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Monitoring Indicators of Universal Access to Accessible and Safe Anesthetic and Surgical Care in a Peruvian Region: An Ambispective Study.

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dc.contributor.author Shiraishi-Zapata, Carlos
dc.contributor.author More-Vilela, Yovanky
dc.contributor.author Villarreal-Álamo, Aldo
dc.contributor.author Morales-Cuervo, Victor
dc.contributor.author Gil-Chiroque, Dante
dc.contributor.author Castillo-Tovar, Jaime
dc.contributor.author Ramírez-Rios, Dante
dc.contributor.author Aguirre-Uribe, Salomon
dc.contributor.author Lecca-Castillo, Joselyne
dc.contributor.author Garcia, Roxanna
dc.contributor.author Oyanguren-Maldonado, Mario
dc.contributor.author Paico-Palacios, Juan
dc.contributor.author Vite-Quiroga, Arnaldo
dc.contributor.author Niquen Jimenez, María Milagros
dc.coverage.spatial Piura, Perú
dc.date.accessioned 2023-02-20T13:28:09Z
dc.date.available 2023-02-20T13:28:09Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/13122
dc.description.abstract INTRODUCTION: The Lancet Commission on Global Surgery indicators for monitoring anesthetic and surgical care allow the identification of access barriers, evaluate the safety of surgeries, facilitate planning, and assess changes over time. The primary objective was to measure these indicators in all health facilities of a Peruvian region in2020.METHODS: This was an ambispective observational study to measure the anesthetic and surgical care indicators in Piura, a region in Peru, between January 2020 and June 2021. Public and private health facilities in the Piura region that performed surgical care or had specialists from any surgical specialty participated in the study. Data were collected from all regional health facilities that provided surgical care to estimate the density of surgical workforce. Likewise, the percentage of the population with access to an operating room within 2h was estimated using georeferenced tools. Finally, a public database was accessed to determine the surgical volume, the percentage of the regional population protected with health insurance.RESULTS: In 2020, 88.4% of the inhabitants of this Peruvian region had access to timely essential surgery. There were 18.4 surgical specialists and 1174 surgeries per 100,000 populations, and 91% of the population had health insurance. In addition, there was a rate of 2.1 working operating rooms per 100,000 inhabitants in2021.CONCLUSIONS: This Peruvian region presented an increasing trend with respect to the population's access to essential and timely surgical care, and health insurance coverage. However, the workforce distribution was inequitable among the provinces of the region, the surgical volume was reduced, and timely access was hindered because of the SARS-CoV-2 pandemic. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Journal of Surgical Research
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Anesthesia en_US
dc.subject Health services accessibility en_US
dc.subject Health workforce en_US
dc.subject Peru en_US
dc.subject Surgery en_US
dc.subject Universal health insurance en_US
dc.subject.mesh Anesthesia
dc.subject.mesh Health Services Accessibility
dc.subject.mesh Health Workforce
dc.subject.mesh Peru
dc.subject.mesh General Surgery
dc.subject.mesh Universal Health Insurance
dc.title Monitoring Indicators of Universal Access to Accessible and Safe Anesthetic and Surgical Care in a Peruvian Region: An Ambispective Study. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.jss.2022.10.024
dc.relation.issn 1095-8673


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