Rosseau Gail, Shlobin Nathan A, Baticulon Ronnie E, Ghotme Kemel A, Garcia Roxanna M
Department of Neurosurgery, George Washington University School of Medicine and Health Sciences, Washington , District of Columbia , USA.
Department of Neurological Surgery, Barrow Neurological Institute, Phoenix , Arizona , USA.
Neurosurgery. 2025 Feb 1;96(2):251-258. doi: 10.1227/neu.0000000000003106. Epub 2024 Aug 26.
The future of global neurosurgery should focus on addressing the unmet neurosurgical need from a health system approach should we hope to achieve sustainable and ethical change. In this article, we review the global building blocks, as defined by the World Health Organization, and use this framework to propose strategies to strengthen neurosurgical care on the global frontier. The targets for Universal Healthcare Coverage by 2030, as outlined by the United Nations Sustainable Development Goals, are reviewed, and the role of neurosurgeons in addressing the global targets is discussed. Surgical indicators according to the Lancet Commission on Global Surgery are also reviewed, and neurosurgical indicators are proposed according to the 6 surgical indicators of the commission. The execution of these global targets and indicators within the context of health system strengthening will be a persistent challenge, given the complexity of health system and its components. The neurosurgical community must continue to support, promote, and diversify collaborations, especially among deserts of neurosurgical care across the world. Innovative technology and education are essential to this global dilemma.
如果我们希望实现可持续且符合伦理的变革，全球神经外科的未来应从卫生系统的角度着眼于满足未被满足的神经外科需求。在本文中，我们回顾了世界卫生组织所定义的全球基本要素，并运用这一框架提出在全球范围内加强神经外科护理的策略。我们审视了联合国可持续发展目标所概述的到2030年实现全民健康覆盖的目标，并讨论了神经外科医生在实现全球目标中的作用。我们还回顾了《柳叶刀》全球外科委员会的手术指标，并根据该委员会的6项手术指标提出了神经外科指标。鉴于卫生系统及其组成部分的复杂性，在加强卫生系统的背景下执行这些全球目标和指标将是一项持续的挑战。神经外科界必须继续支持、促进并使合作多样化，尤其是在世界各地神经外科护理匮乏地区之间。创新技术和教育对于解决这一全球难题至关重要。
