Published in:
01-09-2015 | Surgical Symposium Contribution
Surgical Care and Health Systems
Authors:
David A. Spiegel, Mohit Misra, Peter Bendix, Lars Hagander, Stephen W. Bickler, C. Omar Saleh, Martin Ekeke-Monono, Dinah Baah-Odoom, Amber Caldwell, Beryl Irons, Sheik Amir, Robert Taylor, Maya Layne, Helena Hailu, Syed Mohammad Awais, Raymond R. Price, Sarah Crockett, Monir Islam, Health Systems Strengthening Working Group of the Global Initiative for Emergency and Essential Surgical Care
Published in:
World Journal of Surgery
|
Issue 9/2015
Login to get access
Abstract
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.