基本的外科手術:疾病対策の優先事項から得られた重要なメッセージ,第3版
Charles N Mock1, Peter Donkor2, Atul Gawande3
1Departments of Surgery and of Global Health, University of Washington, Seattle, WA, USA.
Lancet (London, England)
|February 10, 2015
まとめ
必要な手術を提供することで,低所得国において毎年150万人の命を救えるのです. 基本的な外科的処置への投資は,非常に費用対効果が高く,普遍的な健康保険の実現に不可欠です.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 外科的介入 外科的な介入
- 健康経済学 医療経済学
背景:
- 世界銀行の疾病対策優先事項,第3版,第1巻は,必須手術に焦点を当てています.
- 必要性,費用対効果,可行性に基づいて44の必須手術手順を特定しています.
- 低・中所得国における外科医療に関する重要な発見を評価する.
研究 の 目的:
- "Essential Surgery"の主要な研究成果を批判的に評価する.
- 重要な外科的処置の効果と費用対効果を強調する.
- 外科医療へのアクセスを拡大し,公衆衛生の普及を達成するための政策を策定する.
主な方法:
- 疾病対策の優先事項のデータ分析,第3版,第1巻.
- 重要な外科介入の費用対効果の評価.
- 外科医療へのアクセスを拡大し,安全性を向上させるための戦略の検討.
主要な成果:
- 必要な手術は,低所得国や中所得国で年間150万人の死亡を防ぐことができます.
- 外科手術は,最も費用対効果の高い医療介入の1つです.
- WHOの外科安全チェックリストのようなタスクの共有と安全対策は,アクセスと結果を改善します.
- 病院における一級外科手術へのアクセスを拡大するには,地域的拡散と人材投資が必要である.
結論:
- 必要な手術は,死亡を回避し,健康状態を改善するために不可欠です.
- 外科プラットフォームへの投資は,非常に費用対効果が高く,普遍的な健康保険の実現に不可欠です.
- 手術の安全性とアクセスにおける格差を解決することは,公平な医療のために不可欠です.
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