Price Raymond, Makasa Emmanuel, Hollands Michael
Department of Surgery, Intermountain Healthcare, Salt Lake City, USA,
World J Surg. 2015 Sep;39(9):2115-25. doi: 10.1007/s00268-015-3153-y.
On May 22 2015, the 68th World Health Assembly (WHA) adopted resolution WHA68.15, "Strengthening emergency and essential surgical care and anesthesia as a component of universal health coverage (UHC)." For the first time, governments worldwide acknowledged and recognized surgery and anesthesia as key components of UHC and health systems strengthening. The resolution details and outlines the highest level of political commitments to address the public health gaps arising from lack of safe, affordable, and accessible surgical and anesthetic services in an integrated approach. This article reviews the background of resolution WHA68.15 and discusses how it can be of use to surgeons, anesthetists, advanced practice clinicians, nurses, and others caring for the surgical patients, especially in low- and middle-income countries.
2015年5月22日,第68届世界卫生大会(WHA)通过了第WHA68.15号决议,即“加强急诊和基本外科护理及麻醉,作为全民健康覆盖(UHC)的一个组成部分”。全世界各国政府首次承认并认识到外科手术和麻醉是全民健康覆盖及卫生系统强化的关键组成部分。该决议详细阐述并概述了最高级别的政治承诺,以综合方式解决因缺乏安全、可负担且可及的外科和麻醉服务而产生的公共卫生差距。本文回顾了第WHA68.15号决议的背景,并讨论了它如何能为外科医生、麻醉师、高级执业临床医生、护士以及其他护理外科患者的人员所用,特别是在低收入和中等收入国家。