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The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects. Outline. Brief Overview of Supporting Work Research Quantitative Reviews Qualitative White Papers/Overview Papers Teaching Cases and Case Studies. Supporting Work. Report.
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The Lancet Commission on Global Surgery 2nd Meeting Freetown, Sierra Leone Commission Research & Projects
Outline • Brief Overview of Supporting Work • Research • Quantitative • Reviews • Qualitative • White Papers/Overview Papers • Teaching Cases and Case Studies
Supporting Work Report Research Teaching Cases White Papers Consultation & Discussion
Overarching Projects • Humanitarian Medical Intervention and Surgery • Components and Importance of an Emergency Department • NCDs and Surgical Inclusion • Diabetes and Surgery • Definition of Global Surgery • Health Systems Strengthening and Surgery • The Role of Surgery in Achieving the Post-2015 SDGs
Overarching Projects • Political Priorities for Surgery at a National Level • Burden of Surgical Disease & Procedure Numbers • Regional Governance of Surgical Implementation • Augmentation of Health Worker Performance • Attributes of Beneficial Industry Engagement • Social Determinants of Surgical Disease • Anesthesia, Pain Management and Critical Care • Patient Voice
Overarching Projects • The Role of Surgery and Infectious Disease • The Relationship Between Surgery and Primary Care • Public Health Measures and Surgery • Surgical Components of Obstetric Care • Surgery and Cancer Cure and Control • Cost Effectiveness of Surgical Intervention • Equipment Maintenance and Training
Healthcare Delivery and Management • The How Project • Surgeon Mapping • Management Interview Project
Workforce, Training and Education • Numbers of Anesthetists and Surgical Providers • Migration of Surgical Workers • Density of Surgical Providers (w/ Surgeon Mapping Project) • Training Modules for Task Shifting and Surgical Providers
Finance and Economics • Economic Impact of Surgical Conditions in LMICs in 2010 • Demographic Groups Most Affected by Surgical Conditions • Out-of-Pocket Payment for Surgical Care in LMICs • User Costs and Medical Impoverishment for Accessing Surgical Cancer Care in SE Asia
Information Management • Inclusion of Surgery within National Health Plans • Comparison of Operating Theatre Standards • Three Bellwether Surgical Conditions: Analysis of the WHO Situational Analysis Tool Data and Multi-country Dataset Analysis • MoH Qualitative Interview • Global Surgery R&D Analysis • Surgical Coding • Literature Reviews (global surgery metrics, POMR, checklist)
Teaching Cases • Alternative Models of Expanding Surgical Coverage to Low-income, Rural Populations in Rural India • Developing a National Risk-Adjusted Surgical Outcomes Registry in Mozambique • Developing an Efficient Referral System for Emergency Obstetric/Surgical Care in Bangladesh • Development of the Human Resources for Health Program in Rwanda • Formation of the Ghana College of Physicians and Surgeons • Laparoscopic Training in Mongolia • Responding to Local Need: Creation of the Edna Adan University Hospital • SQUAD: Surgical Quality Assurance Database in Uganda • Surgical Systems Building in Haiti • Innovations in Treating Hydrocephalus in Uganda • Surgical Costing Assessment in Haiti
Case Studies • Funding Flows and Research Prioritization in Uganda • Task Sharing in Malawi • Retention in the University of the West Indies • COSECSA – RCSI Partnership • Training of Anesthesia Providers in Haiti • Laparoscopy andTelementoringLink UK – Tanzania • Provision of Mobile Surgical Care
Patient Voice Project • Direct incorporation of de-identified quotations and stories from patients and their caregivers regarding the process of coping with surgical diseases • Interviews
Recap • Research • White Papers • Teaching Cases and Case Studies • Qualitative Data Projects Rowan