Surgical Care and Health Systems

Autor: Essential Surgical Care, Beryl Irons, Mohit Misra, C. Omar Saleh, Peter Bendix, Stephen W. Bickler, Dinah Baah-Odoom, Syed Mohammad Awais, Sarah C. Crockett, Helena Hailu, Maya Layne, David A. Spiegel, Martin Ekeke-Monono, Sheik Amir, Raymond R. Price, Robert M. Taylor, Amber Caldwell, Lars Hagander, Monir Islam
Rok vydání: 2015
Předmět:
Zdroj: World Journal of Surgery. 39:2132-2139
ISSN: 1432-2323
0364-2313
DOI: 10.1007/s00268-014-2928-x
Popis: While surgical care impacts a wide variety of diseases and conditions with non-operative and operative services, both preventive and curative, there has been little discussion concerning how surgery might be integrated within the health system of a low and middle-income country (LMIC), nor how strengthening surgical services may improve health systems and population health. We reviewed reports from several meetings of the working group on health systems strengthening of the Global Initiative for Emergency and Essential Surgical Care, and also performed a review of the literature including the search terms “surgery,” “health system,” “developing country,” “health systems strengthening,” “health information system,” “financing,” “governance,” and “integration.” The literature search revealed no reports which focused on the integration of surgical services within a health system or as a component of health system strengthening. A conceptual model of how surgical care might be integrated within a health system is proposed, based on the discussions of our working group, combined with sources from the medical literature, and utilizing the World Health Organization’s conceptual model of a health system. Strengthening the delivery of surgical services in LMICs will require inputs at multiple levels within a health system, and this effort will require the coalescence of committed individuals and organizations, supported by civil society.
Databáze: OpenAIRE
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