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国际人道主义组织为儿童开展的外科外展服务:一项综述

Surgical Outreach for Children by International Humanitarian Organizations: A Review.

作者信息

Kynes J Matthew, Zeigler Laura, McQueen Kelly

机构信息

Department of Anesthesiology, Monroe Carell, Jr Children's Hospital at Vanderbilt, Nashville, TN 37209, USA.

Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN 37209, USA.

出版信息

Children (Basel). 2017 Jun 28;4(7):53. doi: 10.3390/children4070053.

DOI:10.3390/children4070053
PMID:28657589
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5532545/
Abstract

Low- and middle-income countries carry a disproportionate share of the global burden of pediatric surgical disease and have limited local healthcare infrastructure and human resources to address this burden. Humanitarian efforts that have improved or provided access to necessary basic or emergency surgery for children in these settings have included humanitarian assistance and disaster relief, short-term surgical missions, and long-term projects such as building pediatric specialty hospitals and provider networks. Each of these efforts may also include educational initiatives designed to increase local capacity. This article will provide an overview of pediatric humanitarian surgical outreach including reference to available evidence-based analyses of these platforms and make recommendations for surgical outreach initiatives for children.

摘要

低收入和中等收入国家在全球小儿外科疾病负担中所占比例过高,且当地用于应对这一负担的医疗基础设施和人力资源有限。为改善这些地区儿童获得必要的基础或急诊手术的情况或提供此类手术而开展的人道主义努力包括人道主义援助和救灾、短期外科手术任务,以及建设儿科专科医院和医疗服务网络等长期项目。这些努力中的每一项还可能包括旨在提高当地能力的教育举措。本文将概述小儿人道主义外科外展工作,包括参考对这些平台的现有循证分析,并就儿童外科外展举措提出建议。

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本文引用的文献

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Pediatric surgical capacity in Africa: Current status and future needs.非洲的小儿外科手术能力:现状与未来需求。
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JAMA Surg. 2016 Aug 1;151(8):735-41. doi: 10.1001/jamasurg.2016.0261.
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JAMA Surg. 2015 Nov;150(11):1080-5. doi: 10.1001/jamasurg.2015.1928.
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Malawi Med J. 2014 Dec;26(4):119-23.
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A Health Systems Perspective on the Mission Model for Cleft Lip and Palate Surgery: A Matter of Sustainability or Responsibility?从卫生系统视角看唇腭裂手术的使命模式:是可持续性问题还是责任问题?
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