Department of Surgery, Aga Khan University, Karachi, Pakistan.
Centre of Global Surgical Care, Aga Khan University, Karachi, Pakistan.
Global Health. 2023 Nov 28;19(1):93. doi: 10.1186/s12992-023-00972-3.
As developing countries take steps towards providing universal essential surgery, ensuring the equitable distribution of such care for underrepresented populations is a vital function of the global surgery community. Unfortunately, in the context of the global "stateless", there remains much room for improvement.
Inherent structural deficiencies, such as lack of adequate population data on stateless communities, absent health coverage policies for stateless individuals, and minimal patient-reported qualitative data on barriers to surgical service delivery prevent stateless individuals from receiving the care they require - even when healthcare infrastructure to provide such care exists. The authors therefore propose more research and targeted interventions to address the systemic issues that prevent stateless individuals from accessing surgical care.
It is essential to address the aforementioned barriers in order to improve stateless populations' access to surgical care. Rigorous empirical and qualitative research provides an important avenue through which these structural issues may be addressed.
随着发展中国家逐步迈向普及基本外科手术服务,确保为代表性不足的人群公平分配此类医疗服务,是全球外科学领域的一项重要职能。遗憾的是,在全球“无国籍”的背景下,仍有许多改进的空间。
无国籍社区缺乏充足的人口数据等固有结构性缺陷、无国籍个人缺乏健康保险政策、以及有关手术服务提供障碍的患者报告定性数据极少,这些都使得无国籍个人无法获得所需的医疗服务,即使存在提供此类医疗服务的基础设施也无济于事。因此,作者提出了更多的研究和有针对性的干预措施,以解决阻碍无国籍个人获得外科护理的系统性问题。
必须解决上述障碍,以改善无国籍人群获得外科护理的机会。严格的实证和定性研究为解决这些结构性问题提供了一个重要途径。