International consensus recommendations for the optimal prioritisation and distribution of surgical services in low-income and middle-income countries: a modified Delphi process

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Citações na Scopus
1
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
BMJ PUBLISHING GROUP
Autores
HENRY, Jaymie A.
REYES, Ana M.
AMEH, Emmanuel
YIP, Cheng-Har
NTHUMBA, Peter
MEHES, Mira
LELCHUK, Ashley
HOLLIER, Larry
WAQAINABETE, Ifereimi
ABDULLAH, Noor Hisham
Citação
BMJ OPEN, v.13, n.1, article ID e062687, 10p, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objectives To develop consensus statements regarding the regional-level or district-level distribution of surgical services in low and middle-income countries (LMICs) and prioritisation of service scale-up. Design This work was conducted using a modified Delphi consensus process. Initial statements were developed by the International Standards and Guidelines for Quality Safe Surgery and Anesthesia Working Group of the Global Alliance for Surgical, Obstetric, Trauma and Anesthesia Care (G4 Alliance) and the International Society of Surgery based on previously published literature and clinical expertise. The Guidance on Conducting and REporting DElphi Studies framework was applied. Setting The Working Group convened in Suva, Fiji for a meeting hosted by the Ministry of Health and Medical Services to develop the initial statements. Local experts were invited to participate. The modified Delphi process was conducted through an electronically administered anonymised survey. Participants Expert LMIC surgeons were nominated for participation in the modified Delphi process based on criteria developed by the Working Group. Primary outcome measures The consensus panel voted on statements regarding the organisation of surgical services, principles for scale-up and prioritisation of scale-up. Statements reached consensus if there was >= 80% agreement among participants. Results Fifty-three nominated experts from 27 LMICs voted on 27 statements in two rounds. Ultimately, 26 statements reached consensus and comprise the current recommendations. The statements covered three major themes: which surgical services should be decentralised or regionalised; how the implementation of these services should be prioritised; and principles to guide LMIC governments and international visiting teams in scaling up safe, accessible and affordable surgical care. Conclusions These recommendations represent the first step towards the development of international guidelines for the scaling up of surgical services in LMICs. They constitute the best available basis for policymaking, planning and allocation of resources for strengthening surgical systems.
Palavras-chave
SURGERY, Health policy, Organisation of health services, Protocols & guidelines, Quality in health care
URI
https://observatorio.fm.usp.br/handle/OPI/57804
Referências
  1. Alliance G., 2015, The global alliance for surgical, obstetric, trauma, and anaesthesia care
  2. Bank TV, Administrative decentralization
  3. Botman M, 2015, WORLD J SURG, V39, P1335, DOI 10.1007/s00268-015-3057-x
  4. Callese TE, 2015, J SURG RES, V193, P300, DOI 10.1016/j.jss.2014.09.040
  5. Fitch K., 2001, RAND UCLA APPROPRIAT
  6. Gajewski J, 2018, INT J HEALTH POLICY, V7, P481, DOI 10.15171/ijhpm.2018.27
  7. Görgec B, 2021, BRIT J SURG, V108, P983, DOI 10.1093/bjs/znab096
  8. Grant CL, 2020, BMJ GLOB HEALTH, V5, DOI 10.1136/bmjgh-2020-002319
  9. Harris PA, 2009, J BIOMED INFORM, V42, P377, DOI 10.1016/j.jbi.2008.08.010
  10. Henry JA, 2021, INT J HEALTH POLICY, V10, P211, DOI 10.34172/ijhpm.2020.26
  11. Henry JA, 2015, WORLD J SURG, V39, P822, DOI 10.1007/s00268-014-2937-9
  12. Higashi H, 2015, WORLD J SURG, V39, P1, DOI 10.1007/s00268-014-2685-x
  13. Ivanyna M., 2012, How Close Is Your Government to Its People. How Close Is Your Government to Its People? Worldwide Indicators on Localization and Decentralization, DOI [10.1596/1813-9450-6138, DOI 10.1596/1813-9450-6138]
  14. Iverson KR, 2019, INT J HEALTH POLICY, V8, P521, DOI 10.15171/ijhpm.2019.43
  15. Jiménez-Rubio D, 2017, SOC SCI MED, V188, P69, DOI 10.1016/j.socscimed.2017.06.041
  16. Jünger S, 2017, PALLIATIVE MED, V31, P684, DOI 10.1177/0269216317690685
  17. Kreindler SA, 2021, INT J HEALTH POLICY, V10, P218, DOI 10.34172/ijhpm.2020.60
  18. Kumar Vineet, 2015, Lancet, V385 Suppl 2, pS24, DOI 10.1016/S0140-6736(15)60819-4
  19. McCord C., 2015, Disease Control Priorities Essential Surgery, VVolume 1
  20. Meara JG, 2015, SURGERY, V157, P834, DOI 10.1016/j.surg.2015.02.009
  21. Mock C, 2010, WORLD J SURG, V34, P381, DOI 10.1007/s00268-009-0263-4
  22. Mock CN, 2015, LANCET, V385, P2209, DOI 10.1016/S0140-6736(15)60091-5
  23. Niederberger M, 2020, FRONT PUBLIC HEALTH, V8, DOI 10.3389/fpubh.2020.00457
  24. Oman K, 2012, HUM RESOUR HEALTH, V10, DOI 10.1186/1478-4491-10-48
  25. Pittalis C, 2019, PILOT FEASIBILITY ST, V5, DOI 10.1186/s40814-019-0409-6
  26. Ratnayake B, 2022, SURGERY, V172, P273, DOI 10.1016/j.surg.2021.11.029
  27. Raykar NP, 2016, BMJ GLOB HEALTH, V1, DOI 10.1136/bmjgh-2016-000075
  28. Roder-DeWan S, 2021, INT J HEALTH POLICY, V10, P215, DOI 10.34172/ijhpm.2020.30
  29. Truché P, 2020, GLOBALIZATION HEALTH, V16, DOI 10.1186/s12992-019-0531-5
  30. Vali Y, 2017, PUBLIC HEALTH, V146, P92, DOI 10.1016/j.puhe.2016.12.006
  31. Velin L, 2022, BMJ GLOB HEALTH, V7, DOI 10.1136/bmjgh-2022-008791

Coleções
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/04