Ways to improve surgical outcomes in low- and middle-income countries.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_BC5D854D9977
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Ways to improve surgical outcomes in low- and middle-income countries.
Journal
Bulletin of the World Health Organization
Author(s)
Barth C.A., Wladis A., Roy N., Blake C., Kolo S.M., O'Sullivan C.
ISSN
1564-0604 (Electronic)
ISSN-L
0042-9686
Publication state
Published
Issued date
01/11/2022
Peer-reviewed
Oui
Volume
100
Number
11
Pages
726-732
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Global surgery initiatives such as the Lancet Commission on Global Surgery have highlighted the need for increased investment to enhance surgical capacity in low- and middle-income countries. A neglected issue, however, is surgery-related rehabilitation, which is known to optimize functional outcomes after surgery. Increased investment to enhance surgical capacity therefore needs to be complemented by promotion of rehabilitation interventions. We make the case for strengthening surgery-related rehabilitation in lower-resource countries, outlining the challenges but also potential solutions and policy directions. Proposed solutions include greater leadership and awareness, augmented by recent global efforts around the World Health Organization's Rehabilitation 2030 initiative, and professionalization of the rehabilitation workforce. More research on rehabilitation is needed in low- and middle-income countries, along with support for system approaches, notably on strengthening and integrating rehabilitation within the health systems. Finally, we outline a set of policy implications and recommendations, aligned to the components of the national surgical plan proposed by the Lancet Commission: infrastructure, workforce, service delivery, financing, and information management. Collaboration and sustained efforts to embed rehabilitation within national surgical plans is key to optimize health outcomes for patients with surgical conditions and ensure progress towards sustainable development goal 3: health and well-being for all.
Keywords
Humans, Developing Countries, Global Health, Sustainable Development, Income, Treatment Outcome
Pubmed
Web of science
Open Access
Yes
Create date
10/11/2022 17:56
Last modification date
23/01/2024 8:33
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