Surgery in Global Health Delivery

被引：23
|
作者：
Ozgediz, Doruk [1 ]
Chu, Kathryn [2 ,3 ,4 ]
Ford, Nathan [2 ,5 ]
Dubowitz, Gerald [6 ]
Bedada, Alemayehu Ginbo [7 ]
Azzie, Georges [8 ]
Gerstle, J. Ted [8 ]
Riviello, Robert [9 ]
机构：
[1] SUNY Buffalo, Buffalo, NY 14260 USA
[2] Med Sans Frontieres S Africa, Hluvukani, South Africa
[3] Johns Hopkins Univ, Dept Surg, Baltimore, MD USA
[4] Johns Hopkins Univ, Dept Int Hlth, Baltimore, MD USA
[5] Univ Cape Town, ZA-7925 Cape Town, South Africa
[6] Univ Calif San Francisco, San Francisco, CA 94143 USA
[7] Princess Marina Hosp, Gaborone, Botswana
[8] Univ Toronto, Hosp Sick Children, Toronto, ON M5G 1X8, Canada
[9] Brigham & Womens Ctr Surg & Publ Hlth, Boston, MA USA
来源：
MOUNT SINAI JOURNAL OF MEDICINE | 2011年 / 78卷 / 03期
关键词：
Africa; anesthesia; conflict; delivery; disaster; global surgery; low and middle-income countries; pediatric surgery; public health; training; ASSISTANT MEDICAL OFFICERS; DEVELOPING-COUNTRIES; COST-EFFECTIVENESS; LOW-INCOME; SURGICAL WORKFORCE; PEDIATRIC-SURGERY; DEVELOPING-WORLD; SIERRA-LEONE; ANESTHESIA; CARE;
D O I：
10.1002/msj.20253
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Surgical conditions account for a significant portion of the global burden of disease and have a substantial impact on public health in low- and middle-income countries. This article reviews the significance of surgical conditions within the context of public health in these settings, and describes selected approaches to global surgery delivery in specific contexts. The discussion includes programs in global trauma care, surgical care in conflict and disaster, and anesthesia and perioperative care. Programs to develop surgical training in Botswana and pediatric surgery through international partnership are also described, with a final review of broader approaches to training for global surgical delivery. In each instance, innovative solutions, as well as lessons learned and reasons for program failure, are highlighted. Mt Sinai J Med 78:327-341, 2011. (C) 2011 Mount Sinai School of Medicine
引用
收藏
页码：327 / 341
页数：15
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