Surgical Care in the Developing World-Strategies and Framework for Improvement.
Surgical Care in the Developing World-Strategies and Framework for Improvement.
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DOI：
10.4081/jphia.2013.e20
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发表时间：
2013-12-03
影响因子：
0.8
通讯作者：
Akenroye AT
中科院分区：
文献类型：
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作者：
Akenroye OO;Adebona OT;Akenroye AT
本研究的目的是确定发展中国家外科护理的各种问题，并列举确定的策略或提出解决方案。我们还试图按照潜在影响对这些策略进行排序。寻找MEDLINE数据库。发表于2000年至2012年的英文研究，报告了目前采用的解决发展中国家外科护理障碍或问题的方法或潜在的解决方法，符合纳入条件。确定了可能纳入的2156篇文章。MeSH术语包括外科、普通外科、发展中国家、保健服务可及性和质量改进。最终审稿中收录了49篇全文，主要关注发展中国家外科护理挑战的解决方案。许多文章指出，基础设施、劳动力短缺、政策不足或不适当以及融资不足等问题是发展中国家医疗保健的主要问题。解决这些问题的办法是多方面的，需要地方当局的积极参与并与发达国家的提供者合作。外科护理的负担正在增加。发展中国家很难获得外科手术服务。如果接受手术治疗，其质量可能低于发达国家的标准。解决这些问题的解决方案是存在的，但需要一个多维的方法才能取得成功。
The purpose of this study was to identify the various problems with surgical care in the developing world and enumerate identified strategies or propose solutions. We also sought to rank these strategies in order of potential impact. The MEDLINE database was sought. Studies published in English, reporting currently employed solutions to identified barriers or problems to surgical care in developing countries or potential solution(s) and published between 2000 and 2012 were eligible for inclusion. 2156 articles were identified for possible inclusion. MeSH terms include surgery, general surgery, developing countries, health services accessibility and quality improvement. Forty-nine full articles with a primary focus on the solutions to the challenges to surgical care in the developing world were included in the final review. Many articles identified problems with infrastructure, workforce shortage, inadequate or inappropriate policies, and poor financing as major problems with healthcare in the developing world. Solutions addressing these problems are multifactorial and would require active participation of local authorities and collaboration with providers from the developed world. The burden of surgical care is increasing. There is poor access to surgical services in the developing world. If and when surgical care is received, the quality could be less than the standard in developed nations. Solutions exist to tackle these problems but require a multidimensional approach to be successful.