Problems and solutions in delivering global surgery in the 21st century
- 14 December 2015
- journal article
- review article
- Published by Oxford University Press (OUP) in British Journal of Surgery
- Vol. 103 (3), 165-169
- https://doi.org/10.1002/bjs.9961
Abstract
Background Surgery has had low priority in global health planning, so the delivery of surgical care in low- and middle-income countries is often poorly resourced. A recent Lancet Commission on Global Surgery has highlighted the need for change. Methods A consensus view of the problems and solutions was identified by individual surgeons from high-income countries, familiar with surgical care in remote and poorer environments, based on recent publications related to global surgery. Results The major issues identified were: the perceived unimportance of surgery, shortage of personnel, lack of appropriate training and failure to establish surgical standards, failure to appreciate local needs and poor coordination of service delivery. Conclusion Surgery deserves a higher priority in global health resource allocation. Lessons learned from participation in humanitarian crises should be considered in surgical developments.Keywords
This publication has 24 references indexed in Scilit:
- The Lancet Commission on Global Surgery Global surgery 2030: Evidence and solutions for achieving health, welfare and economic developmentSurgery, 2015
- The neglected foundation of global healthThe Lancet. Global Health, 2015
- Global surgery: defining an emerging global health fieldThe Lancet, 2014
- Generating political priority for global surgical careThe Lancet. Global Health, 2014
- Cost-effectiveness of Groin Hernia Surgery in the Western Region of GhanaArchives of Surgery, 2010
- Towards a common definition of global healthThe Lancet, 2009
- An estimation of the global volume of surgery: a modelling strategy based on available dataThe Lancet, 2008
- Surgery and Global Health: A View from Beyond the ORWorld Journal of Surgery, 2008
- Anaesthesia services in developing countries: defining the problemsAnaesthesia, 2006
- Advancement of global health: key messages from the Disease Control Priorities ProjectThe Lancet, 2006