Development of a Unifying Target and Consensus Indicators for Global Surgical Systems Strengthening: Proposed by the Global Alliance for Surgery, Obstetric, Trauma, and Anaesthesia Care (The G4 Alliance)

Abstract

After decades on the margins of primary health care, surgical and anaesthesia care is gaining increasing priority within the global development arena. The 2015 publications of the Disease Control Priorities third edition on Essential Surgery and the Lancet Commission on Global Surgery created a compelling evidenced-based argument for the fundamental role of surgery and anaesthesia within cost-effective health systems strengthening global strategy. The launch of the Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care in 2015 has further coordinated efforts to build priority for surgical care and anaesthesia. These combined efforts culminated in the approval of a World Health Assembly resolution recognizing the role of surgical care and anaesthesia as part of universal health coverage. Momentum gained from these milestones highlights the need to identify consensus goals, targets and indicators to guide policy implementation and track progress at the national level. Through an open consultative process that incorporated input from stakeholders from around the globe, a global target calling for safe surgical and anaesthesia care for 80% of the world by 2030 was proposed. In order to achieve this target, we also propose 15 consensus indicators that build on existing surgical systems metrics and expand the ability to prioritize surgical systems strengthening around the world.

North–South surgical training partnerships: a systematic review

“…he delivery of surgical care to underresourced areas has been increasingly prioritized by health care providers and governing bodies, as evidenced by the efforts of the Lancet Commission on Global Surgery and the proliferation of organizations designed to address the existing burden of surgical disease. [1][2][3][4] Capacity building has been recognized as a means of reaching tangible metrics of safe, timely and affordable care, with workforce limitations identified as a key barrier. 5,6 Efforts to address this barrier through training programs for nurses, surgical/anesthesia trainees and attending physicians have been described.…”

Ending Neglected Surgical Diseases (NSDs): Definitions, Strategies, and Goals for the Next Decade

“…18 Smile Train International, New York City, NY, USA. 19 World Surgical Foundation (WSF) Philippines, Manila, Philippines. 20 Orbis International, New York City, NY, USA.…”

¿Tienes lo que hay que tener?: Un análisis de los factores asociados con la intención de optar por una carrera en cirugía entre estudiantes de medicina.

“…Son necesarios los registros en materia de fuerza laboral, los datos de instituciones de entrenamiento y licencias para ejercer la cirugía, que permitan realizar los ajustes necesarios y proyecciones futuras 2 . También es necesario robustecer la infraestructura educativa, la cooperación y la cirugía global, a la vez que se reduce la deserción de los residentes (estimada globalmente en 20%) y se mejoran las condiciones de práctica profesional [2][3][4] . Finalmente, es necesario atraer y cautivar a los estudiantes de medicina para que opten por una carrera en cirugía 5,6 .…”

“…Frente a estas transformaciones, existe un llamado permanentemente a evaluar las condiciones de la práctica profesional y los factores que favorecen y/o limitan la intención de optar por una carrera en cirugía en diversos contextos 1,2,18 . Esta evaluación es importante porque la dinámica de la práctica profesional, los desafíos epidemiológicos y demográficos, y los retos educativos son inseparables de la planeación del recurso humano en salud.…”