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ETHICAL CHALLENGES IN THE DECISION-MAKING OF UGANDAN NEUROSURGICAL CARE PROVIDERS

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title
ETHICAL CHALLENGES IN THE DECISION-MAKING OF UGANDAN NEUROSURGICAL CARE PROVIDERS
author
Hughes, Jasmine
abstract
Global surgery is often considered the neglected stepchild of global health. This is mainly due to several misconceptions about global surgery. These misconceptions range from the notion that global surgery is too expensive to provide to populations in low-and middle-income countries (LMICs) to the idea that resources in LMICs should be committed primarily to combating infectious diseases rather than non-communicable diseases. While recent data disprove those misconceptions and support the feasibility of developing cost-effective surgical systems that provide essential surgical procedures in LMICs, there are approximately 5 billion people without access to safe and affordable surgical interventions. The deficits in subspecialties of surgery, specifically neurosurgery, are substantial. There are various ethical challenges to advancing global surgery including the availability of resources, inadequate infrastructure, personnel shortages, and cultural beliefs. To better understand and address these challenges, this thesis describes an empirical investigation of the ethical challenges faced by Ugandan neurosurgical providers and the impact of those ethical challenges on neurosurgeons’ decision-making process. After describing these potential ethical challenges, I will offer recommendations for overcoming them in Ugandan neurosurgical care.
subject
Decision-making
Ethics
Global Neurosurgery
contributor
Hall, Mark (committee chair)
King, Nancy (committee member)
Moskop, John (committee member)
date
2022-09-17T08:35:53Z (accessioned)
2022-09-17T08:35:53Z (available)
2022 (issued)
degree
Bioethics (discipline)
identifier
http://hdl.handle.net/10339/101265 (uri)
language
en (iso)
publisher
Wake Forest University
type
Thesis

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