Much room for change: access to surgical care for stateless individuals in Pakistan.

IF 5.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Globalization and Health Pub Date : 2023-11-28 DOI:10.1186/s12992-023-00972-3
Humza Thobani, Mashal Murad Shah, Anam N Ehsan, Sadaf Khan
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Abstract

Background: As developing countries take steps towards providing universal essential surgery, ensuring the equitable distribution of such care for underrepresented populations is a vital function of the global surgery community. Unfortunately, in the context of the global "stateless", there remains much room for improvement.

Key issues: Inherent structural deficiencies, such as lack of adequate population data on stateless communities, absent health coverage policies for stateless individuals, and minimal patient-reported qualitative data on barriers to surgical service delivery prevent stateless individuals from receiving the care they require - even when healthcare infrastructure to provide such care exists. The authors therefore propose more research and targeted interventions to address the systemic issues that prevent stateless individuals from accessing surgical care.

Conclusion: It is essential to address the aforementioned barriers in order to improve stateless populations' access to surgical care. Rigorous empirical and qualitative research provides an important avenue through which these structural issues may be addressed.

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很大的改变空间:巴基斯坦无国籍人士获得外科治疗的机会。
背景:随着发展中国家采取措施提供普遍的基本手术,确保在代表性不足的人群中公平分配这种护理是全球外科社区的一项重要职能。不幸的是,在全球“无国籍”的背景下,仍有很大的改进空间。关键问题:固有的结构性缺陷,例如缺乏关于无国籍社区的充分人口数据,缺乏针对无国籍个人的医疗保险政策,以及患者报告的关于提供手术服务障碍的定性数据很少,使无国籍个人无法获得所需的护理——即使存在提供此类护理的医疗基础设施。因此,作者建议进行更多的研究和有针对性的干预措施,以解决阻止无国籍个人获得手术护理的系统性问题。结论:解决上述障碍是改善无国籍人群获得外科护理的关键。严谨的实证和定性研究为解决这些结构性问题提供了重要途径。
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来源期刊
Globalization and Health
Globalization and Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
18.40
自引率
1.90%
发文量
93
期刊介绍: "Globalization and Health" is a pioneering transdisciplinary journal dedicated to situating public health and well-being within the dynamic forces of global development. The journal is committed to publishing high-quality, original research that explores the impact of globalization processes on global public health. This includes examining how globalization influences health systems and the social, economic, commercial, and political determinants of health. The journal welcomes contributions from various disciplines, including policy, health systems, political economy, international relations, and community perspectives. While single-country studies are accepted, they must emphasize global/globalization mechanisms and their relevance to global-level policy discourse and decision-making.
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