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本文引用的文献

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Epidemiology of pediatric surgical needs in low-income countries.低收入国家儿童外科需求的流行病学
PLoS One. 2017 Mar 3;12(3):e0170968. doi: 10.1371/journal.pone.0170968. eCollection 2017.
2
Increased pediatric sub-specialization is associated with decreased surgical complication rates for inpatient pediatric urology procedures.儿科亚专业的增加与儿科住院泌尿外科手术并发症发生率的降低相关。
J Pediatr Urol. 2016 Dec;12(6):388.e1-388.e7. doi: 10.1016/j.jpurol.2016.05.034. Epub 2016 Jun 16.
3
Influence of sub-specialty surgical care on outcomes for pediatric emergency general surgery patients in a low-middle income country.中低收入国家小儿急诊普通外科患者接受亚专科外科治疗对结局的影响。
Int J Surg. 2016 May;29:12-8. doi: 10.1016/j.ijsu.2016.03.007. Epub 2016 Mar 10.
4
The pediatric surgery workforce in low- and middle-income countries: problems and priorities.低收入和中等收入国家的儿科外科劳动力:问题与优先事项。
Semin Pediatr Surg. 2016 Feb;25(1):32-42. doi: 10.1053/j.sempedsurg.2015.09.007. Epub 2015 Sep 21.
5
Unmet surgical needs in children: a household survey in Nepal.尼泊尔儿童未满足的手术需求:一项家庭调查
Pediatr Surg Int. 2015 Apr;31(4):389-95. doi: 10.1007/s00383-015-3684-1. Epub 2015 Feb 21.
6
Comparison of pediatric surgical outcomes by the surgeon's degree of specialization in children.比较外科医生在小儿外科方面的专业程度对手术结果的影响。
J Pediatr Surg. 2013 Aug;48(8):1657-63. doi: 10.1016/j.jpedsurg.2012.12.048.
7
Pediatric specialist care is associated with a lower risk of bowel resection in children with intussusception: a population-based analysis.儿科专家治疗与儿童肠套叠肠切除术风险降低相关:基于人群的分析。
J Am Coll Surg. 2013 Aug;217(2):226-32.e1-3. doi: 10.1016/j.jamcollsurg.2013.02.033. Epub 2013 May 8.
8
Postgraduate training program in pediatric surgery: a way forward.小儿外科研究生培训项目:前进之路。
APSP J Case Rep. 2011 Jan;2(1):1. Epub 2011 Mar 10.
9
Injury prevention and the attainment of child and adolescent health.伤害预防与儿童及青少年健康的实现。
Bull World Health Organ. 2009 May;87(5):390-4. doi: 10.2471/blt.08.059808.
10
Effect of subspecialty training on outcome after pediatric appendectomy.小儿阑尾切除术后亚专业培训对结局的影响。
J Pediatr Surg. 2007 Jan;42(1):221-6. doi: 10.1016/j.jpedsurg.2006.09.044.

发展中国家儿科外科服务培训和提供面临的挑战:来自巴基斯坦的观点。

Challenges of training and delivery of pediatric surgical services in developing economies: a perspective from Pakistan.

机构信息

Department of Surgery, Howard University Hospital, Washington, DC, USA.

Medical College, The Aga Khan University, Stadium Road, Karachi, Pakistan.

出版信息

BMC Pediatr. 2019 May 16;19(1):152. doi: 10.1186/s12887-019-1512-9.

DOI:10.1186/s12887-019-1512-9
PMID:31096948
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6521342/
Abstract

BACKGROUND

As the pediatric population requiring health services rises globally, developing countries are struggling to cater to the growing burden of non-communicable diseases - particularly those requiring specialized surgical care.

MAIN BODY

Despite the literature supporting specialized pediatric surgical care, the developing world is far from meeting the American Pediatric Surgical Association (APSA) Manpower taskforce recommendation of at least 1 qualified pediatric surgeon per 100,000 patients (0-15 years-old). In Pakistan, there is an unmet surgical need in the pediatric population due to a multitude of short shortcomings, notably in quality and quantity of the training programs on offer, and urgent short- and long-term steps are needed to improve this dire situation.

CONCLUSION

It is crucial for the global surgical community to take steps, especially with regards to pediatric surgical training, to ensure delivery of accessible and quality surgical care to the world's children.

摘要

背景

随着全球需要医疗服务的儿科人群增加,发展中国家正在努力应对不断增长的非传染性疾病负担,特别是那些需要专业外科护理的疾病。

主要内容

尽管有文献支持专门的儿科外科护理,但发展中国家远未达到美国小儿外科学会(APSA)人力工作组的建议,即每 10 万名患者(0-15 岁)至少有 1 名合格的儿科外科医生。在巴基斯坦,由于培训计划的质量和数量存在诸多短期缺陷,儿科人群存在未满足的手术需求,需要采取紧急的短期和长期措施来改善这种严峻局面。

结论

全球外科界必须采取措施,特别是在儿科外科培训方面,以确保向全世界的儿童提供可及和高质量的外科护理。