countries: A scoping review.
title_full Clinical spine care partnerships between high-income countries and low-and-middle-income countries: A scoping review.
title_fullStr Clinical spine care partnerships between high-income countries and low-and-middle-income countries: A scoping review.
title_full_unstemmed Clinical spine care partnerships between high-income countries and low-and-middle-income countries: A scoping review.
title_short Clinical spine care partnerships between high-income countries and low-and-middle-income countries: A scoping review.
title_sort clinical spine care partnerships between high income countries and low and middle income countries a scoping review
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0287355&type=printable
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