Disseminating technology in global surgery

被引：47

作者：

Bolton, W. S. ^{[1
]}

Aruparayil, N. ^{[1
]}

Quyn, A. ^{[1
]}

Scott, J. ^{[3
]}

Wood, A. ^{[4
]}

Bundu, I. ^{[5
]}

Gnanaraj, J. ^{[6
]}

Brown, J. M. ^{[2
]}

Jayne, D. G. ^{[1
]}

机构：

[1] Univ Leeds, Leeds Inst Biomed & Clin Sci, Sect Translat Anaesthesia & Surg, Leeds LS9 7FT, W Yorkshire, England

[2] Univ Leeds, Leeds Inst Clin Trials Res, Leeds, W Yorkshire, England

[3] Leeds Teaching Hosp NHS Trust, Leeds Gen Infirm, Leeds Vasc Inst, Leeds, W Yorkshire, England

[4] Leeds Gen Infirm, Dept Orthopaed Surg, Leeds, W Yorkshire, England

[5] Connaught Hosp, Dept Surg, Freetown, Sierra Leone

[6] Karunya Inst Technol & Sci, Coimbatore, Tamil Nadu, India

来源：

BRITISH JOURNAL OF SURGERY | 2019年 / 106卷 / 02期

关键词：

HEALTH-CARE TECHNOLOGIES; MIDDLE-INCOME COUNTRIES; ESSENTIAL SURGICAL CARE; EXTERNAL STABILIZATION SYSTEM; FEMORAL-SHAFT FRACTURES; LIFEBOX PULSE OXIMETER; LAPAROSCOPIC SURGERY; INTERNAL-FIXATION; PERKINS TRACTION; INNOVATION;

D O I：

10.1002/bjs.11036

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background Effective dissemination of technology in global surgery is vital to realize universal health coverage by 2030. Challenges include a lack of human resource, infrastructure and finance. Understanding these challenges, and exploring opportunities and solutions to overcome them, are essential to improve global surgical care. Methods This review focuses on technologies and medical devices aimed at improving surgical care and training in low- and middle-income countries. The key considerations in the development of new technologies are described, along with strategies for evaluation and wider dissemination. Notable examples of where the dissemination of a new surgical technology has achieved impact are included. Results Employing the principles of frugal and responsible innovation, and aligning evaluation and development to high scientific standards help overcome some of the challenges in disseminating technology in global surgery. Exemplars of effective dissemination include low-cost laparoscopes, gasless laparoscopic techniques and innovative training programmes for laparoscopic surgery; low-cost and versatile external fixation devices for fractures; the LifeBox pulse oximeter project; and the use of immersive technologies in simulation, training and surgical care delivery. Conclusion Core strategies to facilitate technology dissemination in global surgery include leveraging international funding, interdisciplinary collaboration involving all key stakeholders, and frugal scientific design, development and evaluation.

引用

页码：E34 / E43

页数：10

共 97 条

[1] Anatomical footprint for safe laparoscopic cholecystectomy without using any energy source: a modified technique [J].

Agarwal, Brij ;

Gupta, Manish ;

Agarwal, Sneh ;

Mahajan, Krishan .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2007, 21 (12) :2154-2158

[2] Lifebox pulse oximeter implementation in Malawi: evaluation of educational outcomes and impact on oxygen desaturation episodes during anaesthesia [J].

Albert, V. ;

Mndolo, S. ;

Harrison, E. M. ;

O'Sullivan, E. ;

Wilson, I. H. ;

Walker, I. A. .

ANAESTHESIA, 2017, 72 (06) :686-693

[3]

[Anonymous], 2011, WHO Medical Device Technical Series

[4]

[Anonymous], 2012, TECHNIKFOLGEN ABSCH, DOI [10.1007/978-3-531-93468-6_2, DOI 10.1007/978-3-531-93468-6_2]

[5]

[Anonymous], 2011, Transformative scale up of health professional education: An effort to increase the numbers of health professionals and to strengthen their impact on population health

[6]

[Anonymous], 2014, Patient and public involvement in health and social care research: a handbook for researchers

[7] Surgical Innovation and Evaluation 1 Evaluation and stages of surgical innovations [J].