Surgical Care and Health Systems

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dc.contributor.authorSpiegel, D.A.
dc.contributor.authorMisra, M.
dc.contributor.authorBendix, P.
dc.contributor.authorHagander, L.
dc.contributor.authorBickler, S.W.
dc.contributor.authorSaleh, C.O.
dc.contributor.authorEkeke-Monono, M.
dc.contributor.authorBaah-Odoom, D.
dc.contributor.authorCaldwell, A.
dc.contributor.authorIrons, B.
dc.contributor.authorAmir, S.
dc.contributor.authorTaylor, R.
dc.contributor.authorLayne, M.
dc.contributor.authorHailu, H.
dc.contributor.authorAwais, S.M.
dc.contributor.authorPrice, R.R.
dc.contributor.authorCrockett, S.
dc.contributor.authorIslam, M.
dc.date.accessioned2018-09-11T15:17:26Z
dc.date.available2018-09-11T15:17:26Z
dc.date.issued2015-09
dc.description.abstractBACKGROUND: 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.en_US
dc.identifier.otherdoi: 10.1007/s00268-014-2928-x.
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/24064
dc.language.isoenen_US
dc.publisherWorld Journal of Surgeryen_US
dc.subjectsurgical careen_US
dc.subjectlow and middle-income country (LMIC)en_US
dc.subjecthealth systemsen_US
dc.subjectpopulation healthen_US
dc.titleSurgical Care and Health Systemsen_US
dc.title.alternativeSurgical Care and Health Systems.en_US
dc.typeArticleen_US

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