World Health Organization Global Initiative for Emergency and Essential Surgical Care: 2011 and beyond.
World Health Organization Global Initiative for Emergency and Essential Surgical Care: 2011 and beyond.
复制标题
世界卫生组织全球紧急和基本手术护理倡议：2011年及以后。
DOI：
10.1007/s00268-012-1831-6
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发表时间：
2013-07
影响因子：
2.6
通讯作者：
Bickler SW
中科院分区：
文献类型：
--
作者：
Spiegel DA;Abdullah F;Price RR;Gosselin RA;Bickler SW
全世界的外科疾病负担很大，而且还在增加。不幸的是，5%的外科手术是在人均卫生支出排名最低的三分之一的国家进行的[1]。对外科护理的需求得不到满足，导致与一系列情况（创伤、妊娠相关并发症、其他紧急情况）相关的发病率/死亡率高得令人无法接受。对于低收入和中等收入国家的农村和边缘化人口来说，情况尤其如此。认识到各国之间和各国内部的外科疾病谱各不相同，"必要"外科手术和麻醉可被视为可在普及范围内提供的一组核心服务。这些高度优先的干预措施是：（1）公共卫生负担很大;（2）治疗非常成功;（3）治疗具有成本效益[2]。迄今为止，基本的手术和麻醉作为公共卫生战略得到的财政和政治支持很少，因为人们认为这些服务费用昂贵，资源密集，需要高度专业化的培训，并且相对于相互竞争的健康利益，仅使一小部分人口受益。正在收集证据来反驳这些说法。
The world’s burden of surgical diseases is large and increasing. Unfortunately,\5% of all surgical procedures are performed in countries ranked within the lowest onethird in terms of per-capita health expenditures [1]. The unmet need for surgical care results in unacceptable morbidity/mortality rates associated with a host of conditions (trauma, pregnancy-related complications, other emergencies). This is especially true for rural and marginalized populations in low-and middle-income countries (LMICs). Recognizing that variations in the spectrum of surgical diseases are observed among and within countries,‘‘essential’’surgery and anesthesia may be viewed as a core group of services that can be delivered within the context of universal access. These high-priority interventions are those for which:(1) there is a large public health burden;(2) the treatment is highly successful;(3) the treatment is cost-effective [2].To date, essential surgery and anesthesia have received minimal financial and political support as public health strategies because of the perception that the services are costly, are resource-intensive, require highly specialized training, and benefit only a fraction of the population relative to competing health interests. Evidence is amassing to refute these claims.
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影响因子：
2.2
作者：
Irfan, Furqan B.;Irfan, Bismah B.;Spiegel, David A.
通讯作者：
Spiegel, David A.
影响因子：
168.9
作者：
Weiser, Thomas G.;Regenbogen, Scott E.;Gawande, Atul A.
通讯作者：
Gawande, Atul A.
影响因子：
3.3
作者：
Choo, Shelly;Perry, Henry;Abdullah, Fizan
通讯作者：
Abdullah, Fizan
影响因子：
2.6
作者：
Hedges, Jeremy P.;Mock, Charles N.;Cherian, Meena N.
通讯作者：
Cherian, Meena N.
影响因子：
--
作者：
Kushner, Adam L.;Cherian, Meena N.;Etienne, Carissa
通讯作者：
Etienne, Carissa