Recent strides in advocacy, financial modeling, and reevaluation of the global burden of diseases that can be treated by surgery have led to the point that the World Health Assembly, World Bank, and ministries of health are now adopting resolutions and indicators for scaling up surgical care to meet the needs of the 5 billion people who currently lack access to it.1-4 There has been a burst of interdisciplinary creativity as the surgical community considers how to meet the needs of patients in underserved regions. The first problem has been to define the problem—namely, lack of timely access to safe and essential surgery. To surgeons and anesthetists this problem was self evident. To the public health community, however, it was not. The surgical community had not made the case that lack of timely access to safe and essential surgery was a problem. We lacked data.
deVries CR, Rosenberg JS. Geospatial Mapping of Surgical Capacity in Zambia. JAMA Surg. 2016;151(11):1069. doi:https://doi.org/10.1001/jamasurg.2016.2304
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