Department of Neurosurgery, Vanderbilt University Medical Center, Nashville, TN, USA; Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA.
Division of Neurosurgery, Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Neurosurg Clin N Am. 2024 Oct;35(4):389-400. doi: 10.1016/j.nec.2024.05.001. Epub 2024 Jul 25.
Until recently, surgery had been passed over in the domain of global health, historically being described as "the neglected stepchild of global health." Knowledge of the existing global disparities in neurosurgical care has led to neurosurgery capacity-building efforts especially in low-income and middle-income countries. While many global collaborative projects are currently undertaken with philanthropic support, sustainability and scalability are not likely without governmental adoption of neurosurgery-inclusive national surgical plans. Momentum grows for the global neurosurgery community to develop a global neurosurgery action plan outlining goals, a guiding framework, an execution plan, and indicators for monitoring and evaluation.
直到最近,外科手术在全球健康领域一直被忽视,历史上被描述为“全球健康被忽视的继子”。对神经外科护理中现有全球差距的认识导致了神经外科技能建设工作,特别是在低收入和中等收入国家。虽然目前许多全球合作项目都是在慈善支持下进行的,但如果没有政府采纳包括神经外科在内的国家外科计划,可持续性和可扩展性是不可能的。全球神经外科学界正在为制定全球神经外科学行动计划而努力,该计划概述了目标、指导框架、执行计划以及监测和评估的指标。