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Chapter 23 - International Neurosurgery

from Part III - Future Developments

Published online by Cambridge University Press:  29 May 2020

By
Ann Mansur  and
Mark Bernstein
Edited by
Stephen Honeybul
Stephen Honeybul
Affiliation:
Sir Charles Gairdner Hospital, Royal Perth and Fiona Stanley Hospitals
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Summary

Global neurosurgery has become an increasingly popular facet of global health because of striking disparities in access to neurosurgical care across the world. Regardless of the commendable efforts invested in gaining equity in this enterprise, global neurosurgical initiatives can present with various ethical challenges and opportunities for causing harm to vulnerable populations. This chapter highlights some of the concerns that arise in the planning, implementation and follow-up of international neurosurgical aid. It also explores some of the fundamental ethical principles and theories that underlie these issues and applies them to an illustrative case. While there may never be a clear cut answer to many of these ethical dilemmas, we hope that in discussing the ethics of global neurosurgery, future neurosurgeons will be able to give the most in these noble initiatives which strive for equality in global medical care.

Keywords

international neurosurgeryglobal neurosurgeryethicssustainability
Type
Chapter
Information
Ethics in Neurosurgical Practice , pp. 234 - 244
Publisher: Cambridge University Press
Print publication year: 2020

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References

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Dewan, M. C., Rattani, A., Fieggen, G., et al. Global neurosurgery: the current capacity and deficit in the provision of essential neurosurgical care. Executive summary of the Global Neurosurgery Initiative and the Program in Global Surgery and Social Change. Journal of Neurosurgery 2017, doi:10.3171/2017.11.JNS171500.CrossRefGoogle Scholar
Ammar, A., Bernstein, M. Neurosurgical Ethics in Practice: Value-Based Medicine. Berlin, Springer, 2014.CrossRefGoogle Scholar
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Ng, L. C., Hanlon, C., Yimer, G., Henderson, D. C., Fekadu, A. Ethics in global health research: the need for balance. Lancet Glob. Health 2015, 3(9): e516–17.Google Scholar
Howe, K. L., Malomo, A. O., Bernstein, M. A. Ethical challenges in international surgical education. World Neurosurgery 2013, 80(6): 751–8.CrossRefGoogle ScholarPubMed
Branch, C. L., Boop, F., Haglund, M. M., Dempsey, R. J. Introduction. Neurosurgical opportunities in global health inequities. Neurosurgical Focus 2018; 45(4): E1.Google Scholar
Blankstein, U., Dakurah, T., Bagan, M., Hodaie, M. Structured online neurosurgical education as a novel method of education delivery in the developing world. World Neurosurgery 2011, 76: 224–30.Google Scholar

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