TY  - CHAP
M1  - Book, Section
TI  - Global Surgery
A1  - Price, R. Raymond
A1  - deVries, R. Catherine
A2  - Brunicardi, F. Charles
A2  - Andersen, Dana K.
A2  - Billiar, Timothy R.
A2  - Dunn, David L.
A2  - Hunter, John G.
A2  - Matthews, Jeffrey B.
A2  - Pollock, Raphael E.
PY  - 2015
T2  - Schwartz's Principles of Surgery, 10e
AB  - There  are  five  major  forces  reshaping  priorities  and  strat­egies  for  the  globalization  of  surgical  care:The  epidemiologic  transition  of  diseasesThe  mobile  nature  of  the  world’s  populationsUbiquitous  information  accessA  revolution  for  equity  and  human  rightsRecognition  of  the  cost-effectiveness  of  surgical  careUnderstanding  and  addressing  the  necessary  communication,  energy  and  transportation  technologies  along  with  the  underlying  cultural  context  represent  the  foundation  critical  to  implementing  sustainable  infrastructure  necessary  for  appropriate  surgical  care.The  key  components  of  the  global  surgery  ecosystem  include  technology,  education,  community,  healthcare,  business,  and  multidisciplinary  engagement  between  a  variety  of  disciplines.There  has  been  a  significant  shift  from  communicable,  maternal,  neonatal,  and  nutritional  causes  to  noncommunicable  causes,  many  of  which  require  surgical  care.Patients  and  their  communities  in  low-middle  income  countries  (LMICs)  bear  a  much  greater  share  of  the  burden  of  cancer  than  high-income  countries.Globally,  trauma  has  become  a  leading  cause  of  death  and  disability;  90%  of  trauma  deaths  occur  in  LMICs.The  burden  of  disease  is  greatest  in  areas  where  human  resources—physicians,  nurses,  pharmacists,  and  other  healthcare  workers—are  the  least.Surgery  is  gaining  an  increasingly  recognized  role  for  improving  public  health.Surgery  has  a  role  in  prevention  as  well  as  treatment.The  cost-effectiveness  of  various  aspects  of  surgical  care  has  allowed  surgical  initiatives  to  be  included  when  prioritizing  public  health  initiatives.Developing  advanced  surgical  capabilities  in  resource-poor  countries  has  the  potential  to  decrease  overall  cost  and  actually  develop  the  infrastructure  necessary  to  entice  physicians  and  other  healthcare  workers  to  remain  in  their  own  countries.Academic  involvement  in  global  surgery  provides  training  for  the  next  generation  of  surgical  leaders.Surgical  innovations  that  consider  cost  as  well  as  quality  and  design  for  challenging  energy  environments  will  foster  equity  in  surgical  care  for  LMICs.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1117755692
ER  -