[EQ] The Rural Hospital In Ecuador

The Rural Hospital In Ecuador

Improving rural secondary care is an essential expansion of the primary care strategy in many lower- and middle-income countries.

David Gaus is executive director of Andean Health and Development in Quito, Ecuador, and an associate clinical professor of family medicine and global health at the University of Wisconsin in Madison.
Health Affairs, July-August - Volume 28, no. 4 (2009) - - Delivering On Global Health Issue

Abstract : http://content.healthaffairs.org/cgi/content/abstract/28/4/1003

“…..Over a period of twelve years, the author’s vision of improving the health of rural Ecuadorians has evolved from an initial emphasis on primary health care to secondary care. The local community convinced him of the critical need for an efficiently managed, high-quality, and affordable rural secondary care hospital. Exploring a variety of funding options, the hospital ultimately achieved financial sustainability, principally through Ecuadorian public sources. Now, in partnership with the Ministry of Public Health (MOH), the rural hospital model that evolved in Pedro Vicente Maldonado is being adapted as a pilot project in an existing MOH rural hospital. ….”



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