Global Surgery: The Challenges and Strategies to Win a War That Must Be Won

Author:

Nthumba Peter M.1234

Affiliation:

1. Department of Plastic Surgery, AIC Kijabe Hospital, Kijabe, Kenya

2. Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tenn.

3. Department of Plastic Surgery, Baylor College of Medicine, Temple, Tex.

4. EACH Research, Kijabe, Kenya.

Abstract

Background: Modern science has conquered seas, land, and space. Although great strides have been made in technology and infectious diseases, global surgery, which was reborn in 2015, has not made much progress. The burden of surgical disease in low- and middle-income countries remains seemingly unconquerable, and its growth unstoppable. The myriad challenges in meeting the surgical needs of 5 billion people has intrigued the author. Methods: The author collected the views of plastic surgeons on sources and impediments to the scale-up of plastic surgery in low- and middle-income countries, as well as potential strategies for overcoming these obstacles. The author then performed a literature search reviewing the topics that arose from those discussions. The author proposes a strategy using plastic surgery as a model surgical discipline. Results: A root-cause analysis suggests that the Alma Ata Declaration, with its focus on primary healthcare, is the probable genesis of global surgery (GS) woes. The absence of a clear GS community leader and the fragmented nature of GS advocates who operate in multiple silos, without a clear unified goal, are the primary reasons GS advocates have achieved so little on the ground. Conclusions: Global surgery requires a business model to sustainably meet the surgical needs of the 5 billion people globally. The proposed and implemented strategies must meet rigorous criteria to ensure sustainability, as quick-fix solutions are counterproductive. The development of centers of excellence offers a viable solution to problems that must be addressed successfully.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference59 articles.

1. From a deadly disease to a manageable chronic disease, HIV/AIDS remains a challenge for mankind.;Shao;Infect Microbes Dis,2023

2. HIV as a chronic disease.;Mahungu;Clin Med (Lond),2009

3. Financial contributions to global surgery: an analysis of 160 international charitable organizations.;Gutnik;SpringerPlus,2016

4. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development.;Meara;Lancet,2015

5. Surgical care in low and middle-income countries: burden and barriers.;Ologunde;Int J Surg,2014

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3