Qin Rennie X, Stankey Makela, Jayaram Anusha, Fowler Zachary G, Yoon Sangchul, Watters David, Gelb Adrian W, Park Kee B
The Program in Global Surgery and Social Change, the Department of Global Health and Social Medicine, Harvard Medical School, 641 Huntington Ave, Boston, MA, 02115, USA.
Keck School of Medicine at the University of Southern California, 1975 Zonal Ave, Los Angeles, CA, 90033, USA.
BMC Proc. 2023 Jul 25;17(Suppl 5):11. doi: 10.1186/s12919-023-00257-y.
Emergency and essential surgery is a critical component of universal health coverage. Session three of the three-part virtual meeting series on Strategic Planning to Improve Surgical, Obstetric, Anaesthesia, and Trauma Care in the Asia-Pacific Region focused on strategic partnerships. During this session, a range of partner organisations, including intergovernmental organisations, professional associations, academic and research institutions, non-governmental organisations, and the private sector provided an update on their work in surgical system strengthening in the Asia-Pacific region. Partner organisations could provide technical and implementation support for National Surgical, Obstetric, and Anaesthesia Planning (NSOAP) in a number of areas, including workforce strengthening, capacity building, guideline development, monitoring and evaluation, and service delivery. Participants emphasised the importance of several forms of strategic collaboration: 1) collaboration across the spectrum of care between emergency, critical, and surgical care, which share many common underlying health system requirements; 2) interprofessional collaboration between surgery, obstetrics, anaesthesia, diagnostics, nursing, midwifery among other professions; 3) regional collaboration, particularly between Pacific Island Countries, and 4) South-South collaboration between low- and middle-income countries (LMICs) in mutual knowledge sharing. Partnerships between high-income countries (HIC) and LMIC organisations must include LMIC participants at a governance level for shared decision-making. Areas for joint action that emerged in the discussion included coordinated advocacy efforts to generate political view, developing common monitoring and evaluation frameworks, and utilising remote technology for workforce development and service delivery.
急诊与基本外科手术是全民健康覆盖的关键组成部分。亚太地区改善外科、产科、麻醉和创伤护理战略规划系列三场虚拟会议的第三场聚焦于战略伙伴关系。在本次会议期间，一系列伙伴组织，包括政府间组织、专业协会、学术和研究机构、非政府组织以及私营部门，介绍了它们在亚太地区加强外科系统方面的工作最新情况。伙伴组织可在多个领域为国家外科、产科和麻醉规划（NSOAP）提供技术和实施支持，包括加强劳动力、能力建设、指南制定、监测与评估以及服务提供。与会者强调了几种战略协作形式的重要性：1）急诊、重症和外科护理之间跨医疗服务范围的协作，它们有许多共同的基础卫生系统要求；2）外科、产科、麻醉、诊断、护理、助产等专业之间的跨专业协作；3）区域协作，特别是太平洋岛国之间的协作；4）低收入和中等收入国家（LMICs）在相互知识共享方面的南南协作。高收入国家（HIC）与LMIC组织之间的伙伴关系必须在治理层面纳入LMIC参与者以进行共同决策。讨论中出现的联合行动领域包括协调宣传努力以形成政治观点、制定共同的监测与评估框架，以及利用远程技术进行劳动力发展和服务提供。
