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Global surgery: A view from the south.

¹BARC Hospital (Government of India), Homi Bhabha National Institute University, Mumbai 400094, India.

Journal of Pediatric Surgery

|November 29, 2016

Summary

This summary is machine-generated.

Global surgery is evolving from charity to co-development, with high-income countries (HICs) needing coordinated action. Low- and middle-income countries (LMICs) require multidisciplinary solutions for surgical healthcare delivery challenges.

Keywords:

Global surgery Health metrics Low- and middle-income countries Surgical workforce

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Area of Science:

Global Surgery
Surgical Workforce Development
Healthcare Systems Strengthening

Background:

The global surgery movement is viewed from the perspective of surgeons in low- and middle-income countries (LMICs).
The transition from a charity-based model to a co-development approach involving multiple stakeholders is occurring.
Challenges and opportunities within global surgery are examined through case studies.

Discussion:

High-income countries (HICs) can contribute to global surgery through coordinated efforts.
Surgeons' roles in global surgery solutions may evolve, potentially not being pivotal.
Multidisciplinary approaches are essential for addressing the unmet burden of surgical disease in LMICs.

Key Insights:

A new cadre of "essential surgeons" is proposed.
Technology can mitigate intellectual and physical isolation for healthcare providers.
Competency-based credentialing and industry-driven innovation are crucial.

Outlook:

Task sharing, rather than task shifting, is recommended.
Prioritization of surgical delivery should align with the burden of disease.
A rota-based overseas model offers a structured approach to international surgical aid.