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Prioritization of surgical, obstetric, trauma, and anesthesia care in India over seven decades

A systematic analysis of policy documents

Datos Bibliográficos

ID19590924
AutoresRitika Shetty (Terna Dental College and Hospital, autor de correspondencia), Siddhesh Zadey (0000-0003-1176-1529, Duke University, autor de correspondencia), Anushka Jindal (Society for Community Health Awareness Research and Action, autor de correspondencia), Himanshu Iyer (0000-0003-3754-5461, Bhabha Hospital, autor de correspondencia), Sweta Dubey (Society for Community Health Awareness Research and Action, autor de correspondencia), Gnanaraj Jesudian (0000-0002-7444-5892, Karunya University, autor de correspondencia), Emily R Smith (0000-0001-5715-9459), Catherine Staton (0000-0002-6468-2894, Duke University, autor de correspondencia), Tamara N Fitzgerald (0000-0003-2208-4017, Duke University, autor de correspondencia), João Ricardo Nickenig Vissoci (0000-0001-7276-0402, Duke University, autor de correspondencia)
EditoresAndreas K Demetriades (0000-0002-2004-9448)
Año2023
Volumen3
Número7
Páginase0002084
Fecha de publicación2023-07-31
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaPLOS Global Public Health (JOURNAL)
Identificadores de la revistaISSN: 2767-3375 • E-ISSN: 2767-3375
EditorialPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0002084
PMID37523346
OpenAlexW4385415458
IdiomaEN
Citas recibidas1
Referencias citadas21

Improving access to surgical care in India requires policy-level prioritization of surgical, obstetric, trauma, and anesthesia (SOTA) care. We quantified SOTA care prioritization in the last seven decades by analyzing India’s national policy and programmatic documents. Forty documents of national importance over seven decades (1946–2017) were screened for a set of 52 surgical and 6 non-surgical keywords. The number of mentions per keyword was used as a proxy for surgical prioritization. For thematic analysis, surgical mentions were further classified into five domains: Infrastructure, Workforce, Service Delivery, Financing, and Information Management. The total number of mentions was 4681 for the surgical keywords and 2322 for non-surgical. The number of mentions per keyword was 90.02 for surgical keywords and 387 for non-surgical. The older committee reports showed relatively higher SOTA care prioritization compared to the years after 2010. Among the domains, Service Delivery (897) had the maximum number of mentions followed by Infrastructure (545), Workforce (516), Financing (98), and Information Management (40). National Health Policy 2017, the most recent high-level policy, grossly neglected SOTA care. SOTA care is inadequately prioritized in Indian national health policies, especially in the documents after 2010. Concerted efforts are necessary to improve the focus on financing and information management. Prioritization can be improved through a stand-alone national plan for SOTA care along with integration into existing policies

Business · Operations management · Political science · Prioritization · Process management · Qualitative research · Service delivery framework · Thematic analysis · Workforce · Global Health and Surgery · Global Health Workforce Issues · Global Maternal and Child Health · Medicine · Marketing

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    Open Access•Siddhesh Zadey, Shirish Rao et al.•Frontiers in Public Health•2024

  • Global Surgery 2030

    Open Access•John G Meara, Andrew J M Leather et al.•The Lancet•2015

  • Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019

    Open Access•Theo Vos, Stephen S Lim et al.•The Lancet•2020

  • Roadblocks and solutions to planning surgical care for a billion Indians

    Open Access•Siddhesh Zadey, Swati Sonal et al.•BMJ Global Health•2022

  • Health policy and federalism in India

    Roger Jeffery•Territory Politics Governance•2021

  • Covid ‐19 and the legislative response in India

    Open Access•Kiran Kumar Gowd, Donthagani Veerababu et al.•Journal of Public Affairs•2021

Obras citantes distintas1
Citas por año0,5
Intervalo de citas2024 - 2024 (1)
Velocidad de citaciónrecent
Altamente citadoNo
Tipos de citaNeutras: 1
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