Strengthening Surgery Strengthens Health Systems: A New Paradigm and Potential Pathway for Horizontal Development in Low- and Middle-Income Countries
Strengthening Surgery Strengthens Health Systems: A New Paradigm and Potential Pathway for Horizontal Development in Low- and Middle-Income Countries
复制标题
DOI：
10.1007/s00268-018-4854-9
复制
发表时间：
2019-03-01
影响因子：
2.6
通讯作者：
Juillard, Catherine
中科院分区：
文献类型：
--
作者：
Christie, S. Ariane;Nwomeh, Benedict C.;Juillard, Catherine
全球卫生正在向注重在发展中国家建立强大和可持续的卫生系统过渡；然而，资源、资金和议程继续集中于护理方面的垂直（基于疾病的）改进。低收入和中等收入国家（LMICs）的外科护理需要发展卫生系统基础设施，并可被视为整个系统准备就绪的指标。改善外科护理为加强多个领域的卫生系统提供了一个可扩展的途径。在大学外科医生协会全球学术外科委员会的这份立场文件中，我们建议卫生系统的发展适当地属于学术外科医生的职权范围。需要在高收入和资源受限环境下的外科学术机构和学会之间建立伙伴关系，以加强宣传和筹资工作，并支持中低收入国家开展培训和研究。
Global health is transitioning toward a focus on building strong and sustainable health systems in developing countries; however, resources, funding, and agendas continue to concentrate on vertical (disease-based) improvements in care. Surgical care in low- and middle-income countries (LMICs) requires the development of health systems infrastructure and can be considered an indicator of overall system readiness. Improving surgical care provides a scalable gateway to strengthen health systems in multiple domains. In this position paper by the Society of University Surgeons' Committee on Global Academic Surgery, we propose that health systems development appropriately falls within the purview of the academic surgeon. Partnerships between academic surgical institutions and societies from high-income and resource-constrained settings are needed to strengthen advocacy and funding efforts and support development of training and research in LMICs.