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Abstract：
Inequitable access to surgical care is most conspicuous in low-income countries (LICs), such as Ethiopia, where infectious diseases, malnutrition, and other maladies consume the lion\'s share of the available health resources. The aim of this article was to provide an update on the current state of neurosurgery in Ethiopia and identify targets for future development of surgical capacity as a universal health coverage component in this East African nation.
Publicly available data included in this report were gathered from resources published by international organizations. A PubMed search was used for a preliminary bibliometric analysis of scholarly output of neurosurgeons in Ethiopia and other low-income countries. Statistical analysis was used to determine the correlation between the number of neurosurgeons and academic productivity.
Neurosurgeon density has increased >20-fold from 0.0022 to 0.045 neurosurgeons per 100,000 population between 2006 and 2020. The increase in neurosurgeons was strongly correlated with an increase in total publications (P < 0.001) and the number of new publications per year (P = 0.003). Despite recent progress, the availability of neuroimaging equipment remains inadequate, with 38 computed tomography scanners and 11 magnetic resonance imaging machines for a population of 112.07 million. The geographic distribution of neurosurgical facilities is limited to 12 urban centers.
Ethiopian neurosurgery exemplifies the profound effect of international partnerships for training local surgeons on progress in low-income countries toward improved neurosurgical capacity. Collaborations that focus on increasing the neurosurgical workforce should synchronize with efforts to enhance the availability of diagnostic and surgical equipment necessary for basic neurosurgical care.
Publicly available data included in this report were gathered from resources published by international organizations. A PubMed search was used for a preliminary bibliometric analysis of scholarly output of neurosurgeons in Ethiopia and other low-income countries. Statistical analysis was used to determine the correlation between the number of neurosurgeons and academic productivity.
Neurosurgeon density has increased >20-fold from 0.0022 to 0.045 neurosurgeons per 100,000 population between 2006 and 2020. The increase in neurosurgeons was strongly correlated with an increase in total publications (P < 0.001) and the number of new publications per year (P = 0.003). Despite recent progress, the availability of neuroimaging equipment remains inadequate, with 38 computed tomography scanners and 11 magnetic resonance imaging machines for a population of 112.07 million. The geographic distribution of neurosurgical facilities is limited to 12 urban centers.
Ethiopian neurosurgery exemplifies the profound effect of international partnerships for training local surgeons on progress in low-income countries toward improved neurosurgical capacity. Collaborations that focus on increasing the neurosurgical workforce should synchronize with efforts to enhance the availability of diagnostic and surgical equipment necessary for basic neurosurgical care.
摘要：
在低收入国家（LIC），不平等获得手术治疗的机会最为明显。比如埃塞俄比亚，传染病，营养不良,和其他疾病消耗了大部分可用的卫生资源。本文的目的是提供有关埃塞俄比亚神经外科现状的最新信息，并确定作为该东非国家全民健康覆盖组成部分的外科能力未来发展的目标。
本报告中的公开数据来自国际组织发布的资源。PubMed搜索用于对埃塞俄比亚和其他低收入国家的神经外科医生的学术产出进行初步文献计量分析。统计分析用于确定神经外科医生人数与学术生产力之间的相关性。
在2006年至2020年期间，神经外科医生的密度从每100,000人中的0.0022名增加到0.045名神经外科医生，增加了>20倍。神经外科医生的增加与总出版物的增加（P<0.001）和每年新出版物的数量（P=0.003）密切相关。尽管最近取得了进展，神经成像设备的可用性仍然不足，拥有38台计算机断层扫描扫描仪和11台磁共振成像机，适用于1.127亿人口。神经外科设施的地理分布仅限于12个城市中心。
埃塞俄比亚神经外科证明了国际合作伙伴关系在低收入国家提高神经外科能力方面对当地外科医生进行培训的深远影响。专注于增加神经外科劳动力的合作应与努力同步，以增强基本神经外科护理所需的诊断和外科设备的可用性。
本报告中的公开数据来自国际组织发布的资源。PubMed搜索用于对埃塞俄比亚和其他低收入国家的神经外科医生的学术产出进行初步文献计量分析。统计分析用于确定神经外科医生人数与学术生产力之间的相关性。
在2006年至2020年期间，神经外科医生的密度从每100,000人中的0.0022名增加到0.045名神经外科医生，增加了>20倍。神经外科医生的增加与总出版物的增加（P<0.001）和每年新出版物的数量（P=0.003）密切相关。尽管最近取得了进展，神经成像设备的可用性仍然不足，拥有38台计算机断层扫描扫描仪和11台磁共振成像机，适用于1.127亿人口。神经外科设施的地理分布仅限于12个城市中心。
埃塞俄比亚神经外科证明了国际合作伙伴关系在低收入国家提高神经外科能力方面对当地外科医生进行培训的深远影响。专注于增加神经外科劳动力的合作应与努力同步，以增强基本神经外科护理所需的诊断和外科设备的可用性。
