Developing Priorities for Addressing Surgical Conditions Globally: Furthering the Link Between Surgery and Public Health Policy
Developing Priorities for Addressing Surgical Conditions Globally: Furthering the Link Between Surgery and Public Health Policy
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DOI：
10.1007/s00268-009-0263-4
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发表时间：
2010-03-01
影响因子：
2.6
通讯作者：
McQueen, Kelly
中科院分区：
文献类型：
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作者：
Mock, Charles;Cherian, Meena;McQueen, Kelly
在临床医生、公共卫生政策界和其他利益攸关方之间就哪些外科疾病需要最集中的关注和投资达成共识，将有助于在全球范围内促进更广泛地获得外科服务的努力。这将为其他正在进行的努力增加价值，特别是在帮助确定未得到满足的需求和有效覆盖方面。在这份概念文件中，我们介绍了如何更好地确定外科护理的优先事项的初步想法，特别是关于外科和公共卫生世界之间的接口。将在这一进程中发挥作用的因素包括这种疾病的公共卫生负担以及治疗这些疾病的程序的成功和可行性。优先进程的影响是，那些公共卫生负担最高的疾病，其程序非常成功和可行，可以在全球范围内推广，包括在资源最有限的环境中，应成为国家和国际努力的主要重点。
Efforts to promote wider access to surgical services globally would be aided by developing consensus among clinicians, the public health policy community, and other stakeholders as to which surgical conditions warrant the most focused attention and investment. This would add value to other, ongoing efforts, especially in helping to define unmet need and effective coverage.In this concept paper, we introduce preliminary ideas on how priorities for surgical care could be better defined, especially as regards the interface between the surgical and public health worlds. Factors that would come into play in this process include the public health burden of the condition and the successfulness and feasibility of the procedures to treat those conditions.The implications of the prioritization process are that those conditions with the highest public health burden and that have procedures that are highly successful and feasible to promote globally, including in the most resource-constrained environments, should be the main focus of national and international efforts.