Global community perception of 'surgical care' as a public health issue: a cross sectional survey.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
    • Abstract:
      Background: In the last decade surgical care has been propelled into the public health domain with the establishment of a World Health Organisation (WHO) designated programme and key publications. The passing of the historic World Health Assembly Resolution (WHA) acknowledged surgical care as a vital component towards achieving Universal Health Coverage (UHC). We conducted the first worldwide survey to explore the perception of surgical care as a public health issue.
      Method: The anonymous, cross sectional survey targeted worldwide participants across a range of professional backgrounds, including non-medical using virtual snowball sampling method (in English) using Google Forms (Google Inc., Mountain View, CA, USA) from 20th February 2019 to 25th June 2019. The survey questions were designed to gauge awareness on Sustainable Development Goals (SDGs), UHC, WHO programmes and key publications on surgical care as well as perception of surgical care as a priority topic in public health.
      Results: The survey was completed by 1954 respondents from 118 countries. Respondents were least aware of surgical care as a teaching topic in public health courses (27%; n = 526) and as a WHO programme (20%; n = 384). 82% of respondents were aware of UHC (n = 1599) and of this 72% (n = 1152) agreed that surgical care fits within UHC. While 77% (n = 1495) of respondents were aware of SDGs, only 19% (n = 370) agreed that surgery was a priority to meet SDGs. 48% (n = 941) rated surgical care as a cost-effective component of Primary Health Care. 88% (n = 1712) respondents had not read the WHA Resolution on 'Strengthening emergency and essential surgical care and anaesthesia as a component of UHC'.
      Conclusion: There is still a widespread gap in awareness on the importance of surgical care as a public health issue amongst our respondents. Surgical care was not seen as a priority to reach the SDGs, less visible as a WHO programme and not perceived as an important topic for public health courses.
    • References:
      Lancet. 2009 Jun 6;373(9679):1993-5. (PMID: 19493564)
      Lancet. 2014 Jan 4;383(9911):12-13. (PMID: 24332309)
      Acad Med. 2017 Dec;92(12):1749-1756. (PMID: 28767491)
      Br J Surg. 2019 Jan;106(2):e44-e52. (PMID: 30620060)
      Ethiop J Health Sci. 2017 Nov;27(6):669-676. (PMID: 29487476)
      Rev Lat Am Enfermagem. 2016;24:e2670. (PMID: 26959330)
      BMJ Glob Health. 2019 Oct 30;4(5):e001808. (PMID: 31749997)
      Int Health. 2009 Sep;1(1):26-30. (PMID: 24036292)
      Lancet. 2015 Aug 8;386(9993):569-624. (PMID: 25924834)
      Bull World Health Organ. 2007 May;85(5):341-7. (PMID: 17639217)
      BMJ Glob Health. 2020 May;5(5):. (PMID: 32424012)
      World J Surg. 2010 Mar;34(3):374-80. (PMID: 19862570)
      Am J Public Health. 2008 Apr;98(4):644-9. (PMID: 18309123)
      PLoS Med. 2008 Jun 3;5(6):e121. (PMID: 18532875)
      BJOG. 2007 Nov;114(11):1439-41. (PMID: 17903234)
      Soc Sci Med. 2017 Sep;189:35-43. (PMID: 28780438)
      World J Surg. 2014 Jan;38(1):252-63. (PMID: 24101020)
      J Neurosurg Pediatr. 2011 Nov;8(5):509-21. (PMID: 22044378)
      World J Surg. 2016 Nov;40(11):2611-2619. (PMID: 27351714)
    • Contributed Indexing:
      Keywords: Public health education; Surgical care; Sustainable development goals; Universal health coverage
    • Publication Date:
      Date Created: 20210521 Date Completed: 20210602 Latest Revision: 20210602
    • Publication Date:
      20240104
    • Accession Number:
      PMC8139156
    • Accession Number:
      10.1186/s12889-021-10936-0
    • Accession Number:
      34016065