Barriers to Reconstructive Surgery in Low- and Middle-Income Countries: A Cross-Sectional Study of 453 Cleft Lip and Cleft Palate Patients in Vietnam

Despite health system advances, residents of low- and middle-income countries continue to experience substantial barriers in accessing health care, particularly for specialized care such as plastic and reconstructive surgery. In this study, a cross-sectional household survey of patients seeking surgical care for cleft lip and/or cleft palate was completed at five Operation Smile International mission sites throughout Vietnam in November of 2014. The authors highlight barriers specific to surgery in low- and middle-income countries that have not been previously addressed. Using these data, the authors developed a more evidence-based framework designed to understand health behaviors and perceptions regarding reconstructive surgical care.

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Authors:  Heather Wipfli, PhD; Yao, Caroline A. M.D., M.S.; Swanson, Jordan M.D.; Chanson, Dayana M.P.H.; Taro, Trisa B. M.S., M.P.H.; Gura, Barrie M.P.H.; Figueiredo, Jane C. Ph.D.; Hatcher, Kristin M.P.H.; Vanderburg, Richard R.N., B.S.N.; Magee, William P. III M.D., D.D.S.
Published By: Plastic and Reconstructive Surgery 
Date: November 2016
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