From Cutting to Casting: Impact and Initial Barriers to the Ponseti Method of Clubfoot Treatment in China

N Lu; Li Zhao; Q Du; Y Liu; Florin I Oprescu; J A Morcuende

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From Cutting to Casting: Impact and Initial Barriers to the Ponseti Method of Clubfoot Treatment in China

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From Cutting to Casting: Impact and Initial Barriers to the Ponseti Method of Clubfoot Treatment in China

N Lu, Li Zhao, Q Du, Y Liu, Florin I Oprescu and J A Morcuende

Iowa Orthopaedic Journal, Vol.30, pp.1-6

2010

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Abstract

clubfoot

Ponseti method

China

In 2005, a nationwide clubfoot treatment program focused on the Ponseti method -an effective, affordable and minimally-invasive method- was initiated in China. The purpose of this study was to evaluate and identify barriers to the program. A qualitative study (rapid ethnographic study) was conducted using semi-structured interviews of 44 physicians who attended four of the 10 Ponseti training workshops, focus groups with parents of children with clubfoot, and observation. Several barriers to the Ponseti method are quite unique due to China's size, socio-economics, culture, politics, and healthcare systems. The barriers were classified into seven themes: (i) physician education, (ii) caregiver compliance, (iii) culture, (iv) public awareness, (v) poverty, (vi) financial constraints for physicians/hospitals, and (vii) challenges of the treatment process. A number of suggestions that could be helpful in reducing or eliminating the effects of these barriers were also identified: (i) pamphlets explaining clubfoot and treatment for caregivers, (ii) directories of Ponseti providers, (iii) funding/financial support, and (iv) improving public awareness. The information from this study provides healthcare planners with knowledge to assist in meeting the needs of the population and continued implementation of effective and culturally appropriate awareness and treatment programs for clubfoot throughout China.

Details

Title: From Cutting to Casting: Impact and Initial Barriers to the Ponseti Method of Clubfoot Treatment in China
Authors: N Lu (Author) - University of Iowa, United States
Li Zhao (Author) - Shanghai Jiaotong University, China
Q Du (Author) - Shanghai Jiaotong University, China
Y Liu (Author) - Shanghai Jiaotong University, China
Florin I Oprescu (Author) - University of Iowa
J A Morcuende (Author) - Shanghai Jiaotong University, China
Publication details: Iowa Orthopaedic Journal, Vol.30, pp.1-6
Publisher: University of Iowa, Department of Orthopaedics
Date published: 2010
ISSN: 1541-5457
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; Engage Research Lab; School of Health and Behavioural Sciences - Legacy; School of Health - Public Health
Language: English
Record Identifier: 99449446302621
Output Type: Journal article

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