Abstract：
OBJECTIVE: To evaluate the current state of neurosurgical care in Central Asia, identify the challenges and advancements, and propose recommendations to improve neurosurgical capabilities and access in Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan.
METHODS: A comprehensive review of the neurosurgical infrastructure, availability of neurosurgeons, technological advancements, and healthcare policies in the five Central Asian countries. Analysis included published literature, healthcare reports, and expert opinions to assess the state of neurosurgical care and identify areas for improvement.
RESULTS: Significant variation in neurosurgical care was observed across the region. Kazakhstan showed notable advancements, including an increased number of neurosurgeons and progress in specialized fields such as vascular neurosurgery and brain tumor management. Other countries, like Uzbekistan, Tajikistan, and Kyrgyzstan, made strides in improving neurosurgical care but still faced substantial challenges. Common issues included a shortage of neurosurgeons, limited facilities, and inadequate access to modern technology. The lack of research data further highlighted the need for urgent intervention.
CONCLUSIONS: To enhance neurosurgical care in Central Asia, a multipronged approach involving targeted investments, policy reforms, international collaborations, and knowledge sharing is recommended. This includes establishing specialized neurosurgical training programs and fellowships, investing in infrastructure and technology, fostering international collaborations for training and research, introducing early neurosurgery education in medical schools, improving access to online education resources, and promoting telemedicine for consultations and follow-up care. These measures are necessary to expand access to essential neurosurgical care and improve outcomes in the regions.
METHODS: A comprehensive review of the neurosurgical infrastructure, availability of neurosurgeons, technological advancements, and healthcare policies in the five Central Asian countries. Analysis included published literature, healthcare reports, and expert opinions to assess the state of neurosurgical care and identify areas for improvement.
RESULTS: Significant variation in neurosurgical care was observed across the region. Kazakhstan showed notable advancements, including an increased number of neurosurgeons and progress in specialized fields such as vascular neurosurgery and brain tumor management. Other countries, like Uzbekistan, Tajikistan, and Kyrgyzstan, made strides in improving neurosurgical care but still faced substantial challenges. Common issues included a shortage of neurosurgeons, limited facilities, and inadequate access to modern technology. The lack of research data further highlighted the need for urgent intervention.
CONCLUSIONS: To enhance neurosurgical care in Central Asia, a multipronged approach involving targeted investments, policy reforms, international collaborations, and knowledge sharing is recommended. This includes establishing specialized neurosurgical training programs and fellowships, investing in infrastructure and technology, fostering international collaborations for training and research, introducing early neurosurgery education in medical schools, improving access to online education resources, and promoting telemedicine for consultations and follow-up care. These measures are necessary to expand access to essential neurosurgical care and improve outcomes in the regions.
摘要：
中亚的神经外科护理的特点是该地区五个国家-哈萨克斯坦，吉尔吉斯斯坦,塔吉克斯坦,土库曼斯坦,乌兹别克斯坦。这种变化受到诸如有限的现代技术，神经外科医生的短缺，医疗基础设施不足。尽管存在这些障碍,该领域取得了显著进展，尤其是在哈萨克斯坦,神经外科医生的数量增加了，血管神经外科和脑肿瘤管理等专业领域取得了重大进展。该地区的其他国家，比如乌兹别克斯坦,塔吉克斯坦,吉尔吉斯斯坦，在改善神经外科护理方面也取得了进展。然而,神经外科护理方面的这些进步对于全球范围内的人们来说是微不足道的，由于神经外科医生的短缺和设施有限，中亚国家的许多患者无法获得标准的神经外科护理。一些CA国家的研究数据匮乏进一步强调了紧急干预的必要性。因此,我们建议多管齐下，有针对性的投资，政策改革,国际合作,建议分享知识，以增强神经外科护理能力，并扩大中亚获得基本护理的机会。这种方法包括建立专门的神经外科培训计划和研究金，投资于神经外科设施的基础设施和技术，促进与国际培训和研究中心的合作。此外,在医学院早期引入神经外科教育，加强神经外科医生对在线教育资源的访问，并建议推广使用远程医疗进行神经外科咨询和后续护理。
