Clin Colon Rectal Surg 2022; 35(05): 362-370
DOI: 10.1055/s-0042-1746185
Review Article

Surgery as a Global Health Need

Thomas M. Diehl
1   Department of Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin
,
Ernie Soto
2   Department of Surgery, University of Arkansas for Medical Sciences Medical Center, Little Rock, Arkansas
,
Jonathan A. Laryea
2   Department of Surgery, University of Arkansas for Medical Sciences Medical Center, Little Rock, Arkansas
,
Syed Nabeel Zafar
1   Department of Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin
› Author Affiliations

Abstract

Surgical care is now recognized as a fundamental component of universal health coverage. Unfortunately, most of the world is still without access to safe and timely surgical care, including 9 out of 10 people living in low- and middle-income countries (LMICs). Additionally, even in LMICs with sustainable surgical programs, surgical outcomes continue to lag behind those in high-income countries. In this article, we will provide a brief history and introduction to global surgery, an overview of the existing literature on global surgical outcomes, and a discussion surrounding the challenges to building surgical capacity and improving surgical outcomes in LMICs. In addition, we will discuss the existing frameworks for building surgical care into national universal healthcare plans and initiatives striving improve surgical outcomes in LMICs.



Publication History

Article published online:
13 September 2022

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