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The Heterogeneity of Global Pediatric Surgery: Defining Needs and Opportunities Around the World

Kent Garber1, Carla Cecilia Ramírez Cabrera2, Quang-Le Dinh3

  • 1Department of General Surgery, University of California, Los Angeles, Los Angeles, USA.

World Journal of Surgery
|December 8, 2018
PubMed

Insights

Pediatric surgical care globally faces significant challenges, especially in low-income nations. Addressing these requires understanding regional differences and improving access, quality, and financing for children

Area of Science:

  • Global Health
  • Pediatric Surgery
  • Healthcare Disparities

Background:

  • The global burden of pediatric surgical conditions is inadequately addressed, particularly in low- and middle-income countries.
  • Key barriers include resource shortages, inequitable distribution, underfinancing, poor quality of care, and contextual challenges like disasters and conflict.
  • The impact of these factors varies significantly by region and country.

Purpose of the Study:

  • To review the heterogeneity of global pediatric surgery.
  • To provide recommendations for overcoming barriers to high-quality pediatric surgical care worldwide.

Main Methods:

  • Literature review and synthesis of existing data on global pediatric surgical challenges.
  • Analysis of factors contributing to disparities in care.

Main Results:

  • Significant heterogeneity exists in pediatric surgical challenges across and within regions, though data are limited.
  • Differences in demographics, epidemiology, geography, income, health spending, policies, and cultural practices contribute to this heterogeneity.

Conclusions:

  • Country-level research and stakeholder engagement are crucial for understanding local needs and driving sustainable policy reforms.
  • Improving financing, access, and quality of pediatric surgical care are essential for addressing global disparities.
Abstract

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