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J Neurol Sci. 2015 Nov 15;358(1):263-5. doi: 10.1016/j.jns.2015.09.007. Epub 2015 Sep 05.

A global health delivery framework approach to epilepsy care in resource-limited settings.

Journal of the neurological sciences

Maggie F Cochran, Aaron L Berkowitz

Affiliations

  1. Harvard Medical School, Boston, MA, USA. Electronic address: [email protected].
  2. Harvard Medical School, Boston, MA, USA; Department of Neurology, Brigham and Women's Hospital, Boston, MA, USA. Electronic address: [email protected].

PMID: 26371698 DOI: 10.1016/j.jns.2015.09.007

Abstract

The Global Health Delivery (GHD) framework (Farmer, Kim, and Porter, Lancet 2013;382:1060-69) allows for the analysis of health care delivery systems along four axes: a care delivery value chain that incorporates prevention, diagnosis, and treatment of a medical condition; shared delivery infrastructure that integrates care within existing healthcare delivery systems; alignment of care delivery with local context; and generation of economic growth and social development through the health care delivery system. Here, we apply the GHD framework to epilepsy care in rural regions of low- and middle-income countries (LMIC) where there are few or no neurologists.

Copyright © 2015 Elsevier B.V. All rights reserved.

Keywords: Epilepsy; Global health; Health systems

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