2025-35年外科卫生政策:为未来的需求加强基本服务
Dmitri Nepogodiev1, Maria Picciochi2, Adesoji Ademuyiwa3
1NIHR Global Health Research Unit on Global Surgery, University of Birmingham, Birmingham, UK; Surgical Data Institute, University of Birmingham, Birmingham, UK.
Lancet (London, England)
|July 17, 2025
概括
全球的外科治疗进展缓慢, 每年有数以百万计的患者需要手术, 迫切的投资和政策变化对于加强全球的外科服务和卫生系统至关重要.
科学领域:
- 全球健康
- 手术护理
- 加强卫生系统
背景情况:
- 实现全球手术目标的进展不足,特别是在低收入和中等收入国家.
- 每年估计需要进行1.6亿次手术.
- 每年有350万成年人死亡.
研究的目的:
- 突出全球外科护理进展缓慢, 迫切需要采取行动.
- 强调由于COVID-19大流行而造成的手术服务资金不足和资源限制的影响.
- 倡导将手术作为一种必要的,经济生产力的服务来确保投资.
主要方法:
- 分析全球外科护理进展和未满足的需求.
- 审查包括资金不足,劳动力短缺和基础设施缺口等挑战.
- 审查国家手术计划和手术数据科学的作用等政策举措.
主要成果:
- 兰塞特全球外科委员会的2030年目标没有达到预期的速度.
- COVID-19 疫情揭示了全球手术服务的重大脆弱性.
- 虽然有些国家制定了国家手术计划,但大多数国家缺乏足够的资金.
结论:
- 迫切需要持续投资和政策改革, 以改善全球手术的准入和质量.
- 整合医院基础设施和护理途径的资金对于加强卫生系统至关重要.
- 将手术视为拯救生命和促进经济生产力的重要手段,
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