PMID- 25561195
OWN - NLM
STAT- MEDLINE
DCOM- 20160303
LR  - 20181202
IS  - 1432-2323 (Electronic)
IS  - 0364-2313 (Linking)
VI  - 39
IP  - 9
DP  - 2015 Sep
TI  - Surgical Care and Health Systems.
PG  - 2132-9
LID - 10.1007/s00268-014-2928-x [doi]
AB  - BACKGROUND: While surgical care impacts a wide variety of diseases and conditions 
      with non-operative and operative services, both preventive and curative, there 
      has been little discussion concerning how surgery might be integrated within the 
      health system of a low and middle-income country (LMIC), nor how strengthening 
      surgical services may improve health systems and population health. METHODS: We 
      reviewed reports from several meetings of the working group on health systems 
      strengthening of the Global Initiative for Emergency and Essential Surgical Care, 
      and also performed a review of the literature including the search terms 
      "surgery," "health system," "developing country," "health systems strengthening," 
      "health information system," "financing," "governance," and "integration." 
      RESULTS: The literature search revealed no reports which focused on the 
      integration of surgical services within a health system or as a component of 
      health system strengthening. A conceptual model of how surgical care might be 
      integrated within a health system is proposed, based on the discussions of our 
      working group, combined with sources from the medical literature, and utilizing 
      the World Health Organization's conceptual model of a health system. CONCLUSIONS: 
      Strengthening the delivery of surgical services in LMICs will require inputs at 
      multiple levels within a health system, and this effort will require the 
      coalescence of committed individuals and organizations, supported by civil 
      society.
FAU - Spiegel, David A
AU  - Spiegel DA
AD  - Division of Orthopaedic Surgery, Childrens Hospital of Philadelphia, University 
      of Pennsylvania School of Medicine, Philadelphia, USA, spiegeld@email.chop.edu.
FAU - Misra, Mohit
AU  - Misra M
FAU - Bendix, Peter
AU  - Bendix P
FAU - Hagander, Lars
AU  - Hagander L
FAU - Bickler, Stephen W
AU  - Bickler SW
FAU - Saleh, C Omar
AU  - Saleh CO
FAU - Ekeke-Monono, Martin
AU  - Ekeke-Monono M
FAU - Baah-Odoom, Dinah
AU  - Baah-Odoom D
FAU - Caldwell, Amber
AU  - Caldwell A
FAU - Irons, Beryl
AU  - Irons B
FAU - Amir, Sheik
AU  - Amir S
FAU - Taylor, Robert
AU  - Taylor R
FAU - Layne, Maya
AU  - Layne M
FAU - Hailu, Helena
AU  - Hailu H
FAU - Awais, Syed Mohammad
AU  - Awais SM
FAU - Price, Raymond R
AU  - Price RR
FAU - Crockett, Sarah
AU  - Crockett S
FAU - Islam, Monir
AU  - Islam M
CN  - Health Systems Strengthening Working Group of the Global Initiative for Emergency 
      and Essential Surgical Care
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - World J Surg
JT  - World journal of surgery
JID - 7704052
SB  - IM
CIN - World J Surg. 2016 Jul;40(7):1790-1. PMID: 26475785
MH  - Delivery of Health Care, Integrated/economics/*organization & administration
MH  - *Developing Countries
MH  - General Surgery/economics/*organization & administration
MH  - Health Information Systems
MH  - Humans
MH  - Models, Organizational
EDAT- 2015/01/07 06:00
MHDA- 2016/03/05 06:00
CRDT- 2015/01/07 06:00
PHST- 2015/01/07 06:00 [entrez]
PHST- 2015/01/07 06:00 [pubmed]
PHST- 2016/03/05 06:00 [medline]
AID - 10.1007/s00268-014-2928-x [doi]
PST - ppublish
SO  - World J Surg. 2015 Sep;39(9):2132-9. doi: 10.1007/s00268-014-2928-x.