Identifying critical gaps in research to advance global surgery by 2030: a systematic mapping review

BMC Health Services Research

Research

Maeve Sophia Bognini¹  Rocco Friebel¹  Darshita Singh¹  Martilord Ifeanyichi¹  Meskerem Aleka Kebede¹  Deng Simon Garang Tor¹  Rachel Hargest²  Rosemary Emodi³  Tesfamariam Aklilu⁴  Adane Petros⁴  Ezekiel Aderaw⁴ 

[1] Global Surgery Policy Unit, LSE Health, London School of Economics and Political Science, Cowdray House 1.12, Houghton Street, WC2A 2AE, London, UK;Global Surgery Policy Unit, LSE Health, London School of Economics and Political Science, Cowdray House 1.12, Houghton Street, WC2A 2AE, London, UK;Royal College of Surgeons of England, Global Affairs, 38-43 Lincoln’s Inn Fields, London, UK;School of Medicine, Cardiff University, Neuadd Meirionnydd, Cardiff, UK;Royal College of Surgeons of England, Global Affairs, 38-43 Lincoln’s Inn Fields, London, UK;School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia;

关键词: Global surgery;    Network analysis;    Equity;    World health organization health systems building blocks;    Low and middle-income countries;    Lancet commission on global surgery;    Research funding;    Partnership;   

DOI  :  10.1186/s12913-023-09973-9

 received in 2023-06-12, accepted in 2023-08-26,  发布年份 2023

来源: Springer

【 摘 要 】

Progress on surgical system strengthening has been slow due to a disconnect between evidence generation and the information required for effective policymaking. This systematic mapping review sought to assess critical research gaps in the field of global surgery guided by the World Health Organisation Health Systems building block framework, analysis of authorship and funding patterns, and an exploration of emerging research partnership networks. Literature was systematically mapped to identify, screen, and synthesize results of publications in the global surgery field between 2015 and March 2022. We searched four databases and included literature published in seven languages. A social network analysis determined the network attributes of research institutions and their transient relationships in shaping the global surgery research agenda. We identified 2,298 relevant studies out of 92,720 unique articles searched. Research output increased from 453 in 2015-16 to 552 in 2021-22, largely due to literature on Covid-19 impacts on surgery. Sub-Saharan Africa (792/2298) and South Asia (331/2298) were the most studied regions, although high-income countries represented a disproportionate number of first (42%) and last (43%) authors. Service delivery received the most attention, including the surgical burden and quality and safety of services, followed by capacity-building efforts in low- and middle-income countries. Critical research in economics and financing, essential infrastructure and supplies, and surgical leadership necessary to guide policy decisions at the country level were lacking. Global surgical systems remain largely under-researched. Knowledge diffusion requires an emphasis on developing sustainable research partnerships and capacity across low- and middle-income countries. A renewed focus must be given to equipping countries with tools for effective decision-making to enhance investments in high-quality surgical services.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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