Department of Surgery, Medical University of South Carolina, 96 Jonathan Lucas Street (MSC 613/CSB 420), Charleston, SC 29425-6130, USA.
Scand J Trauma Resusc Emerg Med. 2012 Sep 15;20:64. doi: 10.1186/1757-7241-20-64.
Traditionally, surgical diseases including emergency and injury care have garnered less attention and support internationally when compared to other medical specialties. Over the past decade however, healthcare professionals have increasingly advocated for the need to address the global burden of non-communicable diseases. Surgical disease, including traumatic injury, is among the top causes of death and disability worldwide and the subsequent economic burden is substantial, falling disproportionately on low- and middle-income countries (LMICs). The future of global health in these regions depends on a redirection of attention to diseases managed within surgical, anesthesia and emergency specialties. Increasing awareness of these disparities, as well as increasing focus in the realms of policy and advocacy, is crucial. While the barriers to providing quality trauma and emergency care worldwide are not insurmountable, we must work together across disciplines and across boundaries in order to negotiate change and reduce the global burden of surgical disease.
传统上,与其他医学专业相比,国际上对包括急症和创伤在内的外科疾病的关注和支持较少。然而,在过去的十年中,医疗保健专业人员越来越多地倡导需要解决非传染性疾病的全球负担。外科疾病,包括创伤,是全球死亡和残疾的主要原因之一,由此带来的经济负担巨大,不成比例地落在中低收入国家(LMICs)身上。这些地区的全球卫生的未来取决于将注意力重新转向外科、麻醉和急诊专业所管理的疾病。提高对这些差距的认识,并在政策和宣传领域更加关注,至关重要。虽然在全球范围内提供高质量创伤和紧急护理的障碍并非不可逾越,但我们必须跨学科和跨越边界共同努力,以协商变革并减轻全球外科疾病负担。