Pediatric Surgery, Yale University, New Haven, CT 06520, USA.
J Pediatr Surg. 2012 Dec;47(12):2305-11. doi: 10.1016/j.jpedsurg.2012.09.030.
Recently, the role of surgery in global health has gained greater attention, although pediatric surgery has received little specific emphasis. This paper highlights pediatric surgical conditions as a part of global public health, and identifies gaps in knowledge and possible areas of action for the global pediatric surgical community. The burden of disease concept is discussed with examples of its application to pediatric surgery, and further information required to improve measurement of the global burden of pediatric surgical conditions. In addition, selected tools to measure access to surgical care and the unmet need for surgery in low and middle-income countries (LMICs) are reviewed, with recent innovative approaches and other possible adaptations to pediatric surgery. Finally, some of the strategies used to improve access to care for pediatric surgical conditions are discussed, with possible future directions.
最近，手术在全球卫生中的作用引起了更多关注，尽管儿科手术很少受到特别重视。本文强调了儿科手术条件作为全球公共卫生的一部分，并确定了全球儿科外科学界知识上的差距和可能采取的行动领域。本文讨论了疾病负担概念，并举例说明了其在儿科外科学中的应用，还进一步介绍了为改善全球儿科手术条件疾病负担衡量所需的更多信息。此外，还审查了用于衡量中低收入国家（LMICs）获得外科护理机会和未满足手术需求的选定工具，并介绍了最近的创新方法和其他可能适用于儿科手术的方法。最后，讨论了一些用于改善儿科手术条件获得护理的策略，并探讨了未来的可能方向。
