新殖民主义:它应该关注外科医生吗?
Rennie Qin1,2, Desmond T Jumbam3, Nobhojit Roy4,5
1Department of Epidemiology and Biostatistics, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
The British journal of surgery
|December 10, 2025
概括
全球外科手术必须解决不平等和新殖民主义的做法. 公平的方法需要自下而上的规划和包容性培训,以满足低收入和中等收入国家 (LMICs) 的外科需求.
科学领域:
- 全球健康 全球健康
- 手术护理 提供手术护理
- 健康 公平 卫生 公平
背景情况:
- 全球手术旨在解决手术护理的负担,特别是在低收入和中等收入国家 (LMICs).
- 全球卫生领域持续存在的不公平做法,与殖民和热带医学时代相呼应.
- 全球外科手术中的新殖民主义在LMICs的研究人员和从业者中越来越令人担忧.
研究的目的:
- 在全球外科手术中介绍新殖民主义的概念.
- 为全球外科手术倡议提出公平和包容的战略.
- 批评现有的外科手术护理和培训模式.
主要方法:
- 在全球外科手术中对新殖民主义的概念分析.
- 审查与短期外科任务和培训计划相关的挑战.
- 检查历史和当前的外科教育和政策制定模式.
主要成果:
- 短期的外科任务往往缺乏可持续性和适当的后续行动.
- 外科培训模式可能与LMICs的疾病负担不一致,并延续全球北方的主导地位.
- 全球北方对国家外科计划 (NSP) 的控制阻碍了公平的发展.
结论:
- 全球化手术必须积极拆除新殖民结构,促进公平.
- 外科培训和教育需要改革,以符合背景和可扩展.
- 国家外科手术计划的制定需要一个自下而上的方法,广泛的利益相关者参与有效实施.
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