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McDermott FD, Kelly ME, Warwick A, et al. Problems and solutions in delivering global surgery in the 21st century. Br J Surg. 2015;103(3):165-9doi: 10.1002/bjs.9961.
McDermott, F. D., Kelly, M. E., Warwick, A., Arulampalam, T., Brooks, A. J., Gaarder, T., Cotton, B. A., & Winter, D. C. (2016). Problems and solutions in delivering global surgery in the 21st century. The British journal of surgery, 103(3), 165-9. https://doi.org/10.1002/bjs.9961
McDermott, F D, et al. "Problems and solutions in delivering global surgery in the 21st century." The British journal of surgery vol. 103,3 (2016): 165-9. doi: https://doi.org/10.1002/bjs.9961
McDermott FD, Kelly ME, Warwick A, Arulampalam T, Brooks AJ, Gaarder T, Cotton BA, Winter DC. Problems and solutions in delivering global surgery in the 21st century. Br J Surg. 2016 Feb;103(3):165-9. doi: 10.1002/bjs.9961. Epub 2015 Dec 14. PMID: 26663000.
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Br J Surg. 2016 Feb;103(3):165-9. doi: 10.1002/bjs.9961. Epub 2015 Dec 14.

Problems and solutions in delivering global surgery in the 21st century.

The British journal of surgery

F D McDermott, M E Kelly, A Warwick, T Arulampalam, A J Brooks, T Gaarder, B A Cotton, D C Winter

Affiliations

  1. Colorectal Department, Royal Devon and Exeter Hospital, Exeter, UK.
  2. St Vincent's University Hospital, Dublin, Ireland.
  3. Surgical Division, Colchester University Hospital, Colchester, UK.
  4. East Midlands Major Trauma Centre, Queen's Medical Centre, Nottingham University Hospital, Nottingham, UK.
  5. Department of Gastrointestinal Surgery, Oslo University Hospital, Oslo, Norway.
  6. Division of Acute Care Surgery, University of Texas Health Science Center, Houston, Texas, USA.

PMID: 26663000 DOI: 10.1002/bjs.9961

Abstract

BACKGROUND: Surgery has had low priority in global health planning, so the delivery of surgical care in low- and middle-income countries is often poorly resourced. A recent Lancet Commission on Global Surgery has highlighted the need for change.

METHODS: A consensus view of the problems and solutions was identified by individual surgeons from high-income countries, familiar with surgical care in remote and poorer environments, based on recent publications related to global surgery.

RESULTS: The major issues identified were: the perceived unimportance of surgery, shortage of personnel, lack of appropriate training and failure to establish surgical standards, failure to appreciate local needs and poor coordination of service delivery.

CONCLUSION: Surgery deserves a higher priority in global health resource allocation. Lessons learned from participation in humanitarian crises should be considered in surgical developments.

© 2015 BJS Society Ltd Published by John Wiley & Sons Ltd.

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