Global pediatric surgery and anesthesia inequities: how do we have a global effort?
Curr Opin Anaesthesiol
; 35(3): 351-356, 2022 Jun 01.
Article
in English
| MEDLINE | ID: covidwho-1878825
ABSTRACT
PURPOSE OF REVIEW The SARS-CoV-2 (COVID-19) pandemic has highlighted the inequities in access to healthcare while also revealing our global connectivity. These inequities are emblematic of decades of underinvestment in healthcare systems, education, and research in low-middle income countries (LMICs), especially in surgery and anesthesiology. Five billion people remain without access to safe surgery, and we must take appropriate action now. RECENT FINDINGS:
The pediatric perioperative mortality in low-resourced settings may be as high as 100 times greater than in high-resourced settings, and a pediatric surgery workforce density benchmark of 4/1 million population could increase survivability to over 80%. Delay in treatment for congenital surgically correctable issues dramatically increases disability-adjusted life years. Appropriate academic partnerships which promote education are desired but the lack of authorship position priority for LMIC-based researchers must be addressed. Five perioperative benchmark indicators have been published including geospatial access to care within 2âh of location; workforce/100,000 population; volume of surgery/100,000 population; perioperative mortality within 30âdays of surgery or until discharged; and risks for catastrophic expenditure from surgical care.SUMMARY:
Research that determines ethical and acceptable partnership development between high- and low-resourced settings focusing on education and capacity building needs to be standardized and followed.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
COVID-19
/
Anesthesia
/
Anesthesiology
Type of study:
Prognostic study
Limits:
Child
/
Humans
Language:
English
Journal:
Curr Opin Anaesthesiol
Journal subject:
Anesthesiology
Year:
2022
Document Type:
Article
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