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Surgical Care and Health Systems

Spiegel, D. A.; Misra, M.; Bendix, P.; Hagander, Lars LU ; Bickler, S. W.; Saleh, C. O.; Ekeke-Monono, M.; Baah-Odoom, D.; Caldwell, A. and Irons, B., et al. (2015) In World Journal of Surgery 39(9). p.2132-2139
Abstract
BACKGROUND: While surgical care impacts a wide variety of diseases and conditions with non-operative and operative services, both preventive and curative, there has been little discussion concerning how surgery might be integrated within the health system of a low and middle-income country (LMIC), nor how strengthening surgical services may improve health systems and population health. METHODS: We reviewed reports from several meetings of the working group on health systems strengthening of the Global Initiative for Emergency and Essential Surgical Care, and also performed a review of the literature including the search terms "surgery," "health system," "developing country," "health systems strengthening," "health information system,"... (More)
BACKGROUND: While surgical care impacts a wide variety of diseases and conditions with non-operative and operative services, both preventive and curative, there has been little discussion concerning how surgery might be integrated within the health system of a low and middle-income country (LMIC), nor how strengthening surgical services may improve health systems and population health. METHODS: We reviewed reports from several meetings of the working group on health systems strengthening of the Global Initiative for Emergency and Essential Surgical Care, and also performed a review of the literature including the search terms "surgery," "health system," "developing country," "health systems strengthening," "health information system," "financing," "governance," and "integration." RESULTS: The literature search revealed no reports which focused on the integration of surgical services within a health system or as a component of health system strengthening. A conceptual model of how surgical care might be integrated within a health system is proposed, based on the discussions of our working group, combined with sources from the medical literature, and utilizing the World Health Organization's conceptual model of a health system. CONCLUSIONS: Strengthening the delivery of surgical services in LMICs will require inputs at multiple levels within a health system, and this effort will require the coalescence of committed individuals and organizations, supported by civil society. (Less)
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publication status
published
subject
in
World Journal of Surgery
volume
39
issue
9
pages
2132 - 2139
publisher
Springer
external identifiers
  • wos:000359447800005
  • scopus:84938994742
ISSN
1432-2323
DOI
10.1007/s00268-014-2928-x
language
English
LU publication?
yes
id
d0ed91f9-f299-40c8-ac93-94fa4c25dd37 (old id 7695732)
date added to LUP
2015-07-28 14:52:08
date last changed
2017-07-30 03:13:25
@article{d0ed91f9-f299-40c8-ac93-94fa4c25dd37,
  abstract     = {BACKGROUND: While surgical care impacts a wide variety of diseases and conditions with non-operative and operative services, both preventive and curative, there has been little discussion concerning how surgery might be integrated within the health system of a low and middle-income country (LMIC), nor how strengthening surgical services may improve health systems and population health. METHODS: We reviewed reports from several meetings of the working group on health systems strengthening of the Global Initiative for Emergency and Essential Surgical Care, and also performed a review of the literature including the search terms "surgery," "health system," "developing country," "health systems strengthening," "health information system," "financing," "governance," and "integration." RESULTS: The literature search revealed no reports which focused on the integration of surgical services within a health system or as a component of health system strengthening. A conceptual model of how surgical care might be integrated within a health system is proposed, based on the discussions of our working group, combined with sources from the medical literature, and utilizing the World Health Organization's conceptual model of a health system. CONCLUSIONS: Strengthening the delivery of surgical services in LMICs will require inputs at multiple levels within a health system, and this effort will require the coalescence of committed individuals and organizations, supported by civil society.},
  author       = {Spiegel, D. A. and Misra, M. and Bendix, P. and Hagander, Lars and Bickler, S. W. and Saleh, C. O. and Ekeke-Monono, M. and Baah-Odoom, D. and Caldwell, A. and Irons, B. and Amir, S. and Taylor, R. and Layne, M. and Hailu, H. and Awais, S. M. and Price, R. R. and Crockett, S. and Islam, M.},
  issn         = {1432-2323},
  language     = {eng},
  number       = {9},
  pages        = {2132--2139},
  publisher    = {Springer},
  series       = {World Journal of Surgery},
  title        = {Surgical Care and Health Systems},
  url          = {http://dx.doi.org/10.1007/s00268-014-2928-x},
  volume       = {39},
  year         = {2015},
}