Semin Neurol 2024; 44(02): 105-118
DOI: 10.1055/s-0043-1778638
Review Article

Developing Systems of Emergency and Inpatient Neurologic Care in Resource-Limited Settings

Gentle Sunder Shrestha
1   Department of Critical Care Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
Gaurav Nepal
2   Department of General Medicine, Rani Primary Healthcare Centre, Rani, Biratnagar, Nepal
Morgan Lippitt Prust
3   Division of Neurocritical Care and Emergency Neurology, Department of Neurology, Yale School of Medicine, New Haven, Connecticut
› Author Affiliations


Neurologic diseases represent a significant global health challenge, leading to disability and mortality worldwide. Healthcare systems in low- and middle-income countries are disproportionally affected. In these resource-limited settings, numerous barriers hinder the effective delivery of emergency and inpatient neurologic care, including shortages of trained personnel, limited access to diagnostics and essential medications, inadequate facilities, and absence of rehabilitation services. Disparities in the neurology workforce, limited access to neuroimaging, and availability of acute interventions further exacerbate the problem. This article explores strategies to enhance global capacity for inpatient neurologic care, emphasizing the importance of workforce development, context-specific protocols, telehealth solutions, advocacy efforts, and collaborations.

Publication History

Article published online:
14 March 2024

© 2024. Thieme. All rights reserved.

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