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首页> 外文期刊>Cancer: A Journal of the American Cancer Society >Re-establishing a surgical pathology service in Kumasi, Ghana: case report and discussion of barriers and key elements of a successful collaboration between low- and high-resource countries.
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Re-establishing a surgical pathology service in Kumasi, Ghana: case report and discussion of barriers and key elements of a successful collaboration between low- and high-resource countries.

机译：在加纳库马西重建外科手术病理学服务：病例报告并讨论资源贫乏国家与资源丰富国家之间成功合作的障碍和关键要素。

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摘要

At Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana, a breakdown of technical equipment and lack of pathologists resulted in closure of the surgical pathology laboratory in 2004. At an international meeting in January 2005, 1 USA and 1 Norwegian pathologist were asked if their departments could help with the pathology problem at KATH. This article describes the proposals, the barriers encountered, and the key elements of the final successful collaboration between a low-resource and a high-resource country. The proposal to the USA hospital focused on receiving specimens for diagnosis. A detailed proposal was not developed, as several key operational barriers were identified early on, including legal issues, technical capacity issues, and staff capacity issues. The proposal to the University Hospital of North Norway (UNN) resulted in development of a 5-year plan to reestablish surgical pathology at KATH. Two KATH technicians came to UNN and trained in the histopathology laboratory for 3 months. On their return, they started producing slides at KATH. Since April 2006, weekly shipments of hematoxylin and eosin (H & E) stained slides have been sent to UNN by courier service. When needed, paraffin blocks are sent on request. In March 2006, 2 young Ghanaian physicians were received as trainees at the UNN to do full resident work and training with the aim of being approved as specialists in pathology in Ghana by 2010. Full surgical pathology service and training of new pathologists on site are expected to be reestablished at KATH by 2010.
机译：在加纳库马西的Komfo Anokye教学医院（KATH），由于技术设备故障和缺乏病理学家，导致2004年外科病理实验室关闭。在2005年1月的一次国际会议上，询问了1名美国和1名挪威病理学家是否他们的部门可以帮助解决KATH的病理问题。本文介绍了提案，遇到的障碍以及资源匮乏和资源丰富的国家之间最终成功合作的关键要素。向美国医院提出的建议集中在接收标本进行诊断。由于较早发现了几个主要的运营障碍，包括法律问题，技术能力问题和人员能力问题，因此未制定详细的提案。向北挪威大学医院（UNN）提出的建议导致制定了一项5年计划，以重建KATH的手术病理学。两名KATH技术人员来到UNN，并在组织病理学实验室接受了3个月的培训。回国后，他们开始在KATH生产幻灯片。自2006年4月起，每周由苏木精和曙红（H＆E）染色的载玻片通过快递服务发送到UNN。需要时，可根据要求发送石蜡块。 2006年3月，有2位年轻的加纳医师在UNN接受了培训，以进行全面的常驻工作和培训，以期在2010年之前被批准成为加纳的病理学专家。预计将提供全面的手术病理服务和现场新病理学家的培训。将于2010年在KATH重新建立。

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