Historically, international health efforts were characterized by intermittent bouts of foreign aid aimed to minimize the large-scale spread of disease. While successful efforts engendered progress toward better health, disconnection and brevity could not counterbalance the permanent and intermingled states of global disease, injury, and illness. In recent years, the emerging discipline of global health has necessarily evolved. We now understand that in place of vertical interventions targeting single diseases, we must build infrastructure for the robust development of multiple health care fields using a systems-based approach. The crosscutting nature of surgery lends itself to this development strategy, because it integrates the many components of health systems, from anesthesia services to blood provision and control, to supply adequate intensive care units.
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Sabatino ME, Alkire BC, Corley J. Financial Investment in Global Surgery—Codevelopment as an Accretive Evolution of the Field. JAMA Surg. Published online March 20, 2019154(6):475–476. doi:10.1001/jamasurg.2019.0044
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