Elective surgery system strengthening: development, measurement, and validation of the surgical preparedness index across 1632 hospitals in 119 countries

NIHR Global Health Unit on Global Surgery; COVIDSurg Collaborative; Konjanoska, Maja; Kavain, Snezhana B.; Kuzmanovska, Biljana; Lleshi, Albert; Kokareva, Anita; Kiprijanovska, Biljana; Trajkovska, Vanja; Nichevska, Marta; Gavrilovska Brzanov, Aleksandra; Burmuzoska, Marjana; Davitkovska, Tatjana; Jakimovski, Aleksandra; Kostovski, Filip; Eftimova, Biljana; Trpeski, Simon; Korunoska Merdjanoski, Biljana; Shuntov, Blagoj; Filipche, Venko

doi:10.1016/S0140-6736(22)01846-3

Elective surgery system strengthening: development, measurement, and validation of the surgical preparedness index across 1632 hospitals in 119 countries

Journal

The Lancet

Date Issued

2022-11-05

Author(s)

NIHR Global Health Unit on Global Surgery

COVIDSurg Collaborative

Konjanoska, Maja

Kavain, Snezhana B.

Lleshi, Albert

Nichevska, Marta

Burmuzoska, Marjana

Davitkovska, Tatjana

Jakimovski, Aleksandra

Kostovski, Filip

Eftimova, Biljana

Korunoska Merdjanoski, Biljana

Fileva, Anita

Peltekovski, Andoncho

DOI

10.1016/S0140-6736(22)01846-3

Abstract

The 2015 Lancet Commission on global surgery identified surgery and anaesthesia as indispensable parts of holistic health-care systems. However, COVID-19 exposed the fragility of planned surgical services around the world, which have also been neglected in pandemic recovery planning. This study aimed to develop and validate a novel index to support local elective surgical system strengthening and address growing backlogs.

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