Abstract
Surgery has long been the neglected stepchild of global health due to the commonly accepted and unquestioned notion that it is not cost-effective compared to better studied problems such as malnutrition, infectious diseases (HIV, malaria, TB), or maternal and child health (at-risk pregnancy, vaccination) [1] and relies on resources that are too specialized to be part of the basic health-care package for low- and middle-income countries (LMICs). This concept is increasingly being challenged in new studies that use the same methodologies and metrics that are used to show the benefits of other interventions and that were previously used to exclude surgical care [2–4].
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References
Farmer PE, Kim JY. Surgery and global health: a view from beyond the OR. World J Surg. 2008;32(4):533–6.
McCord C, Chowdhury Q. A cost effective small hospital in Bangladesh: what it can mean for emergency obstetric care. Int J Gynaecol Obstet. 2003;81:83–92.
Gosselin RA, Thind A, Bellardinelli A. Cost/DALY averted in a small hospital in Sierra Leone: what is the relative contribution of different services? World J Surg. 2006;30:505–11.
Gosselin RA, Heitto M. Cost-effectiveness of a district trauma hospital in Battambang, Cambodia. World J Surg. 2008;32(11):2450–3.
Weiser TG, Regenbogen SE, Thompson KD, Haynes AB, Lipsitz SR, Berry WR, et al. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet. 2008;372(9633):139–48.
Murray CJL, Lopez AD, editors. The global burden of disease. Boston: Harvard University Press; 1996.
Debas H, Gosselin RA, McCord C, Thind A. Surgery. In: Jamison D, et al., editors. Disease control priorities in developing countries. Washington, D.C.: Oxford University Press; 2006. p. 1245–60.
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Gosselin, R.A. (2020). Cost-Effectiveness of Orthopedic Surgery in Austere Environments. In: Gosselin, R., Spiegel, D., Foltz, M. (eds) Global Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-030-13290-3_4
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DOI: https://doi.org/10.1007/978-3-030-13290-3_4
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