{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T18:51:45Z","timestamp":1791226305260,"version":"4.1.0"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u27a2 The Colombian health-care system ensures universal health-care coverage, but access to timely orthopaedic and trauma care remains fragmented and unevenly distributed.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 The country faces a high burden of musculoskeletal injuries resulting from interpersonal violence and traffic accidents, the latter of which primarily involve motorcycles<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 The main high-complexity hospitals and subspecialty services are centralized in major urban centers, which generates persistent inequities tied to geographic factors.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Colombia has a well-established orthopaedic community, university residency programs, subspecialty societies, international academic partnerships, and a growing educational infrastructure.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Future priorities include tiered referral pathways with defined transfer criteria, regional workforce distribution, national orthopaedic injury registries, digital integration, and locally led international collaboration.<\/jats:p>\n    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