The Heterogeneity of Global Pediatric Surgery: Defining Needs and Opportunities Around the World.
World J Surg
; 43(6): 1404-1415, 2019 06.
Article
em En
| MEDLINE
| ID: mdl-30523395
ABSTRACT
BACKGROUND:
The global burden of pediatric surgical conditions continues to remain inadequately addressed, particularly in low- and middle-income countries. Among the many factors contributing to this gap are a lack of access to care secondary to resource shortages and inequitable distribution, underfinancing of healthcare systems, poor quality of care, and contextual challenges such as natural disasters and conflict. The relative contribution of these and other factors varies widely by region and even with countries of a region.METHODS:
This review seeks to discuss the heterogeneity of global pediatric surgery and offer recommendations for addressing the barriers to high-quality pediatric surgical care throughout the world.RESULTS:
There is significant heterogeneity in pediatric surgical challenges, both between regions and among countries in the same region, although data are limited. This heterogeneity can reflect differences in demographics, epidemiology, geography, income level, health spending, historical health policies, and cultural practices, among others.CONCLUSION:
Country-level research and stakeholder engagement are needed to better understand the heterogeneity of local needs and drive policy changes that contribute to sustainable reforms. Key to these efforts will be improved financing, access to and quality of pediatric surgical care.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pediatria
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Especialidades Cirúrgicas
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Serviços de Saúde da Criança
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Saúde Global
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Acessibilidade aos Serviços de Saúde
Tipo de estudo:
Guideline
Limite:
Adolescent
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Child
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Child, preschool
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Humans
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Infant
Idioma:
En
Revista:
World J Surg
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Estados Unidos