赢得全球外科战争:一个概念框架。

IF 1.5 Q3 SURGERY
Peter M Nthumba
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引用次数: 0

摘要

背景:全球外科(GS)包括外科、产科和麻醉,是一个复杂的多学科企业,重点是为全球人口提供及时、安全和公平的外科护理。与任何战争一样,低估外科疾病的负担可能会导致任何精心设计的战略失败,因为这些措施将大大不足。利用成功的大规模干预措施的策略,作者提出了可持续地扩大GS规模的概念框架。方法:作者整理了文献中的GS放大策略,并将其与6个核心指标指标作为主要结果测量。结果:拟议的概念框架依赖于欧洲马歇尔计划和世界卫生组织感染控制和预防多模式战略的成功,从而依次为扩大全球概况提供资金和干预模式。加强外科系统的微笑训练和微笑操作策略为GS的可扩展性提供了潜在的学习点。与这些和其他外科非政府组织合作,利用它们的经验和网络,有望在扩大GS方面取得成功。结论:拟议的概念框架提供了潜在的可持续的全球监测系统扩大,使用非规定性的“捆绑”干预方法,允许各国以自己的速度取得进展,同时允许透明地分享学习经验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Winning the Global Surgery War: A Conceptual Framework.

Background: Global surgery (GS), which comprises surgery, obstetrics, and anesthesia, is a complex multidisciplinary enterprise that focuses on the provision of timely, safe, and equitable surgical care to the global population. As with any war, understating the burden of surgical disease risks failure in any crafted strategy, as the measures would be substantially inadequate. Using strategies from successful large-scale interventions, the author proposes a conceptual framework for sustainable GS scale-up.

Methods: The author collated GS scale-up strategies from the literature and aligned them with the 6 core indicator metrics as the primary outcome measures.

Results: The proposed conceptual framework hangs on the successes of the Marshall Plan for Europe and the World Health Organization multimodal strategy for infection control and prevention to provide funding and intervention models, successively, for GS scale-up. Smile Train and Operation Smile strategies for strengthening surgical systems provide potential learning points for GS scalability. Collaborating with these and other surgical nongovernmental organizations and harnessing their experiences and networks promises potential for success in GS scale-up.

Conclusions: The proposed conceptual framework provides potential sustainable GS scale-up, using a nonprescriptive "bundled" intervention approach, permitting individual countries to progress at their own pace, while allowing for transparent sharing of learned experiences.

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来源期刊
CiteScore
2.20
自引率
13.30%
发文量
1584
审稿时长
10 weeks
期刊介绍: Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
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