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Towards high-quality peri-operative care: a global perspective
V Santhirapala1,2, C J Peden3, J G Meara1,4
1Harvard Medical School, Boston, MA, USA.
Anaesthesia
|January 7, 2020
Summary
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.
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.
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