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Towards high-quality peri-operative care: a global perspective.

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Billions lack access to safe surgical care, highlighting critical gaps in peri-operative services globally. This study prioritizes equitable, high-quality care and analyzes barriers in low-resource settings.

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Area of Science:

  • Global Health
  • Surgical Care
  • Health Equity

Background:

  • Article 25 of the Universal Declaration of Human Rights establishes the right to health.
  • Five billion people worldwide lack access to safe, affordable, and timely surgical care.
  • Peri-operative care in low-resource settings faces unique challenges, leading to limited access and low-quality outcomes.

Purpose of the Study:

  • To prioritize equitable access to high-quality peri-operative care.
  • To analyze system-level factors contributing to excess peri-operative mortality.
  • To identify interventions addressing barriers in low- and middle-income countries.

Main Methods:

  • Analysis of system-level deficits in peri-operative care.
  • Modified Delphi method to curate and appraise interventions.
  • Focus on research and investment to close the equity gap.

Main Results:

  • Identified critical barriers to high-quality peri-operative care in low-resource settings.
  • Analyzed system-level contributors to peri-operative mortality.
  • Curated potential interventions for future research and evaluation.

Conclusions:

  • Equitable access to high-quality peri-operative care is a global health priority.
  • Addressing system-level deficits is crucial for improving surgical care outcomes.
  • Targeted research and investment are needed to overcome barriers in low- and middle-income countries.