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01.09.2015 | Surgical Symposium Contribution

Surgical Care and Health Systems

verfasst von: David A. Spiegel, Mohit Misra, Peter Bendix, Lars Hagander, Stephen W. Bickler, C. Omar Saleh, Martin Ekeke-Monono, Dinah Baah-Odoom, Amber Caldwell, Beryl Irons, Sheik Amir, Robert Taylor, Maya Layne, Helena Hailu, Syed Mohammad Awais, Raymond R. Price, Sarah Crockett, Monir Islam, Health Systems Strengthening Working Group of the Global Initiative for Emergency and Essential Surgical Care

Erschienen in: World Journal of Surgery | Ausgabe 9/2015

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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.

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Titel: Surgical Care and Health Systems
verfasst von: David A. Spiegel
Mohit Misra
Peter Bendix
Lars Hagander
Stephen W. Bickler
C. Omar Saleh
Martin Ekeke-Monono
Dinah Baah-Odoom
Amber Caldwell
Beryl Irons
Sheik Amir
Robert Taylor
Maya Layne
Helena Hailu
Syed Mohammad Awais
Raymond R. Price
Sarah Crockett
Monir Islam
Health Systems Strengthening Working Group of the Global Initiative for Emergency and Essential Surgical Care
Publikationsdatum: 01.09.2015
Verlag: Springer International Publishing
Erschienen in: World Journal of Surgery / Ausgabe 9/2015
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-014-2928-x

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Abstract

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Conclusions

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