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Lack of access to paediatric cardiology services in the public health system in four major urban centres in Perú

Published online by Cambridge University Press:  10 September 2018

Luis Altamirano-Diaz ,
Kambiz Norozi ,
Jaime A. Seabrook  and
Eva Welisch
Luis Altamirano-Diaz*
Affiliation:
Department of Paediatrics, Western University, London, Ontario, Canada Paediatric Cardiopulmonary Research Laboratory, London Health Sciences Centre, London, Ontario, Canada Children’s Health Research Institute, London, Ontario, Canada Lawson Health Research Institute, London, Ontario, Canada
Kambiz Norozi
Affiliation:
Department of Paediatrics, Western University, London, Ontario, Canada Paediatric Cardiopulmonary Research Laboratory, London Health Sciences Centre, London, Ontario, Canada Children’s Health Research Institute, London, Ontario, Canada Lawson Health Research Institute, London, Ontario, Canada
Jaime A. Seabrook
Affiliation:
Department of Paediatrics, Western University, London, Ontario, Canada Children’s Health Research Institute, London, Ontario, Canada Lawson Health Research Institute, London, Ontario, Canada School of Food and Nutritional Sciences, Brescia University College at Western University, London, Ontario, Canada Department of Epidemiology & Biostatistics, Western University, London, Ontario, Canada Human Environments Analysis Laboratory, Western University, London, Ontario, Canada
Eva Welisch
Affiliation:
Department of Paediatrics, Western University, London, Ontario, Canada
*
Author for correspondence: Luis Altamirano-Diaz, Department of Paediatrics, Division of Paediatric Cardiology, Western University, 800 Commissioners Rd E, PO Box 5010, London, Ontario, Canada N6A 5W9. Tel: +1 519 685 8500 ext. 56061; Fax: +1 519 685 8156; E-mail: laltamir@uwo.ca
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Abstract

For one-third of the Peruvian population living in large cities outside the capital city Lima, there is no access to paediatric cardiology services provided by the public health care system. Children with suspected CHD living in these areas are referred to the adult cardiologist working at the regional hospitals for care and treatment. This is a consequence of the universal health care system and the heavily skewed distribution of the health care workforce towards the capital city of Lima. This imbalance has resulted in a severe shortage of paediatric cardiologists practicing outside of Lima and the adult cardiologists that remain are left to make up for this deficit.

To gain a better understanding of the current model of care for children with suspected CHD within the public health care system in Peru, we surveyed adult cardiologists from four major urban centres that serve one-third of the Peruvian population outside of Lima. We determined that adult cardiologists spend a significant amount of time treating children, but lack the specialised training and equipment to provide model care. The cardiologists indicated that receiving additional training and appropriate equipment would help enable them to provide proper care for these children.

Keywords

PeruSouth AmericaCHDcardiologistmodel careechocardiography
Type
Original Article
Information
Cardiology in the Young , Volume 28 , Issue 12 , December 2018 , pp. 1452 - 1456
Copyright
© Cambridge University Press 2018 

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