Optimal and safe surgery is highly complex and requires team-work and team coordination that is timely and effective. A significant burden of providing surgical treatment exists in low and middle-income countries, which makes securing necessary and appropriate medical supplies and infrastructure a limitation as well as a challenge in healthcare. An important factor to consider when talking about low- and middle-income countries is that these regions are predominantly rural. As a consequence, transportation to the hospital may be at a great extent a barrier to care. However, for those patients who manage to access the surgery, they would commonly encounter lengthy queues, overcrowding, poor facilities and shortage of trained personnel. [2] …show more content…
To continue, according to statistics from WHO reports, approximately 1 in every 25 people underwent an operation requiring anaesthesia in 2004. But recent estimates meet much larger figures for operative management and illustrate a significant global inequity in access to care. It is estimated that 30% of the world’s population do not have access to surgery and only 3.5% of operations were undertaken in the low-income countries as compared to 75% performed in the wealthiest countries. [4] Consequently, many low-cost and high-quality medical technologies increased access to safe surgical care in low-income countries and have had widespread applicability as all countries look to reduce the cost of providing care, without compromising quality. TYHK9 – PHAY3103 – Healthcare perspectives. Assignment 2: Increasing access to healthcare Page 5 of 16 One of the workstations designed in and for low-resource operating rooms, where shortages of compressed medical gases and unreliable electricity prevent normal functioning, is the Universal Anaesthesia Machine (UAM). The UAM is able to function indefinitely without power or oxygen based on its continuous-flow and draw-over technologies. It features an integrated oxygen concentrator to generate its own oxygen and provide standard connectors for portable oxygen. This is particularly important
Before further examining the perioperative surgical home model, we need to understand what perioperative care is. The three phases of surgery is usually referred to perioperative care. It consists of preoperative (care before the surgery), intraoperative (care during the surgery phase), and postoperative (care received after the surgery). The primary goal of perioperative care is to make the conditions for patients better during all three phases. The first stage is usually when diagnostic tests are conducted. The intraoperative phase is the time from when a patient goes into an operating room, to when they are transferred
As the Venezuelan government fails to serve its people as it suffers through a public health crisis; few essentials like: food, hygienic goods, medication, and others are making their way to the Venezuelan community. With ninety-five percent of medical resources lacking, patients in a rundown hospital are dying as a result of simple infections or are stuck waiting in endless lines for life-saving surgeries in operating rooms that do not have all needed resources to perform all necessary surgeries. The deeply in need hospitals in Venezuela are often described “like a war
Miracle Home Oxygen (MHO) has introduced their new home-based portable Oxygen Cylinder filling device, Miracle Home Oxygen Machine (MHOM), as disruptive technology designed to address significant structural challenges in the Home Oxygen market. Medicare reimbursements have begun to contract due to recent budget cuts, with additional drops widely expected. The current prevailing delivery method for Medical Equipment dealers to their home oxygen patients, regularly scheduled deliveries of filled O2 cylinders, is comparatively costly and inefficient (and arguably, unsustainable). For example, the traditional delivery method incurs significant labor costs for the drivers necessary to deliver the O2 cylinders, as well as sizable capital expenses in the purchase and maintenance of delivery vehicles, fuel, and to a lesser extent, oxygen cylinders. Moreover, these costs are projected to increase (most notably, gas prices / vehicle expenses, as well as employee benefits / health care expenses for drivers.) The new model based on serving home oxygen patients exclusively with MHO equipment, providing an unlimited supply of portable oxygen, utilizing the refillable cylinders with filling station, was estimated by MHO to be 50-67% less expensive than the current delivery model employed by their independent dealer target market. As a result of these seemingly compelling economics for the O2 / Medical Equipment Dealers, MHO anticipated that their proprietary new technology would immediately capture a significant share of the portable home oxygen market. MHO's Sales Manager infamously remarked “our
Sample was described with sufficient details. Sample size was adequately estimated using the Epi Info™ version seven software to enhance sampling validity. Purposive sampling was used by the researchers as they only included OR staff in OR department. The sample was representative of the target population. To track and calculate the participants’ response rate, questionnaires were numbered before distribution. To avoid duplication, participants were asked to write their initials. The questionnaire was delivered to surgeons’ departments and clinics if they were not in OR in addition to obtaining permission from the head of OR
When operation and surgery come up in conversation the main person that is highlighted is the surgeon but there is a large team of people behind the surgeon assisting him at every step. The operating room is a very different experience then being on a general hospital floor. The operating room gives the perspective on what happens, in some cases, before the get to the hospital floor. The purpose of this paper is to identify the clients risk for complications during and after the procedure, identify teaching opportunities and appropriate topics, identify different tasks done preoperatively, intraoperatively and postoperatively
It has been established that inability to successfully manage very difficult airway was been responsible for as many as 30% of death totally attributable to anesthesia. (1)
The proposed options in the case tend to make sense. The proposed options were based on improving triaging, providing education about what would be expected on the surgery day and switching from paper to electronic medical records. Moreover, there was a proposal for additional funding, personnel, as well as space, which would help with executing ideas in
This study included 100 patients with the mean age of 32.2 ± 5.7 (range, 22–58) years.patients were 68(68%) female and 32 (32%) male, The mean preoperative body weight was 140.1 ± 27.6 (range, 123–250) Kg. The mean preoperative BMI was 48.9 ± 8.6 (range, 35.4–68.8) Kg/m2.The mean operating time for group( A) was 90.6±15.7 (range,50-159) minutes.group(B) was 98.3±20.1(range,60-190)minutes.the median hospital stay was1 day (range,1-2)days.(Table1)
This study was designed as a single-center double blinded randomized placebo controlled trial at the Department of General Surgery Menoufia University, with prior approval from our Institution’s Ethics Review Board.
The Operating Room efficiency is a measurement of how well time and resources are used on a daily basis (Philander & Kupietzky, 2013, p.1). In regards to efficiency it is important to utilize the Operating Room surgical rooms as much as possible because it creates higher utilization of the block schedule. It also allows for more surgical cases to be performed. When there are more surgeries performed there will be more revenue generated. In the Operating Room at Children’s Mercy the surgeons and anesthesiologists struggle to agree on what is effective block utilization. They also cannot agree on what constitutes delays, it is ironic that these two groups have the highest number of delays. They need to agree on defining what delays are in order to resolve the utilization issues in the Operating Room.
The overall treatment effect is outstanding and changes the patient 's life entirely. If the patient refuses to participate in such treatment then the patients will have to take many different medicines everyday and need to be very careful about the kind of food that is being consumed. What 's more, the patient will have to carry certain medicines wherever he or she goes because the patient will experience a life threatening situation such as heart attack at any time. However, if the patient agrees to go through the surgery, he or she will not worry about any situation mentioned above. Therefore one can tell what a drastic contrast between these two methods, surgery and non-surgery could cause. But knowing the truth completely is far less enough for a surgeon, who also needs to persuade his patients to participate in the treatment.
Through organizations, such as the World Health Organization (WHO) and UNICEF, improvements for these underdeveloped countries can be made. Although, change doesn 't happen drastically in one night but one step in the right direction has a greater impact on people rather than no step at all. These organizations bring relief to people who cannot help themselves. Some of these relief are disease prevention, maternal health, nutrition and violence abuse. Many of those who require these relief are children and women. To bring these relief doctors, nurses and volunteers travel from all over the world to help these people. Medical missions take place anywhere, patients are be examined and given medication to take care of themselves after the medical mission has finished. Some of these medical missions include general surgery. An example of this would be Smile Train,
Global surgical interventions are a neglected, yet desperately needed, facet of global public health. Common global health approaches, such as prevention of disease through vaccination, are an absolute necessity. However, surgery is often overlooked as a sustainable, effective intervention because of erroneous beliefs about cost efficiency and fears over inadequate infrastructure. While these problems can hamper effective surgical interventions, this paper aims to show that global surgery can be an effective measure to address treatment and prevention of disease, as well as other ailments. Herein, the necessity of surgery within a global health context will be considered through a discussion of its history, its importance in the developing world, successful surgical interventions, and the complexity of implementation. Evidence will also be presented that surgery is not only important to increase quality of life in a cost-effective manner for underserved populations, but also because it forces global public health officials and funders to consider the structural imbalances that lead to ailments treated and/or prevented by this branch of medicine.
The quality of service coupled with comparatively low charges for common surgeries has made India an attractive destination for medical value travel. The main clientele comes from the neighbouring countries but an increasing number of non-resident Indians (NRIs)
* bringing quality medical care to rural areas by establishing a link between doctors and technocrats;