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Surgical Outcomes Club
November 2018

Common Issues in the Unique Environment of Global Surgical Health Services Research

Author Affiliations
  • 1Stanford–Surgery Policy Improvement Research and Education Center, Stanford University School of Medicine, Palo Alto, California
  • 2Department of Surgery, Stanford University School of Medicine, Palo Alto, California
  • 3Department of Plastic Surgery, College of Medicine, The Ohio State University, Columbus
JAMA Surg. 2018;153(11):979-980. doi:10.1001/jamasurg.2018.1981

Health services research (HSR) conducted in low- and middle-income countries (LMICs) is not so different than HSR conducted in any other environment. The usual concerns hold: the importance of the research question, appropriateness of research design, sampling and data quality, analytic plan and execution, evidence-based conclusions, balanced reporting, and resources to support rigorous inquiry. But differences lie in the unique cultural, geographic, and financial constraints and extensive unmet need among LMICs, which underscore the importance of advance planning, optimization of resource use, and rigorous periodic assessment.

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