Global Surgical Ecosystems: A Need for Systems Strengthening

<p>Background</p><p>As surgery is gaining recognition as a critical component of universal health care worldwide, surgical communities have come together with unprecedented unity to advocate for systems to support <a title="Learn more about Surgical Care" href="ht...

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Autores principales:	Catherine R. deVries, Jenna S. Rosenberg
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2016
Materias:	global surgery ecosystem health systems strengthening surgical facilities standards surgical quality Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/d5d9f3c6a2064e91b90ff21279fdebdb
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spelling	oai:doaj.org-article:d5d9f3c6a2064e91b90ff21279fdebdb2021-12-02T04:21:58ZGlobal Surgical Ecosystems: A Need for Systems Strengthening2214-999610.1016/j.aogh.2016.09.011https://doaj.org/article/d5d9f3c6a2064e91b90ff21279fdebdb2016-12-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/728https://doaj.org/toc/2214-9996<p>Background</p><p>As surgery is gaining recognition as a critical component of universal health care worldwide, surgical communities have come together with unprecedented unity to advocate for systems to support <a title="Learn more about Surgical Care" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/surgical-care">surgical care</a>. This community has long believed that much care could be performed in a cost-effective manner even in low resource settings, despite skepticism voiced by many in public health. To do so will require the development of new systems and re-vamping of old systems that are not effective. In the last five years, coalitions, expert panels, commissions, consortia and alliances have emerged to address these issues and there has been landmark success in advocacy with a new resolution at the 2015 World Health Assembly to include surgical care as a component of universal health coverage. It is critical to understand the ecosystem that constitutes the surgical environment. A surgical ecosystem could be described as a network of people, processes, and materials necessary for surgical services in the context of the facilities and environment in which it functions.</p><p>Methods</p><p>We describe components of a functioning surgical ecosystem in terms of administration, support staff and clinicians, and the necessary sub-systems for providing consumable materials such as anesthetic medication and <a title="Learn more about Suture Material" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/suture-material">suture</a> and sterile instruments. Related systems that must be integrated are facilities and utilities such as electricity, lighting, plumbing and waste management and even laundry. But especially in low and middle income countries (LMICs) lack of any one of these may be rate-limiting. The World Health Organization (WHO) has developed situational analyses and checklists for first level district hospitals to identify missing elements.</p><p>Conclusions</p><p>A siloed approach cannot solve a systems problem. However, to scale up rapidly and to develop and sustain quality standards, a holistic “ecosystem” approach, including local and global professional societies and advocacy organizations will need to become engaged.Catherine R. deVriesJenna S. RosenbergUbiquity Pressarticleglobal surgeryecosystemhealth systems strengtheningsurgical facilities standardssurgical qualityInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 82, Iss 4, Pp 605-613 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	global surgery ecosystem health systems strengthening surgical facilities standards surgical quality Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	global surgery ecosystem health systems strengthening surgical facilities standards surgical quality Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Catherine R. deVries Jenna S. Rosenberg Global Surgical Ecosystems: A Need for Systems Strengthening
description	<p>Background</p><p>As surgery is gaining recognition as a critical component of universal health care worldwide, surgical communities have come together with unprecedented unity to advocate for systems to support <a title="Learn more about Surgical Care" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/surgical-care">surgical care</a>. This community has long believed that much care could be performed in a cost-effective manner even in low resource settings, despite skepticism voiced by many in public health. To do so will require the development of new systems and re-vamping of old systems that are not effective. In the last five years, coalitions, expert panels, commissions, consortia and alliances have emerged to address these issues and there has been landmark success in advocacy with a new resolution at the 2015 World Health Assembly to include surgical care as a component of universal health coverage. It is critical to understand the ecosystem that constitutes the surgical environment. A surgical ecosystem could be described as a network of people, processes, and materials necessary for surgical services in the context of the facilities and environment in which it functions.</p><p>Methods</p><p>We describe components of a functioning surgical ecosystem in terms of administration, support staff and clinicians, and the necessary sub-systems for providing consumable materials such as anesthetic medication and <a title="Learn more about Suture Material" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/suture-material">suture</a> and sterile instruments. Related systems that must be integrated are facilities and utilities such as electricity, lighting, plumbing and waste management and even laundry. But especially in low and middle income countries (LMICs) lack of any one of these may be rate-limiting. The World Health Organization (WHO) has developed situational analyses and checklists for first level district hospitals to identify missing elements.</p><p>Conclusions</p><p>A siloed approach cannot solve a systems problem. However, to scale up rapidly and to develop and sustain quality standards, a holistic “ecosystem” approach, including local and global professional societies and advocacy organizations will need to become engaged.
format	article
author	Catherine R. deVries Jenna S. Rosenberg
author_facet	Catherine R. deVries Jenna S. Rosenberg
author_sort	Catherine R. deVries
title	Global Surgical Ecosystems: A Need for Systems Strengthening
title_short	Global Surgical Ecosystems: A Need for Systems Strengthening
title_full	Global Surgical Ecosystems: A Need for Systems Strengthening
title_fullStr	Global Surgical Ecosystems: A Need for Systems Strengthening
title_full_unstemmed	Global Surgical Ecosystems: A Need for Systems Strengthening
title_sort	global surgical ecosystems: a need for systems strengthening
publisher	Ubiquity Press
publishDate	2016
url	https://doaj.org/article/d5d9f3c6a2064e91b90ff21279fdebdb
work_keys_str_mv	AT catherinerdevries globalsurgicalecosystemsaneedforsystemsstrengthening AT jennasrosenberg globalsurgicalecosystemsaneedforsystemsstrengthening
_version_	1718401337522126848

Global Surgical Ecosystems: A Need for Systems Strengthening

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