Prioritization of surgical, obstetric, trauma, and anesthesia care in India over seven decades
A systematic analysis of policy documents
Bibliographic Data
| ID | 19590924 |
|---|---|
| Authors | Ritika Shetty (Terna Dental College and Hospital, corresponding author), Siddhesh Zadey (0000-0003-1176-1529, Duke University, corresponding author), Anushka Jindal (Society for Community Health Awareness Research and Action, corresponding author), Himanshu Iyer (0000-0003-3754-5461, Bhabha Hospital, corresponding author), Sweta Dubey (Society for Community Health Awareness Research and Action, corresponding author), Gnanaraj Jesudian (0000-0002-7444-5892, Karunya University, corresponding author), Emily R Smith (0000-0001-5715-9459), Catherine Staton (0000-0002-6468-2894, Duke University, corresponding author), Tamara N Fitzgerald (0000-0003-2208-4017, Duke University, corresponding author), João Ricardo Nickenig Vissoci (0000-0001-7276-0402, Duke University, corresponding author) |
| Editors | Andreas K Demetriades (0000-0002-2004-9448) |
| Year | 2023 |
| Volume | 3 |
| Issue | 7 |
| Pages | e0002084 |
| Publication date | 2023-07-31 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | PLOS Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2767-3375 • E-ISSN: 2767-3375 |
| Publisher | Public Library of Science (PLoS) (PUBLISHER) |
| DOI | 10.1371/journal.pgph.0002084 |
| PMID | 37523346 |
| OpenAlex | W4385415458 |
| Language | EN |
| Citations received | 1 |
| References cited | 21 |
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
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2024 - 2024 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |