Laverty Robert B, Jindal Rahul M
Brooke Army Medical Center, San Antonio, TX, USA.
Department of Surgery, Uniformed Services University, Indian Institute of Public Health, Gandhinagar, Fulbright-Nehru Distinguished Chair, India.
Ann Med Surg (Lond). 2022 Jul 14;80:104185. doi: 10.1016/j.amsu.2022.104185. eCollection 2022 Aug.
Recent years have seen scandals involving international humanitarian organizations. Short term surgical missions from high to low- and middle-income countries have been criticized as 'parachute' missions. There are significant surgical unmet needs in low- and middle-income countries. Universal health coverage has been underutilized in low- and middle-income countries for surgical conditions. We suggest a two-fold solution: first, restructuring of aid organizations by splitting them into smaller units to make them transparent and responsive to local needs. Secondly, unconditional cash transfer directly to beneficiaries giving them a choice to select physician and hospital for surgical treatment.
近年来,涉及国际人道主义组织的丑闻不断。从高收入国家到中低收入国家的短期外科手术任务被批评为“空降”任务。中低收入国家存在大量未满足的外科手术需求。在中低收入国家,全民健康覆盖在外科疾病方面的利用率一直很低。我们提出了一个双重解决方案:首先,对援助组织进行重组,将其拆分为更小的单位,使其更加透明并能响应当地需求。其次,直接向受益人进行无条件现金转移,让他们能够选择医生和医院进行手术治疗。