Endocrine and Advanced Laparoscopic Surgery Service, Department of Surgery, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City, Mexico.
Department of Anatomical Pathology, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City, Mexico.
Glob Health Sci Pract. 2023 Feb 28;11(1). doi: 10.9745/GHSP-D-21-00745.
The Lancet Commission on Global Surgery seeks to improve surgical care outcomes and equity for the world population through 6 indicators outlined in its 2030 Global Surgery Report. Our study aimed to estimate the percentage of the Mexican population with access to surgical care within the 2-hour distance range (indicator 1), the surgical workforce density (indicator 2), and the number of surgical procedures performed per 100,000 inhabitants (indicator 3) during the year 2020. Knowing these indicators can help to design and implement policies to increase surgical care access coverage and equity in our country.
Data related to population distribution, local referral hospitals, and surgical volume were obtained from the 2020 Mexican National Census. Information relating to hospital characteristics and surgical specialists was collected from the Secretariat of Health's public records. We calculated travel time between health care facilities and municipalities using the TrueWay Matrix API and R Studio.
Taking into consideration the health care system affiliation, the proportion of the Mexican population with timely access to essential surgery was 81.7%, with 29.3 specialists per 100,000 inhabitants and 726.9 annual procedures performed per 100,000 inhabitants. We identified clusters of municipalities where a low proportion of the population has timely access to essential surgery.
These findings illustrate that changes in Mexican policy are required to facilitate more equitable and timely access to essential surgical care among the population.
柳叶刀全球手术委员会旨在通过其 2030 年全球手术报告中概述的 6 项指标来改善全球人口的手术护理结果和公平性。我们的研究旨在估计 2020 年有多少墨西哥人口可以在 2 小时距离范围内获得手术护理（指标 1）、手术人员密度（指标 2）和每 10 万居民进行的手术数量（指标 3）。了解这些指标可以帮助我们设计和实施政策，以增加我国手术护理的可及性和公平性。
从 2020 年墨西哥全国人口普查中获取有关人口分布、地方转诊医院和手术量的数据。从卫生部的公共记录中收集有关医院特征和外科专家的信息。我们使用 TrueWay Matrix API 和 R Studio 计算了医疗机构和市政当局之间的旅行时间。
考虑到医疗保健系统的隶属关系，及时获得基本手术的墨西哥人口比例为 81.7%，每 10 万居民中有 29.3 名专科医生，每 10 万居民中有 726.9 例年度手术。我们发现了一些市政当局集群，这些集群中及时获得基本手术的人口比例较低。
这些发现表明，需要改变墨西哥的政策，以促进人口更公平和及时地获得基本手术护理。
