{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:32:55Z","timestamp":1787671975559,"version":"build-2736575974"},"reference-count":10,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,9,20]],"date-time":"2013-09-20T00:00:00Z","timestamp":1379635200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:p>In the developing world, there exists a scarcity of services and training in otolaryngology, audiology, and speech therapy, which is reflected by the gap between health care delivery in high\u2010income countries and low\u2010income countries. We surveyed, by questionnaire, the countries of Central America, except for Belize, because of the lack of otolaryngology services, on the following issues: availability of otolaryngology, audiology, and speech therapy services and equipment; otolaryngologist, audiologist, and speech therapist training; and availability of services in rural areas. Surveys were distributed via email and by hand at the 2011 Central American Congress of Otolaryngology, in San Salvador, El Salvador, to otolaryngologists, audiologists, and speech therapists. Not to our surprise, there is a shortfall in services and training in all three professions. The data collected and presented in this commentary will provide a basis by which change might take place.<\/jats:p>","DOI":"10.1177\/0194599813505972","type":"journal-article","created":{"date-parts":[[2013,9,21]],"date-time":"2013-09-21T02:16:07Z","timestamp":1379729767000},"page":"674-678","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Survey of Otolaryngology Services in Central America: Need for a Comprehensive Intervention"],"prefix":"10.1002","volume":"149","author":[{"given":"Richard","family":"Wagner","sequence":"first","affiliation":[{"name":"Global ENT Outreach Coupeville Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Fagan","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology Faculty of Health Sciences University of Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,9,20]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Making Globalization Work","author":"Stiglitz J","year":"2006"},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","unstructured":"FaganJ.Survey of otolaryngology services in Africa: need for a comprehensive intervention.Glob Health Action.2009;2.http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2779942\/. 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