Towards high-quality peri-operative care: a global perspective.
Anaesthesia
; 75 Suppl 1: e18-e27, 2020 01.
Article
en En
| MEDLINE
| ID: mdl-31903566
ABSTRACT
Article 25 of the United Nations' Universal Declaration of Human Rights enshrines the right to health and well-being for every individual. However, universal access to high-quality healthcare remains the purview of a handful of wealthy nations. This is no more apparent than in peri-operative care, where an estimated five billion individuals lack access to safe, affordable and timely surgical care. Delivery of surgery and anaesthesia in low-resource environments presents unique challenges that, when unaddressed, result in limited access to low-quality care. Current peri-operative research and clinical guidance often fail to acknowledge these system-level deficits and therefore have limited applicability in low-resource settings. In this manuscript, the authors priority-set the need for equitable access to high-quality peri-operative care and analyse the system-level contributors to excess peri-operative mortality rates, a key marker of quality of care. To provide examples of how research and investment may close the equity gap, a modified Delphi method was adopted to curate and appraise interventions which may, with subsequent research and evaluation, begin to address the barriers to high-quality peri-operative care in low- and middle-income countries.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Calidad de la Atención de Salud
/
Salud Global
/
Atención Perioperativa
/
Anestesiología
Tipo de estudio:
Guideline
Límite:
Humans
Idioma:
En
Revista:
Anaesthesia
Año:
2020
Tipo del documento:
Article
País de afiliación:
Estados Unidos