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Moving from data collection to application: a systematic literature review of surgical capacity assessments and their applications.

Abstract：

BACKGROUND:Over the past decade, assessments of surgical capacity in low- and middle-income countries (LMICs) have contributed to our understanding of barriers to the delivery of surgical services in a number of countries. It is yet unclear, however, how the findings of these assessments have been applied and built upon within the published literature. METHODS:A systematic literature review of surgical capacity assessments in LMICs was performed to evaluate current levels of understanding of global surgical capacity and to identify areas for future study. A reverse snowballing method was then used to follow-up citations of the identified studies to assess how this research has been applied and built upon in the literature. RESULTS:Twenty-one papers reporting the findings of surgical capacity assessments conducted in 17 different LMICs in South Asia, East Asia and Pacific, Latin America and the Caribbean, and sub-Saharan Africa were identified. These studies documented substantial deficits in human resources, infrastructure, equipment, and supplies. Only seven additional papers were identified which applied or built upon the studies. Among these, capacity assessment findings were most commonly used to develop novel tools and intervention strategies, but they were also used as baseline measurements against which updated capacity assessments were compared. CONCLUSIONS:While the global surgery community has made tremendous progress in establishing baseline values of surgical capacity in LMICs around the world, further work is necessary to build upon and apply the foundational knowledge established through these efforts. Capacity assessment data should be coordinated and used in ongoing research efforts to monitor and evaluate progress in global surgery and to develop targeted intervention strategies. Intervention strategy development may also be further incorporated into the evaluation process itself.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Carlson LC,Lin JA,Ameh EA,Mulwafu W,Donkor P,Derbew M,Rodas E,Mkandawire NC,Dhanaraj M,Yangni-Angate H,Sani R,Labib M,Barbero R,Clarke D,Smith MD,Sherman L,Mutyaba FA,Alexander P,Hadley LG,VanRooyen MJ,Kushner AL

doi

10.1007/s00268-014-2938-8

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

813-21

issue

eissn

0364-2313

issn

1432-2323

journal_volume

pub_type

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Moving from data collection to application: a systematic literature review of surgical capacity assessments and their applications.