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Mapping timely access to emergency and essential surgical services: The Malaysian experience.
Hoh, Su Mei; Wahab, Mohamed Y A; Hisham, Abdullah N; Guest, Glenn D; Watters, David A K.
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  • Hoh SM; Department of Surgery, University Hospital Geelong, Deakin University and Barwon Health, Geelong, Victoria, Australia.
  • Wahab MYA; Department of Surgery, Ministry of Health, Putrajaya, Malaysia.
  • Hisham AN; Department of Surgery, Ministry of Health, Putrajaya, Malaysia.
  • Guest GD; Department of Surgery, University Hospital Geelong, Deakin University and Barwon Health, Geelong, Victoria, Australia.
  • Watters DAK; Department of Surgery, University Hospital Geelong, Deakin University and Barwon Health, Geelong, Victoria, Australia.
ANZ J Surg ; 92(1-2): 223-227, 2022 01.
Article en En | MEDLINE | ID: mdl-34075677
BACKGROUND: Surgical conditions form a significant proportion of the global burden of disease. Since the 2015 World Health Assembly resolution A68.15, there is recognition that the provision of essential surgical care is an integral part of universal access to health care. The Lancet Commission on Global Surgery proposed its first surgical indicator to measure a population's access to the Bellwether procedures (laparotomy, caesarean section and treatment of open fracture) within two hours. Bellwether access is a proxy for emergency and essential surgical care. This project aims to map essential surgical access to the Bellwether procedures in Malaysia. METHODS: The location and capability of hospitals to perform the Bellwether procedures was obtained from the Ministry of Health (MoH) and MoH hospital specific websites. The Malaysian population data were retrieved from the national department of statistics. Times for patients to travel to hospital were calculated by combining manual contouring and geospatial mapping. RESULTS: There were 49 Bellwether-capable MoH hospitals serving a national population of 32.5 million. Overall 94% of Malaysia's population have access to the Bellwethers within two hours. This coverage is universal in West (Peninsular) Malaysia, but there is only 73% coverage in East Malaysia, with 1.8 million residents of Sabah and Sarawak not having timely access. Malaysia's Bellwether capacity compares well with other countries in World Health Organisation's Western Pacific region. CONCLUSION: There is good access to essential and emergency surgical services in Malaysia. The incomplete access for 1.8 million people in East Malaysia will inform national surgical planning.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cesárea / Laparotomía Tipo de estudio: Guideline Límite: Female / Humans / Pregnancy Idioma: En Revista: ANZ J Surg Año: 2022 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cesárea / Laparotomía Tipo de estudio: Guideline Límite: Female / Humans / Pregnancy Idioma: En Revista: ANZ J Surg Año: 2022 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia