Browsing by Author "Bendix, P."
Now showing 1 - 1 of 1
Results Per Page
Sort Options
Item Surgical Care and Health Systems(World Journal of Surgery, 2015-09) Spiegel, D.A.; Misra, M.; Bendix, P.; Hagander, L.; Bickler, S.W.; Saleh, C.O.; Ekeke-Monono, M.; Baah-Odoom, D.; Caldwell, A.; Irons, B.; Amir, S.; Taylor, R.; Layne, M.; Hailu, H.; Awais, S.M.; Price, R.R.; Crockett, S.; Islam, M.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.