构建能够承受外部冲击的弹性外科系统
James C Glasbey1, Adesoji O Ademuyiwa2, Kathryn Chu3
1NIHR Global Health Research Unit on Global Surgery, University of Birmingham, Birmingham, UK j.glasbey@bham.ac.uk martinez.laura@heveracruz.mx.
BMJ global health
|November 7, 2024
概括
全球危机给外科系统带来压力,影响患者和经济. 通过研究和投资优先考虑外科准备对于应对未来威胁的弹性医疗保健系统至关重要.
科学领域:
- 卫生系统研究 卫生系统研究
- 全球卫生安全 全球卫生安全
- 手术护理 弹性 手术护理 弹性
背景情况:
- 流行病和气候变化等全球危机显著增加了医疗保健需求,使手术系统和周围手术途径受到压力.
- 手术被认为是医疗保健系统中的一个关键和脆弱的领域,在高压力时期容易出现早期失败.
- 目前的全球卫生倡议,包括世界卫生组织 (WHO) 的倡议,尽管从SARS-CoV-2大流行中吸取了教训,但尚未充分优先考虑外科准备.
研究的目的:
- 探索在医疗保健系统中测量外科准备的方法.
- 识别新出现的全球威胁,并分析它们对外科服务的潜在影响.
- 强调高质量的研究在构建能够抵御未来危机的弹性外科系统方面发挥的关键作用.
主要方法:
- 这项分析综合了现有的文献和有关全球危机期间医疗保健系统压力的数据.
- 它涉及在各种压力因素下对外科手术前途的脆弱性进行定性探索.
- 该研究研究了对投资医疗保健"准备"与"响应"阶段的政策影响.
主要成果:
- 由于需求增加和系统压力,外科护理途径在全球危机期间非常容易崩.
- 尽管承认存在弱点,但政策制定者对手术准备的优先考虑和投资仍然不足.
- 在卫生系统恢复的"准备"阶段缺乏投资,阻碍了对新出现的威胁的长期弹性.
结论:
- 手术准备需要一种主动的,以研究为导向的方法,超越反应性的"反应"措施.
- 测量外科准备和识别新出现的威胁是发展强大的医疗保健系统的重要步骤.
- 高质量的研究对于为全球建立弹性外科服务的政策和实践提供信息至关重要.
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