Akenroye Olusola O, Adebona Olumuyiwa T, Akenroye Ayobami T
Department of Ophthalmology, Boston Children's Hospital , Boston, MA.
J Public Health Afr. 2013 Dec 3;4(2):e20. doi: 10.4081/jphia.2013.e20.
The purpose of this study was to identify the various problems with surgical care in the developing world and enumerate identified strategies or propose solutions. We also sought to rank these strategies in order of potential impact. The MEDLINE database was sought. Studies published in English, reporting currently employed solutions to identified barriers or problems to surgical care in developing countries or potential solution(s) published between 2000 and 2012 were eligible for inclusion. 2156 articles were identified for possible inclusion. MeSH terms include , , , and . Forty-nine full articles with a primary focus on the solutions to the challenges to surgical care in the developing world were included in the final review. Many articles identified problems with infrastructure, workforce shortage, inadequate or inappropriate policies, and poor financing as major problems with healthcare in the developing world. Solutions addressing these problems are multifactorial and would require active participation of local authorities and collaboration with providers from the developed world. The burden of surgical care is increasing. There is poor access to surgical services in the developing world. If and when surgical care is received, the quality could be less than the standard in developed nations. Solutions exist to tackle these problems but require a multidimensional approach to be successful.
本研究的目的是确定发展中国家外科护理存在的各种问题，列举已确定的策略或提出解决方案。我们还试图按潜在影响程度对这些策略进行排序。检索了MEDLINE数据库。2000年至2012年间发表的英文研究报告，若涉及目前针对发展中国家外科护理中已确定的障碍或问题所采用的解决方案，或潜在解决方案，则符合纳入标准。共识别出2156篇可能纳入的文章。医学主题词包括……（此处原文未完整列出MeSH terms内容）。最终综述纳入了49篇主要关注发展中国家外科护理挑战解决方案的全文。许多文章指出基础设施问题、劳动力短缺、政策不足或不当以及资金匮乏是发展中国家医疗保健的主要问题。解决这些问题的方案是多方面的，需要地方当局的积极参与以及与发达国家提供者的合作。外科护理负担正在加重。发展中国家获得外科服务的机会匮乏。即便接受了外科护理，其质量也可能低于发达国家的标准。存在解决这些问题的方案，但要取得成功需要采取多维度方法。
