World Journal of Surgery

, Volume 34, Issue 3, pp 381–385

Developing Priorities for Addressing Surgical Conditions Globally: Furthering the Link Between Surgery and Public Health Policy

  • Charles Mock
  • Meena Cherian
  • Catherine Juillard
  • Peter Donkor
  • Stephen Bickler
  • Dean Jamison
  • Kelly McQueen
Article

DOI: 10.1007/s00268-009-0263-4

Cite this article as:
Mock, C., Cherian, M., Juillard, C. et al. World J Surg (2010) 34: 381. doi:10.1007/s00268-009-0263-4

Abstract

Background

Efforts to promote wider access to surgical services globally would be aided by developing consensus among clinicians, the public health policy community, and other stakeholders as to which surgical conditions warrant the most focused attention and investment. This would add value to other, ongoing efforts, especially in helping to define unmet need and effective coverage.

Methods

In this concept paper, we introduce preliminary ideas on how priorities for surgical care could be better defined, especially as regards the interface between the surgical and public health worlds. Factors that would come into play in this process include the public health burden of the condition and the successfulness and feasibility of the procedures to treat those conditions.

Results and conclusions

The implications of the prioritization process are that those conditions with the highest public health burden and that have procedures that are highly successful and feasible to promote globally, including in the most resource-constrained environments, should be the main focus of national and international efforts.

Copyright information

© Société Internationale de Chirurgie 2009

Authors and Affiliations

  • Charles Mock
    • 1
  • Meena Cherian
    • 2
  • Catherine Juillard
    • 3
  • Peter Donkor
    • 4
  • Stephen Bickler
    • 5
  • Dean Jamison
    • 6
  • Kelly McQueen
    • 7
    • 8
  1. 1.Department of Violence and Injury Prevention and DisabilityWorld Health Organization1211Geneva 27Switzerland
  2. 2.Emergency and Essential Surgical Care, Clinical Procedures Unit, Department of Essential Health TechnologiesWorld Health OrganizationGenevaSwitzerland
  3. 3.Department of SurgeryUniversity of California at Los AngelesLos AngelesUSA
  4. 4.College of Health SciencesKwame Nkrumah University of Science and TechnologyKumasiGhana
  5. 5.Division of Pediatric SurgeryUniversity of California at San DiegoLa JollaUSA
  6. 6.Department of Global HealthUniversity of WashingtonSeattleUSA
  7. 7.Harvard Humanitarian InitiativeBostonUSA
  8. 8.PhoenixUSA