Abstract:
For universal surgical, obstetric, trauma, and anesthesia care by 2030, the Lancet Commission on Global Surgery (LCoGS) suggested tracking six indicators. We reviewed academic and policy literature to investigate the current state of LCoGS indicators in India. There was limited primary data for access to timely essential surgery, risk of impoverishing and catastrophic health expenditures due to surgery, though some modeled estimates are present. Surgical specialist workforce estimates are heterogeneous across different levels of care, urban and rural areas, and diverse health sectors. Surgical volumes differ widely across demographic, socio-economic, and geographic cohorts. Perioperative mortality rates vary across procedures, diagnoses, and follow-up time periods. Available data suggest India falls short of achieving global targets. This review highlights the evidence gap for India\'s surgical care planning. India needs a systematic subnational mapping of indicators and adaptation of targets as per the country\'s health needs for equitable and sustainable planning.
摘要:
对于通用外科手术,产科,创伤,到2030年,柳叶刀全球手术委员会(LCoGS)建议跟踪六个指标。我们回顾了学术和政策文献,以调查印度LCoGS指标的现状。获得及时必要手术的主要数据有限,由于手术而导致贫困和灾难性卫生支出的风险,尽管存在一些建模估计。手术专家的劳动力估计在不同的护理水平上是不同的,城市和农村地区,和不同的卫生部门。手术量在人口统计学上差异很大,社会经济,和地理队列。围手术期死亡率因程序而异,诊断,和后续时间段。现有数据表明,印度未能实现全球目标。这篇综述强调了印度外科护理计划的证据差距。印度需要根据国家的卫生需求对指标和目标进行系统的国家以下一级的映射,以进行公平和可持续的规划。