๐ Expanding Surgical
Access Through Mobile Innovation
๐ค Presenter:
Juliet Johnson
๐ Affiliation: Medical University of
South Carolina, United States
๐ Presentation Type: Poster
Presentation (Virtual)
๐ Presentation Title
Cost-Effective Analysis of the Cinterandes Mobile Surgical Unit
๐งฌ Overview
Access to safe, timely, and affordable surgical care remains a global
challenge, with nearly 5 billion people lacking adequate surgical services,
particularly in rural and resource-limited settings.
In this virtual poster presentation, Juliet Johnson
presents a comprehensive cost-effectiveness analysis of the Cinterandes
mobile surgical unit, a pioneering initiative delivering essential surgical
care to underserved communities across Ecuador.
๐ Addressing Global
Surgical Inequities
Geographical barriers and limited healthcare infrastructure
often prevent rural populations from accessing surgical care. The Cinterandes
Foundation addresses this gap through a mobile surgical unit equipped
with a fully functional operating room, bringing life-saving procedures
directly to remote regions.
This study evaluates how such a model can bridge
healthcare disparities and improve access to essential surgical services.
๐ฅ Study Design &
Methodology
A retrospective cost-effectiveness analysis was
conducted on 6,348 major surgical procedures performed between 1994 and
2025.
Key components of the analysis include:
✔ Comparison of procedure costs
with Ecuadorian public hospitals and U.S. healthcare estimates
✔ Evaluation of geographic reach across rural
communities
✔ Measurement of health outcomes using Disability-Adjusted
Life Years (DALYs)
✔ Assessment of cost per DALY prevented as a key
indicator of economic efficiency
๐ Key Findings
The study highlights the significant impact of the
Cinterandes model:
- 6,348
surgeries performed across 122 locations in Ecuador
- Substantial
cost reduction of 52.5% to 95.9% compared to public hospitals
- Prevention
of approximately 4,116 DALYs
- Total
program cost: ~$1.35 million
- Cost
per DALY prevented: $328
๐ Clinical & Economic
Impact
- Highly
cost-effective compared to standard thresholds
- Major
contributions from procedures such as:
- Hernia
repair
- Laparoscopic
cholecystectomy
- Orchiopexy
- Significant
improvement in functional outcomes and quality of life
๐ฌ Global Health
Significance
The findings demonstrate that mobile surgical units
can:
✔ Deliver high-volume essential
surgeries efficiently
✔ Overcome geographic and infrastructural barriers
✔ Provide measurable improvements in population
health
✔ Serve as a scalable model for low- and
middle-income countries (LMICs)
⚕️ Implications for Healthcare
Systems
This model offers a transformative approach to global
surgery, emphasizing:
- Cost-effective
healthcare delivery
- Decentralized
surgical infrastructure
- Integration
into national health systems
- Expansion
of access to underserved populations
๐ Conclusion
The Cinterandes mobile surgical program proves that
innovative, mobile healthcare solutions can significantly improve surgical
access while maintaining high cost-efficiency.
This approach represents a scalable and sustainable
pathway to achieving equitable surgical care worldwide.
๐ฉ⚕️ About the Presenter
Juliet Johnson is a second-year medical student at
the Medical University of South Carolina (MUSC), USA, with a strong
interest in global surgery and healthcare accessibility.
- ๐
Bachelor of Science in Biochemistry & Molecular Biology – Wake Forest
University
๐
Academic &
Leadership Roles:
- Director,
MUSC Global Surgery Newsletter
- Secretary/Treasurer,
Class of 2028
๐ฌ Research Interests:
- Expanding
surgical access in rural and underserved populations
- Technological
innovation in global health
- Surgical
systems strengthening
Her work reflects a commitment to improving global
healthcare delivery through research and innovation.
๐ Join GSST 2026
Global Surgical Science & Technology Conference (GSST
2026)
๐
October 26–28, 2026
๐
Boston, Massachusetts, USA & Online
Join global experts to explore innovations in global
surgery, healthcare access, and medical technology.
๐ Important Links
• ๐ Conference Brochure:
https://surgicalscienceconference.com/about/conference-brochure
• ๐งพ Abstract Submission:
https://surgicalscienceconference.com/abstract-submission
• ๐ Registration:
https://surgicalscienceconference.com/register
๐ข Organizer
Mathews International LLC
๐ง
info@mathewsconference.com
๐ง
surgery@mathewsconference.com
๐
+1 (312) 462-4448
๐ฑ
+1 (424) 377 0967
๐ Hashtags
#GSST2026 #GlobalSurgery #HealthcareAccess
#MedicalInnovation #PublicHealth #SurgicalCare #GlobalHealth #HealthEquity
#ClinicalResearch #MedTech #FutureOfHealthcare #SurgicalScience #LMIC
#HealthcareInnovation
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