Kynes J Matthew, Zeigler Laura, McQueen Kelly
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.
Children (Basel). 2017 Jun 28;4(7):53. doi: 10.3390/children4070053.
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.
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。