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Prioritization of surgical, obstetric, trauma, and anesthesia care in India over seven decades: A systematic analysis of policy documents

Improving access to surgical care in India requires policy-level prioritization of surgical, obstetric, trauma, and anesthesia (SOTA) care. We quantified SOTA care prioritization in the last seven decades by analyzing India’s national policy and programmatic documents. Forty documents of national im...

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Autores principales: Shetty, Ritika, Zadey, Siddhesh, Jindal, Anushka, Iyer, Himanshu, Dubey, Sweta, Jesudian, Gnanaraj, Smith, Emily R., Staton, Catherine A., Fitzgerald, Tamara N., Vissoci, Joao Ricardo Nickenig
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10389714/
https://www.ncbi.nlm.nih.gov/pubmed/37523346
http://dx.doi.org/10.1371/journal.pgph.0002084
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author Shetty, Ritika
Zadey, Siddhesh
Jindal, Anushka
Iyer, Himanshu
Dubey, Sweta
Jesudian, Gnanaraj
Smith, Emily R.
Staton, Catherine A.
Fitzgerald, Tamara N.
Vissoci, Joao Ricardo Nickenig
author_facet Shetty, Ritika
Zadey, Siddhesh
Jindal, Anushka
Iyer, Himanshu
Dubey, Sweta
Jesudian, Gnanaraj
Smith, Emily R.
Staton, Catherine A.
Fitzgerald, Tamara N.
Vissoci, Joao Ricardo Nickenig
author_sort Shetty, Ritika
collection PubMed
description Improving access to surgical care in India requires policy-level prioritization of surgical, obstetric, trauma, and anesthesia (SOTA) care. We quantified SOTA care prioritization in the last seven decades by analyzing India’s national policy and programmatic documents. Forty documents of national importance over seven decades (1946–2017) were screened for a set of 52 surgical and 6 non-surgical keywords. The number of mentions per keyword was used as a proxy for surgical prioritization. For thematic analysis, surgical mentions were further classified into five domains: Infrastructure, Workforce, Service Delivery, Financing, and Information Management. The total number of mentions was 4681 for the surgical keywords and 2322 for non-surgical. The number of mentions per keyword was 90.02 for surgical keywords and 387 for non-surgical. The older committee reports showed relatively higher SOTA care prioritization compared to the years after 2010. Among the domains, Service Delivery (897) had the maximum number of mentions followed by Infrastructure (545), Workforce (516), Financing (98), and Information Management (40). National Health Policy 2017, the most recent high-level policy, grossly neglected SOTA care. SOTA care is inadequately prioritized in Indian national health policies, especially in the documents after 2010. Concerted efforts are necessary to improve the focus on financing and information management. Prioritization can be improved through a stand-alone national plan for SOTA care along with integration into existing policies.
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spelling pubmed-103897142023-08-01 Prioritization of surgical, obstetric, trauma, and anesthesia care in India over seven decades: A systematic analysis of policy documents Shetty, Ritika Zadey, Siddhesh Jindal, Anushka Iyer, Himanshu Dubey, Sweta Jesudian, Gnanaraj Smith, Emily R. Staton, Catherine A. Fitzgerald, Tamara N. Vissoci, Joao Ricardo Nickenig PLOS Glob Public Health Research Article Improving access to surgical care in India requires policy-level prioritization of surgical, obstetric, trauma, and anesthesia (SOTA) care. We quantified SOTA care prioritization in the last seven decades by analyzing India’s national policy and programmatic documents. Forty documents of national importance over seven decades (1946–2017) were screened for a set of 52 surgical and 6 non-surgical keywords. The number of mentions per keyword was used as a proxy for surgical prioritization. For thematic analysis, surgical mentions were further classified into five domains: Infrastructure, Workforce, Service Delivery, Financing, and Information Management. The total number of mentions was 4681 for the surgical keywords and 2322 for non-surgical. The number of mentions per keyword was 90.02 for surgical keywords and 387 for non-surgical. The older committee reports showed relatively higher SOTA care prioritization compared to the years after 2010. Among the domains, Service Delivery (897) had the maximum number of mentions followed by Infrastructure (545), Workforce (516), Financing (98), and Information Management (40). National Health Policy 2017, the most recent high-level policy, grossly neglected SOTA care. SOTA care is inadequately prioritized in Indian national health policies, especially in the documents after 2010. Concerted efforts are necessary to improve the focus on financing and information management. Prioritization can be improved through a stand-alone national plan for SOTA care along with integration into existing policies. Public Library of Science 2023-07-31 /pmc/articles/PMC10389714/ /pubmed/37523346 http://dx.doi.org/10.1371/journal.pgph.0002084 Text en © 2023 Shetty et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Shetty, Ritika
Zadey, Siddhesh
Jindal, Anushka
Iyer, Himanshu
Dubey, Sweta
Jesudian, Gnanaraj
Smith, Emily R.
Staton, Catherine A.
Fitzgerald, Tamara N.
Vissoci, Joao Ricardo Nickenig
Prioritization of surgical, obstetric, trauma, and anesthesia care in India over seven decades: A systematic analysis of policy documents
title Prioritization of surgical, obstetric, trauma, and anesthesia care in India over seven decades: A systematic analysis of policy documents
title_full Prioritization of surgical, obstetric, trauma, and anesthesia care in India over seven decades: A systematic analysis of policy documents
title_fullStr Prioritization of surgical, obstetric, trauma, and anesthesia care in India over seven decades: A systematic analysis of policy documents
title_full_unstemmed Prioritization of surgical, obstetric, trauma, and anesthesia care in India over seven decades: A systematic analysis of policy documents
title_short Prioritization of surgical, obstetric, trauma, and anesthesia care in India over seven decades: A systematic analysis of policy documents
title_sort prioritization of surgical, obstetric, trauma, and anesthesia care in india over seven decades: a systematic analysis of policy documents
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10389714/
https://www.ncbi.nlm.nih.gov/pubmed/37523346
http://dx.doi.org/10.1371/journal.pgph.0002084
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