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National Surgical, Obstetric, and Anesthesia Plans: Bridging the Cardiac Surgery Gap
1Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States.
Insights
Globally, six billion people lack essential cardiac surgical care, contributing to cardiovascular disease mortality. National Surgical Plans must integrate cardiovascular services to address this critical gap.
Area of Science:
- Global Health
- Cardiovascular Surgery
- Health Systems Strengthening
Background:
- Cardiovascular diseases are the leading cause of global mortality.
- Six billion individuals worldwide lack access to necessary cardiac surgical care.
- Existing surgical backlogs include rheumatic, congenital, and ischemic heart diseases.
Purpose of the Study:
- To highlight the critical need for scaling cardiovascular services globally.
- To emphasize the inadequacy of current National Surgical, Obstetric, and Anesthesia Plans in addressing cardiovascular care.
- To advocate for the inclusion of cardiac surgical care within national health strategies.
Main Methods:
- Review of global health statistics on cardiovascular disease mortality and surgical access.
- Analysis of the scope of National Surgical, Obstetric, and Anesthesia Plans.
- Identification of the gap in cardiovascular care integration within existing health system interventions.
Main Results:
- A significant disparity exists in access to timely and affordable cardiac surgery.
- National Surgical Plans, while comprehensive, largely exclude essential cardiovascular services.
- The burden of various heart conditions necessitates a broader approach to surgical care.
Conclusions:
- Urgent integration of cardiovascular surgical care into National Surgical Plans is required.
- Addressing the global burden of heart disease demands a focus on surgical interventions, not just prevention.
- Enhanced health system planning is crucial for equitable access to life-saving cardiac procedures.
Abstract:
Six billion people worldwide lack access to safe, timely, and affordable cardiac surgical care when needed, despite cardiovascular diseases remaining the world's leading cause of mortality. The large surgical backlog of rheumatic heart disease, stable and high incidence of congenital heart disease, and growing burden of ischemic heart disease around the world calls for urgent scaling of cardiovascular services beyond mere prevention. National Surgical, Obstetric, and Anesthesia Plans are being developed by countries as holistic health systems interventions to increase access to surgical care, but to date, limited to no attention has been given to the inclusion of cardiovascular care.
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