Mock Charles
University of Washington, WA, USA.
J Pak Med Assoc. 2019 Feb;69(Suppl 1)(1):S95-S97.
There is a large and unacceptable burden of death and disability from conditions that are treatable by surgery. Several global efforts to address this burden have included the World Health Assembly resolution (WHA68.15) on emergency and essential surgical care, the Lancet Commission on Global Surgery, and the Disease Control Priorities project. On a country level, progress can be made in almost any location by taking a logical approach that includes defining the most costeffective surgical interventions that can and should be made available to anyone in a given country, identifying and addressing the barriers to such care that often include finding ways to address financial barriers, and developing monitoring mechanisms to ensure that access to quality care is indeed being achieved. To accomplish these goals, there is a need for collaborative work by the fields of surgery and public health.
因可通过手术治疗的疾病而导致的死亡和残疾负担十分巨大,令人无法接受。为应对这一负担,全球开展了多项工作,包括世界卫生大会关于紧急和基本外科护理的决议(WHA68.15)、《柳叶刀》全球外科委员会以及疾病控制优先项目。在国家层面,几乎在任何地方都可以通过采取合理的方法取得进展,这种方法包括确定在特定国家能够且应该为任何人提供的最具成本效益的外科干预措施,识别并解决此类护理的障碍,这些障碍通常包括找到解决经济障碍的方法,以及建立监测机制以确保确实能够获得优质护理。为实现这些目标,外科和公共卫生领域需要开展合作。