Abstract
Approximately 5 billion people around the world do not have access to safe, affordable surgical services when needed (Meara et al. in The Lancet, 386(9993):569–624, 2015). In further exploring the nature of this startling figure, an interesting trend becomes further apparent. Inequities related to access to surgical services becomes stratified based upon relative income distribution of countries. Simply stated, accessibility to surgical services varies in each country based upon their respective income classification. The World Bank classifies countries according to four income groupings, in which income is measured using gross national income (GNI) per capita, in U.S. dollars (Debas et al. in Disease control priorities, (Volume 1): Essential surgery. World Bank Publications, 2015). These four classifications are as follows: low-income countries (LICs) = $1045 or less, Middle-income countries (MICs) which are subdivided into lower-middle-income = $1046 to $4125 and upper-middle-income (UMICs) = $4126 to $12,745, and finally high-income countries (HICs) = $12,746 or more as shown in Fig. 1.1 (Debas et al. in Disease control priorities, (Volume 1): Essential surgery. World Bank Publications, 2015). Upon examination of these income classifications, stratification in accessibility to surgical services becomes evident, with the countries having the lowest gradients in accessibility to surgical services being that of low and middle-income countries (LMICs).
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References
Alkire, B. C., Raykar, N. P., Shrime, M. G., Weiser, T. G., Bickler, S. W., Rose, J. A., … & Esquivel, M. (2015). Global access to surgical care: A modeling study. The Lancet Global Health, 3(6), e316–e323.
Alwan, A., MacLean, D. R., Riley, L. M., d’Espaignet, E. T., Mathers, C. D., Stevens, G. A., et al. (2010). Monitoring and surveillance of chronic non-communicable diseases: Progress and capacity in high-burden countries. The Lancet, 376(9755), 1861–1868.
Bickler, S. W. (2013, January 16). Global Burden of Surgical Disease. Lecture presented at The Lancet Commission on Global Surgery in Boston, Massachusetts.
Chao, T. E., Sharma, K., Mandigo, M., Hagander, L., Resch, S. C., Weiser, T. G., et al. (2014). Cost-effectiveness of surgery and its policy implications for global health: A systematic review and analysis. The Lancet Global Health, 2(6), e334–e345.
Cotton, M. (2016). Primary Surgery Volume One: Non-Trauma (2nd ed., Vol. 1). Oxford University Press.
Country Income Groups (World Bank Classification) (2011). Country and Lending Groups, The World Bank Group. Retrieved September 17, 2016, from http://data.worldbank.org/about/country-classifications/country-and-lending-groups.
Dare, A. J. (2015). Lancet Commission on Global Surgery Economics & Financing. Retrieved December 02, 2016, from http://www.globalsurgery.info/wp-content/uploads/2015/02/Session-14_Economics-Financing-presentation.pdf
Debas, H. T., Donkor, P., Gawande, A., Jamison, D. T., Kruk, M. E., & Mock, C. N. (Eds.). (2015). Disease control priorities, (Volume 1): Essential surgery. World Bank Publications.
Diaconu, K., Chen, Y. F., Manaseki-Holland, S., Cummins, C., & Lilford, R. (2014). Medical device procurement in low-and middle-income settings: Protocol for a systematic review. Systematic Reviews, 3(1), 118.
Elkheir, N., Sharma, A., Cherian, M., Saleh, O. A., Everard, M., Popal, G. R., et al. (2014). A cross-sectional survey of essential surgical capacity in Somalia. British Medical Journal Open, 4(5), e004360.
Farmer, P. E., & Kim, J. Y. (2008). Surgery and global health: A view from beyond the OR. World Journal of Surgery, 32(4), 533–536.
Frilling, A. (2016). Role of surgeons in the changing sociocultural, political, and environmental climate. Annals of Surgery, 264(5), 691–695.
Funk, L. M., Weiser, T. G., Berry, W. R., Lipsitz, S. R., Merry, A. F., Enright, A. C., … & Gawande, A. A. (2010). Global operating theatre distribution and pulse oximetry supply: An estimation from reported data. The Lancet, 376(9746), 1055–1061.
Gunn, S. W. A. (2012). Dictionary of disaster medicine and humanitarian relief. Springer Science & Business Media.
Higashi, H., Barendregt, J. J., Kassebaum, N. J., Weiser, T. G., Bickler, S. W., & Vos, T. (2015). Burden of injuries avertable by a basic surgical package in low-and middle-income regions: A systematic analysis from the Global Burden of Disease 2010 Study. World Journal of Surgery, 39(1), 1–9.
Hostettler, S. (2015). Technologies for development. Berlin: Springer.
Ibrahim, A. M., Jose, R. R., Rabie, A. N., Gerstle, T. L., Lee, B. T., & Lin, S. J. (2015). Three-dimensional printing in developing countries. Plastic and Reconstructive Surgery Global Open, 3(7), 1–5.
Jamison, D. T., Breman, J. G., Measham, A. R., Alleyne, G., Claeson, M., Evans, D. B., … & Musgrove, P. (Eds.). (2006). Disease control priorities in developing countries. World Bank Publications.
King, M., Bewes, P., Cairns, J., & Thornton, J. (1990). Primary surgery. Vol. 1. Non-trauma. Oxford Medical Publications.
Kushner, A. L., Cherian, M. N., Noel, L., Spiegel, D. A., Groth, S., & Etienne, C. (2010). Addressing the millennium development goals from a surgical perspective: Essential surgery and anesthesia in 8 low-and middle-income countries. Archives of Surgery, 145(2), 154–159.
Meara, J. G., Leather, A. J., Hagander, L., Alkire, B. C., Alonso, N., Ameh, E. A., … & Mérisier, E. D. (2015). Global surgery 2030: Evidence and solutions for achieving health, welfare, and economic development. The Lancet, 386(9993), 569–624.
Mock, C. N., Donkor, P., Gawande, A., Jamison, D. T., Kruk, M. E., & Debas, H. T. (2015). Essential surgery: Key messages from disease control priorities. The Lancet, 385(9983), 2209–2219.
Ozgediz, D., & Riviello, R. (2008). The “other” neglected diseases in global public health: Surgical conditions in sub-Saharan Africa. PLoS Med, 5(6), e121.
Rankin, T. M., Giovinco, N. A., Cucher, D. J., Watts, G., Hurwitz, B., & Armstrong, D. G. (2014). Three-dimensional printing surgical instruments: Are we there yet? Journal of Surgical Research, 189(2), 193–197.
Rose, J., Weiser, T. G., Hider, P., Wilson, L., Gruen, R. L., & Bickler, S. W. (2015). Estimated need for surgery worldwide based on prevalence of diseases: A modeling strategy for the WHO Global Health Estimate. The Lancet Global Health, 3, S13–S20.
Smith, D., Maru, R., McGee, H. M., Brady, J. S., King, C. A., Andrews, J., … & Adam, C. (2013). Global surgical care in 2030: Metrics and strategies for expansion in access and quality, 1–6.
Su, T. T., Kouyaté, B., & Flessa, S. (2006). Catastrophic household expenditure for health care in a low-income society: A study from Nouna District, Burkina Faso. Bulletin of the World Health Organization, 84(1), 21–27.
UN, A. (2013). New Global Partnership: Eradicate poverty and transform economies through sustainable development: The report of the high-level panel of eminent persons on the post-2015 development agenda. United Nations, New York.
Wang, H., Naghavi, M., Allen, C., Barber, R. M., Bhutta, Z. A., Carter, A., … & Coggeshall, M. (2016). Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: A systematic analysis for the global Burden of disease study 2015. The Lancet, 388(10053), 1459–1544.
Weiser, T. G., Regenbogen, S. E., Thompson, K. D., Haynes, A. B., Lipsitz, S. R., Berry, W. R., et al. (2008). An estimation of the global volume of surgery: A modeling strategy based on available data. The Lancet, 372(9633), 139–144.
Xu, K., Evans, D. B., Carrin, G., & Aguilar-Rivera, A. M. (2005). Designing health financing systems to reduce catastrophic health expenditure. Technical Briefs for Policy-Makers, (2), 1–5.
World Health Organization. (2010). Medical devices: Managing the mismatch: an outcome of the priority medical devices project. World Health Organization.
World Health Organization. (2014). Strengthening emergency and essential surgical care and anesthesia as a component of universal health coverage.
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Bhatia, S.K., Ramadurai, K.W. (2017). The Current Global Surgical Care Paradigm: An Introduction. In: 3D Printing and Bio-Based Materials in Global Health. SpringerBriefs in Materials. Springer, Cham. https://doi.org/10.1007/978-3-319-58277-1_1
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