International cooperation in healthcare: model of IRCCS Policlinico San Donato and Bambini Cardiopatici nel Mondo Association for congenital heart diseases

Frigiola, Alessandro; Moussaidi, Nadia; Giamberti, Alessandro; Pomè, Giuseppe; Isgrò, Giuseppe; Youssef, Tammam; Reali, Matteo; Varrica, Alessandro; Nuri, Halkawt; Cirri, Silvia; Carminati, Mário; Menicanti, Lorenzo; Ferrari, Roberto; Ranucci, Marco

doi:10.1093/eurheartj/suw023

Cited by 11 publications

(12 citation statements)

References 3 publications

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“…Congenital heart diseases (CHD) are present in nearly 1% of live births, according to WHO there are 1.5 million newborns per year affected by CHD and more than 4 million children waiting for cardiac surgery treatment in the world ( 2 ).…”

Section: Introduction To the Problemmentioning

confidence: 99%

The Shisong Cardiac Center in Cameroon: An Example of a Long-Term Collaboration/Cooperation Toward Autonomy

Giamberti

Butera

Mvondo³

et al. 2018

Front. Pediatr.

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Congenital heart diseases (CHD) are present in nearly 1% of live births; according to WHO, there are 1. 5 million newborns affected by CHD per year and more than 4 million children waiting for cardiac surgery treatment worldwide. The majority of these children (~90%) could be treated, saved and subsequently have a good quality of life but unfortunately, in developing countries with a suboptimal care or no access to care, they are destined to die. Cameroon, one of the 40 poorest countries in the world, is a typical example of this dramatic scenario and this is why we started a collaboration project with a local religious partner (Tertiary Sisters of Saint Francis) in 2001 with the aim of establishing the first cardiac surgery center in this country. There are various well-known organizational models to start a cooperation project in pediatric cardiac surgery in a developing country. In our case, the project included a long-term collaboration with a stable local partner, a big financial investment and a long period of development (10 years or more). It is probably the most difficult model but it is the only one with the greatest guarantee of success in terms of sustainability and autonomy. The aim of this study is to analyze the constructive and problematic aspects of the 17-year collaboration in this project, and to assess possible solutions regarding its critical issues. Although much has been done during this 17-year we are aware that there is still a lot that needs to be done.

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Section: Introduction To the Problemmentioning

confidence: 99%

The Shisong Cardiac Center in Cameroon: An Example of a Long-Term Collaboration/Cooperation Toward Autonomy

Giamberti

Butera

Mvondo³

et al. 2018

Front. Pediatr.

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“…COOPERATION OF NGOs: Multiple organizations working in synergy to realize a common goal is crucial to success. Frigiola et al highlight the success of the Bambini Cardiopatici Nel Mondo association and their cooperation with various NGOs, which has paved the way for various cardiac programs in Africa and beyond (16). Similarly, Dearani et al have also described the importance of developing partnerships between governments and communities (8).…”

Section: What We Know Thus Farmentioning

confidence: 99%

“…Similarly, Dearani et al have also described the importance of developing partnerships between governments and communities (8). The factors essential for successful partnerships include shared responsibility, pooling of resources, open communication, quality control, proper channeling of resources, and auditing (16).…”

Section: What We Know Thus Farmentioning

confidence: 99%

“…He described it as an “organization or individual, often from the host country, who is a dedicated leader, focused, invested, and physically present in a local program on a long term basis.” There are many examples of “spark plugs” in the world. We have previously described work of some organizations in Russia (15) and Africa (16). One such is Dr. Efrain Montesinos.…”

Section: A Model For Establishing a Long-term Programmentioning

confidence: 99%

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Pediatric Cardiac Surgery in Low-and Middle-Income Countries: Present Status and Need for a Paradigm Shift

2019

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In low and mid-income countries, there has been a 50% global decrease in the incidence of preventable deaths of children since 1990. However, the mortality from non-communicable diseases (NCD) such as congenital heart disease (CHD) has not changed. Of the estimated 1.3 million children born with CHD annually, over 90% do not have access to cardiac care. With the increasing fertility rates in sub-Saharan Africa, the health burden of CHD will increase as well. Over the last 30 years much has been achieved with short term cardiac medical missions. However, much remains to be done to provide long term solutions needed to achieve the sustainable development goal of reducing deaths of children <5 years of age. This review discusses the present status and the need for a paradigm shift to achieve long term sustainability.

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“…adolescent patients). In the last 10 years of care activities, beyond the traditional attention that PSD clinicians have paid to CHD paediatric patients [27] or GUCH [28,29], they are also paying more attention towards the adolescents, since they cannot be considered neither 'big kids' nor 'adults' [4].…”

Section: The Chd Transition Care Model Implementation At Psd: Experiementioning

confidence: 99%

Towards the Standardization of Transition Care Models for Adolescents with Congenital Heart Disease (CHD): A Perspective

Flocco¹,

Caruso²,

Dellafiore³

et al. 2017

J Clin Exp Cardiolog

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This perspective paper is aimed to describe an Italian experience related to the empirical implementation of Congenital Heart Disease (CHD) transition care models, highlighting the most significant author's perspectives. The CHD transition care models implementation strategy adopted at Policlinico San Donato (Italy) is closely linked to the clinical practice and to the research activity at national and international level. This strategy could be an efficient start-up to boost the understanding of the adolescent patients' needs, also giving more evidence to the effectiveness of the transition care models.

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International cooperation in healthcare: model of IRCCS Policlinico San Donato and Bambini Cardiopatici nel Mondo Association for congenital heart diseases

Cited by 11 publications

References 3 publications

The Shisong Cardiac Center in Cameroon: An Example of a Long-Term Collaboration/Cooperation Toward Autonomy

The Shisong Cardiac Center in Cameroon: An Example of a Long-Term Collaboration/Cooperation Toward Autonomy

Pediatric Cardiac Surgery in Low-and Middle-Income Countries: Present Status and Need for a Paradigm Shift

Towards the Standardization of Transition Care Models for Adolescents with Congenital Heart Disease (CHD): A Perspective

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