The epidemiology and spectrum of surgical care in district hospitals of Pakistan
Bibliographic Data
| ID | 11021141 |
|---|---|
| Authors | Robert J Blanchard (Aga Khan University), M E Blanchard, P Toussignant, Mushtaq Ahmed (0000-0001-6166-8483), C M Smythe, Cynthia Smythe |
| Year | 1987 |
| Volume | 77 |
| Issue | 11 |
| Pages | 1439-1445 |
| Publication date | 1987-11-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.77.11.1439 |
| PMID | 3661798 |
| OpenAlex | W2091108752 |
| Language | EN |
| Citations received | 2 |
| References cited | 14 |
On-site surveys of 19 district-level hospitals in Pakistan revealed that, in 1983, 23,839 procedures were performed. There were 98 different types of operations. Thirty-eight per cent were classified as General Surgery, 30 per cent Gynecology and Operative Obstetrics, 19 per cent Urology, and 13 per cent Orthopedics. In three regions, population-based data were obtained from the 12 hospitals which provided all surgical care to discrete populations. The overall rate of surgical operations per 100,000 population was 124, 1.5 per cent to 9 per cent of the rate in western countries. The ratio of surgeons per 100,000 population was 0.36, 1/80 the ratio in the United States. There were almost twice as many operations per surgeon as in the USA. These data indicate a severe shortage of surgeons in Pakistan's district hospitals. They also provide the spectrum and relative numbers of different operations performed at the district level. This information has been useful along with other factors in designing a surgical curriculum at the Aga Khan University in Karachi, Pakistan
Economic shortage · Environmental health · Family medicine · Population · Surgical procedures · Demography · Epidemiology · Healthcare cost, quality, practices · Healthcare Policy and Management · Internal Medicine · Medicine · Primary Care and Health Outcomes · Surgery
Variations in Medical Care among Small Areas
Small-Area Variations in the Use of Common Surgical Procedures
Regional variations in the use of common surgical procedures
Hysterectomy
Surgeons and operating rooms
Lessons in surgery for the Third World
Surgical Rate Variations
Professional uncertainty and the problem of supplier-induced demand
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2022 - 2024 (3) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |