{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T02:02:39Z","timestamp":1776823359426,"version":"3.51.2"},"reference-count":90,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"22","license":[{"start":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T00:00:00Z","timestamp":1701043200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,27]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Within the Caribbean, Cura\u00e7ao provides a neurosurgical hub to other Dutch Caribbean islands. At times, the inefficiency of neurosurgical referrals leads to unsatisfactory patient outcomes in true emergency cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>This article reports an illustrative case of a patient in need of emergency neurosurgical care, who was referred to a tertiary health institution in Cura\u00e7ao. This case highlights the challenges of timely neurosurgical referrals within the Dutch Caribbean.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Highlighting this case may provide a foundation for further discussions that may improve neurosurgical care and access. Limiting long-distance surgical referrals in the acute care setting will aid in saving lives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case23472","type":"journal-article","created":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T19:13:18Z","timestamp":1701112398000},"source":"Crossref","is-referenced-by-count":2,"title":["Can we build better? Challenges with geospatial and financial accessibility in the Caribbean. Illustrative case"],"prefix":"10.3171","volume":"6","author":[{"given":"Ellianne J","family":"dos Santos Rubio","sequence":"first","affiliation":[{"name":"Neurosurgery\/Mind and Brain, Cura\u00e7ao Medical Center, Willemstad, Cura\u00e7ao"},{"name":"Department of Neurosurgery, Erasmus Medical Center, Rotterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chrystal","family":"Calderon","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of the West Indies, St. Augustine, Trinidad and Tobago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annegien","family":"Boeykens","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Park Medical Center, Rotterdam, The Netherlands"},{"name":"Department of Neurosurgery, Erasmus Medical Center, Rotterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kee B","family":"Park","sequence":"additional","affiliation":[{"name":"Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","article-title":"Waaruit bestaat het koninkrijk der Nederlanden [From which countries does the Dutch Kingdom exist]?","unstructured":"Rijksoverheid. 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