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健康的地理空间决定因素:全球外科视角。

Geospatial determinants of health: A global surgery lens.

作者信息

Isiagi Moses, Zolo Yvan, Maswime Salome

机构信息

Global Surgery Division, Department of Surgery, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

WHO Collaborating Center on Integrated Clinical Care, Faculty of Health Sciences, University of Cape Town, South Africa.

出版信息

J Coll Med S Afr. 2024 Aug 29;2(1):49. doi: 10.4102/jcmsa.v2i1.49. eCollection 2024.

Abstract

Global surgery represents an emerging interdisciplinary field dedicated to enhancing health outcomes and promoting health equity by addressing the unmet need for surgical, obstetric and anaesthesia care, especially among underserved populations and those facing crises. This field focusses on improving access to equitable and comprehensive surgical care and strengthening healthcare delivery systems. The Lancet Commission on Global surgery of 2015 emphasises the importance of safe, timely, affordable and universal access to surgical care, highlighting the ease of reaching a surgical provider and receiving prompt and appropriate care as crucial components of timely access. Geospatial mapping and analysis are being used to assess access to surgical care in low- and middle-income countries and Africa. This data reveal disparities in access and is crucial for understanding health outcomes in different areas. Addressing geospatial determinants of health (GDOH) is essential for improving health equity, especially in these regions. Leveraging geospatial analysis can help mitigate delays in accessing care and improve resource allocation to strengthen healthcare systems. We propose that the interrogation of GDOH is critical in advancing surgical health, averting disease and implementing surgical interventions and programmes.

摘要

全球外科手术是一个新兴的跨学科领域,致力于通过满足外科、产科和麻醉护理方面未得到满足的需求,特别是在服务不足的人群和面临危机的人群中,来改善健康结果并促进健康公平。该领域专注于改善获得公平和全面外科护理的机会,并加强医疗服务提供系统。2015年的《柳叶刀》全球外科手术委员会强调了安全、及时、可负担和普遍获得外科护理的重要性,突出了找到外科医疗服务提供者并获得及时和适当护理的便利性是及时获得护理的关键组成部分。地理空间测绘和分析正被用于评估低收入和中等收入国家以及非洲获得外科护理的情况。这些数据揭示了获得护理方面的差距,对于理解不同地区的健康结果至关重要。解决健康的地理空间决定因素(GDOH)对于改善健康公平至关重要,尤其是在这些地区。利用地理空间分析有助于减少获得护理的延迟,并改善资源分配以加强医疗系统。我们认为,对GDOH的审视对于推进外科健康、预防疾病以及实施外科干预和项目至关重要。

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