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 in 2020.
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 2 h 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 in 2021.
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.
Keywords
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Article info
Publication history
Published online: November 17, 2022
Accepted:
October 15,
2022
Received in revised form:
August 23,
2022
Received:
February 4,
2022
Identification
Copyright
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