Patient and Physician Perceptions of Changes in Surgical Care in Mongolia 9 Years After Roll-out of a National Training Program for Laparoscopy

Introduction In 2005, the general population of Mongolia was not aware of laparoscopic surgery and was skeptical about the safety of surgical care. A 9-year initiative to expand laparoscopic surgery was initiated by Mongolian surgeons. This study examines the current barriers to and perceptions of s...

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Bibliographic Details
Published in:World journal of surgery 2016-08, Vol.40 (8), p.1859-1864
Main Authors: Wells, K. M., Shalabi, H., Sergelen, O., Wiessner, P., Zhang, C., deVries, C., Price, R.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Attitude of Health Personnel
Cardiac Surgery
Education, Medical, Graduate - organization & administration
Female
General Surgery
Health Knowledge, Attitudes, Practice
Health Services Accessibility
Humans
Laparoscopic Procedure
Laparoscopic Surgery
Laparoscopy - education
Laparoscopy - psychology
Laparoscopy - standards
Male
Medicine
Medicine & Public Health
Mongolia
Original Scientific Report
Physicians - psychology
Program Development
Program Evaluation
Quality Improvement
Supply Chain
Surgery
Surgical Capacity
Surgical Care
Thoracic Surgery
Vascular Surgery
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Summary:Introduction In 2005, the general population of Mongolia was not aware of laparoscopic surgery and was skeptical about the safety of surgical care. A 9-year initiative to expand laparoscopic surgery was initiated by Mongolian surgeons. This study examines the current barriers to and perceptions of surgical care following laparoscopic surgical expansion countrywide. Materials and methods In September 2013, interviews were conducted with 71 patients, and 39 physicians in Mongolia. Patients and physicians were interviewed using separate sets of interview questions. Questions were designed to gauge perceptions of surgical care in Mongolia evaluating for access, affordability, sustainability, barriers to care, quality, and knowledge of laparoscopy. Responses were fine coded for statistical analysis. Results 79 % of patients felt surgical care was improving in Mongolia, and 76 % would choose laparoscopy if available. Physicians (100 %) felt laparoscopic surgery had improved surgical care in Mongolia. Barriers to care for patients were time to work up and diagnosis (37 %), and funding an operation (39 %). None of the 36 % of patients who stated funding an operation would be difficult identified government sources of funding ( p  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-016-3498-x