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Health systems strengthening through surgical and perioperative care pathways

A changing paradigm

Dados Bibliográficos

ID21880137
AutoresSivesh K Kamarajah (0000-0002-2748-0011, NIHR Birmingham Biomedical Research Centre), Adesoji Ademuyiwa (0000-0003-2415-3098, University of Lagos), Adesoji O Ademuyiwa (Surgery, University of Lagos, Akoka, Lagos, Nigeria), Rifat Atun (0000-0002-1531-5983, Harvard University Press), Alarcos Cieza (0000-0002-5045-4890, World Health Organization), Fareeda Agyei (Komfo Anokye Teaching Hospital), Dhruva Ghosh (0000-0003-2976-0241, christian medical college, vellore), Jaymie Claire Ang Henry (0000-0003-3331-8704, Baylor College of Medicine), Souliath Lawani (Université d'Abomey-Calavi), John G Meara (0000-0003-4369-3209, Boston Children's Hospital), John Meara (Plastic and Oral Surgery, Boston Children's Hospital, Boston, Massachusetts, USA), Ben Morton (0000-0002-6164-2854, University of Liverpool), Kee B Park (0000-0002-9121-5319, Harvard University), Dion Morton (0000-0001-6784-1689, NIHR Birmingham Biomedical Research Centre), Dion G Morton (NIHR Global Health Research Unit on Global Surgery, University of Birmingham, Birmingham, UK), Teri Reynolds (0000-0001-7103-9488, World Health Organization), Abdul Ghaffar (0000-0002-5994-8440, Aga Khan University, autor correspondente)
Ano2024
Volume9
FascículoSuppl 4
Páginase015058
Data de publicação2024-11-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoBMJ Global Health (JOURNAL)
Identificadores do periódicoISSN: 2059-7908 • E-ISSN: 2059-7908
EditoraBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2024-015058
PMID39510562
OpenAlexW4404147193
IdiomaEN
Citações recebidas2
Referências citadas46

Global health has traditionally focused on the primary health development with disease-specific focus such as HIV, malaria and non-communicable diseases (NCDs). As such, surgery has traditionally been neglected in global health as investment in them is often expensive, relative to these other priorities. Therefore, efforts to improve surgical care have remained on the periphery of initiatives in health system strengthening. However, today, many would argue that global health should focus on universal health coverage with primary health and surgery and perioperative care integrated as a part of this. In this article, we discuss the past developments and future-looking solutions on how surgery can contribute to the delivery of effective and equitable healthcare across the world. These include bidirectional integration of surgical and chronic disease pathways and better understanding financing initiatives. Specifically, we focus on access to safe elective and emergency surgery for NCDs and an integrated approach towards the rising multimorbidity from chronic disease in the population. Underpinning these, data-driven solutions from high-quality research from clinical trials and cohort studies through established surgical research networks are needed. Although challenges will remain around financing, we propose that development of surgical services will strengthen and improve performance of whole health systems and contribute to improvement in population health across the world

Disease · Economic growth · Environmental health · Global health · Health care · Perioperative · Population · Population health · Public health · Cardiac, Anesthesia and Surgical Outcomes · Global Health and Surgery · Health Systems, Economic Evaluations, Quality of Life · Medicine · Nursing · Health Policy · Surgery

  • Strengthening health systems through surgery

    Open Access•Dion Morton, Dion G Morton et al.•BMJ Global Health•2024

  • Analysis of bilateral development assistance for surgery in low- and middle-income countries

    Open Access•Simon Fabry, Gabriella Yael Hyman et al.•BMJ Global Health•2026

  • A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population

    Alex B Haynes, Thomas G Weiser et al.•New England Journal of Medicine•2009

  • Multimorbidity

    Open Access•Søren T Skou, Frances S Mair et al.•Nature Reviews Disease Primers•2022

  • Innovative financing to fund surgical systems and expand surgical care in low-income and middle-income countries

    Open Access•Ché L Reddy, Alexander W Peters et al.•BMJ Global Health•2020

  • Scaling up of safety and quality improvement interventions in perioperative care

    Open Access•Michelle C White, Shalini Ahuja et al.•BMJ Global Health•2022

  • Surgical and anaesthetic capacity of hospitals in Malawi

    Open Access•Jaymie Ang Henry, Jaymie Claire Ang Henry et al.•Health Policy and Planning•2015

Obras citantes distintas2
Citações por ano1
Intervalo de citações2024 - 2026 (3)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 2
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