Evidence-Driven Policies for Sustainably Scaling Up Surgical Task-Sharing in Malawi Comment on "Improving Access to Surgery Through Surgical Team Mentoring - Policy Lessons From Group Model Building With Local Stakeholders in Malawi".
Evidence-Driven Policies for Sustainably Scaling Up Surgical Task-Sharing in Malawi Comment on "Improving Access to Surgery Through Surgical Team Mentoring - Policy Lessons From Group Model Building With Local Stakeholders in Malawi".
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DOI：
10.34172/ijhpm.2022.6979
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发表时间：
2022-12-06
影响因子：
3.5
通讯作者：
Kamalo, Patrick
中科院分区：
文献类型：
--
作者：
Jumbam, Desmond T.;Kanmounye, Ulrick Sidney;Citron, Isabelle;Kamalo, Patrick
本评论讨论了 Broekhuizen 等人的一篇文章，该文章评估了扩大马拉维 SURG-Africa 外科团队指导计划的政策选择，以增加获得外科护理的机会。在对这些场景进行建模时，作者评估了扩大手术团队指导的成本以及扩大该计划对地区医院 (DH) 和中心医院 (CH) 的影响。增加手术量时卫生署承担的额外费用仍然是作者指出的一个重要问题，并可能最终决定该计划的成功。这篇文章间接主张加强任务转移的作用。马拉维卫生部必须确保适当的治理和监管流程到位，以维持质量和问责制。
This commentary discusses an article by Broekhuizen et al which assesses policy options for scaling up the SURG-Africa surgical team mentoring program in Malawi to increase access to surgical care. In modeling these scenarios, the authors assess the cost of scaling up surgical teams mentoring and the impacts of scaling the program on district hospitals (DHs) and central hospitals (CHs). The additional costs borne by DHs when increasing surgical volume remains a significant issue identified by the authors and could ultimately determine the success of the program. The piece indirectly advocates for an increased role for task-shifting. The Ministry of Health of Malawi will have to ensure the appropriate governance and regulatory processes are in place to maintain quality and accountability.
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影响因子：
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