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Global Neurosurgery: A Path Forward Through Health System Strengthening
Gail Rosseau1,2, Nathan A Shlobin3, Ronnie E Baticulon4
1Department of Neurosurgery, George Washington University School of Medicine and Health Sciences, Washington , District of Columbia , USA.
Neurosurgery
|August 26, 2024
Summary
Global neurosurgery requires a health system approach to address unmet needs sustainably. Strategies involve strengthening neurosurgical care, aligning with Universal Healthcare Coverage targets and proposing new indicators.
Area of Science:
- Global Health
- Neurosurgery
- Health Systems Strengthening
Background:
- Significant unmet neurosurgical needs exist globally.
- A health system approach is crucial for sustainable and ethical change in global neurosurgery.
- Existing frameworks like the World Health Organization's building blocks and UN Sustainable Development Goals provide context.
Purpose of the Study:
- To review global building blocks for neurosurgical care.
- To propose strategies for strengthening global neurosurgical care.
- To discuss the role of neurosurgeons in achieving Universal Healthcare Coverage by 2030 and propose neurosurgical indicators aligned with global surgical indicators.
Main Methods:
- Review of World Health Organization global building blocks.
- Analysis of United Nations Sustainable Development Goals targets for Universal Healthcare Coverage.
- Review of Lancet Commission on Global Surgery indicators and proposal of neurosurgical indicators.
Main Results:
- The study framework highlights key areas for improving global neurosurgical care.
- Proposed neurosurgical indicators align with existing global surgical metrics.
- Collaboration and innovation in technology and education are identified as essential.
Conclusions:
- Strengthening neurosurgical care globally necessitates a comprehensive health system approach.
- Achieving sustainable change requires addressing the complexity of health systems and fostering diverse collaborations.
- Innovative technology and education are vital components for overcoming global neurosurgical challenges.
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