Access to Safe, Timely, and Affordable Surgical Care in Uganda: A Stratified Randomized Evaluation of Nationwide Public Sector Surgical Capacity and Core Surgical Indicators

Background Access to safe surgery is critical to health, welfare, and economic development. In 2015, the Lancet Commission on Global Surgery recommended that all countries collect surgical indicators to lend insight into improving surgical care. No nationwide high-quality data exist for these metric...

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Bibliographic Details
Published in:World journal of surgery 2018-08, Vol.42 (8), p.2303-2313
Main Authors: Albutt, Katherine, Punchak, Maria, Kayima, Peter, Namanya, Didacus B., Anderson, Geoffrey A., Shrime, Mark G.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Cardiac Surgery
Catheters
Checklist
Computed tomography
Economic development
General Surgery
Gloves
Health Resources - supply & distribution
Hospitals
Hospitals, Public
Humans
Indicators
Logbooks
Medicine
Medicine & Public Health
Original Scientific Report
Physicians
Public health
Public Sector
Retrospective Studies
Surgery
Surgical Procedures, Operative
Thoracic Surgery
Tubes
Uganda
Vascular Surgery
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Summary:Background Access to safe surgery is critical to health, welfare, and economic development. In 2015, the Lancet Commission on Global Surgery recommended that all countries collect surgical indicators to lend insight into improving surgical care. No nationwide high-quality data exist for these metrics in Uganda. Methods A standardized quantitative hospital assessment and a semi-structured interview were administered to key stakeholders at 17 randomly selected public hospitals. Hospital walk-throughs and retrospective reviews of operative logbooks were completed. Results This study captured information for public hospitals serving 64.0% of Uganda’s population. On average,
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-018-4485-1