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

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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.

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References

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Author information

Authors and Affiliations

  1. Department of Violence and Injury Prevention and Disability, World Health Organization, 20 Avenue Appia, 1211, Geneva 27, Switzerland

    Charles Mock

  2. Emergency and Essential Surgical Care, Clinical Procedures Unit, Department of Essential Health Technologies, World Health Organization, 20 Avenue Appia, Geneva, Switzerland

    Meena Cherian

  3. Department of Surgery, University of California at Los Angeles, 10833 LeConte, Los Angeles, CA, 90095, USA

    Catherine Juillard

  4. College of Health Sciences, Kwame Nkrumah University of Science and Technology, University Post Office, Kumasi, Ghana

    Peter Donkor

  5. Division of Pediatric Surgery, University of California at San Diego, 9500 Gilman Drive #0739, La Jolla, CA, 92093-0739, USA

    Stephen Bickler

  6. Department of Global Health, University of Washington, 2301 5th Avenue, Suite 600, Seattle, WA, 98121, USA

    Dean Jamison

  7. Harvard Humanitarian Initiative, Boston, MA, USA

    Kelly McQueen

  8. 4134 N 49th Place, Phoenix, AZ, 85018, USA

    Kelly McQueen

Authors
  1. Charles Mock
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  2. Meena Cherian
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  3. Catherine Juillard
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  4. Peter Donkor
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  5. Stephen Bickler
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  6. Dean Jamison
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  7. Kelly McQueen
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Corresponding author

Correspondence to Charles Mock.

Additional information

Two of the authors are staff members of the World Health Organization. They and the other authors alone are responsible for the views expressed in this publication, and they do not necessarily represent the decisions or policies of the World Health Organization.

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Mock, C., Cherian, M., Juillard, C. et al. Developing Priorities for Addressing Surgical Conditions Globally: Furthering the Link Between Surgery and Public Health Policy. World J Surg 34, 381–385 (2010). https://doi.org/10.1007/s00268-009-0263-4

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  • DOI: https://doi.org/10.1007/s00268-009-0263-4

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