The Ponseti method in Latin America: initial impact and barriers to its diffusion and implementation

Allison Boardman; Asitha Jayawardena; Florin Oprescu; Thomas Cook; Jose A Morcuende

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The Ponseti method in Latin America: initial impact and barriers to its diffusion and implementation

Journal article

Open access

Peer reviewed

The Ponseti method in Latin America: initial impact and barriers to its diffusion and implementation

Allison Boardman, Asitha Jayawardena, Florin Oprescu, Thomas Cook and Jose A Morcuende

The Iowa orthopaedic journal, Vol.31, pp.30-35

2011

PMCID: PMC3215110

PMID: 22096416

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215110/View

Published (Version of record) Open Access

Abstract

The Ponseti method for correcting clubfoot is a safe, effective, and minimally invasive treatment that has recently been implemented in Latin America. This study evaluates the initial impact and unique barriers to the diffusion of the Ponseti method throughout this region. Structured interviews were conducted with 30 physicians practicing the Ponseti method in three socioeconomically diverse countries: Chile, Peru and Guatemala. Since learning the Ponseti method, these physicians have treated approximately 1,740 clubfoot patients, with an estimated 1,705 (98%) patients treated using the Ponseti method, and 35 (2%) patients treated using surgical techniques. The barriers were classified into the following themes: physician education, health care system of the country, culture and beliefs of patients, physical distance and transport, financial barriers for patients, and parental compliance with the method. The results yielded several common barriers throughout Latin America including lack of physician education, physical distance to the treatment centers, and financial barriers for patients. Information from this study can be used to inform, and to implement and evaluate specific strategies to improve the diffusion of the Ponseti method for treating clubfoot throughout Latin America.

Humans

Musculoskeletal Manipulations - statistics & numerical data

Information Dissemination

Patient Compliance - ethnology

Interviews as Topic

Clubfoot - therapy

Peru - epidemiology

Child

Chile - epidemiology

Guatemala - epidemiology

National Health Programs - statistics & numerical data

Attitude of Health Personnel

Clubfoot - ethnology

National Health Programs - economics

Cultural Characteristics

Musculoskeletal Manipulations - economics

Casts, Surgical - economics

Patient Compliance - statistics & numerical data

Health Care Costs

Casts, Surgical - statistics & numerical data

Clubfoot - economics

Musculoskeletal Manipulations - methods

Developing Countries

Physicians - psychology

Qualitative Research

Details

Title: Subtitle: The Ponseti method in Latin America: initial impact and barriers to its diffusion and implementation
Creators: Allison Boardman - Department of Orthopaedic Surgery and Rehabilitation, Carver College of Medicine, The University of Iowa, Iowa City, IA 52242, USA
Asitha Jayawardena
Florin Oprescu
Thomas Cook
Jose A Morcuende
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.31, pp.30-35
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 22096416
PMCID: PMC3215110
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 2011
Academic Unit: Occupational and Environmental Health; International Programs; Stead Family Department of Pediatrics; Orthopedics and Rehabilitation; Obstetrics and Gynecology; Physical Therapy and Rehabilitation Science
Record Identifier: 9984040317302771

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