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February 6, 2024Open Access

Indexing Healthcare Access and Quality for Surgically Amenable Causes of Death: A Global Analysis of 204 Countries and Territories from 1990 to 2019

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Why the study?

To analyze the healthcare access and quality index for surgically amenable causes, its progress over time, and the gap compared to non-surgical healthcare access and quality across 204 countries and territories from 1990 to 2019.

Population

Children up to 14 years and overall populations across 204 countries and territories

Comparison

Surgical vs non-surgical healthcare access and quality indices and 2019 vs 1990

Design

Global Burden of Disease 2019 comparative analysis

Authors

SZSiddhesh ZadeyDuke UniversityESEmily R. SmithUniversity of North Carolina at Chapel HillCSCatherine A. StatonTwitter (United States)

Discussion

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Member takes

Implication

May support surgical-system advocacy in LMICs now; leaves open policies that could close pediatric HAQ gaps.

Structured PICO

P
Population
204 countries and territories from 1990 to 2019, analyzing overall populations and children (up to 14 years) for surgically amenable causes of death.
C
Comparator
Non-surgical Healthcare Access and Quality (HAQ) index
O
Outcome
Surgical Healthcare Access and Quality (HAQ) index and its relative change from 1990 to 2019

Low-income countries had limited progress in surgical healthcare access and quality since 1990 and lagged significantly behind non-surgical care in 2019, highlighting the need for global surgical system investments.

Limitations

  • Lack of sensitivity and uncertainty of estimates
  • Coarse definition for surgical vs. non-surgical conditions
  • Could not investigate the impact of the COVID-19 pandemic

Cite This Study

Zadey et al. (2024) studied this question.

synapsesocial.com/papers/6a7f7f74a7259c59cfca7ce5https://doi.org/10.1101/2024.02.04.24302290
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Global Surgery: The Challenges and Strategies to Win a War That Must Be Won2024 · 6 citations
  2. 2Commentary: Developing technical support and strategic dialogue at the country level to achieve primary health care-based health systems beyond the COVID-19 era2023 · 4 citations
  3. 3Prioritization of surgical, obstetric, trauma, and anesthesia care in India over seven decades: A systematic analysis of policy documents2023 · 12 citations