Monitoring of national surgical care indicators in the Peruvian health system
Keywords:
Operating Rooms, Mortality, Surgeons, Anesthesiologists, Health Surveillance
Abstract
Surgical care is an integral component of healthcare services in all countries, and its quality is evaluated through monitoring of national indicators of safe surgical and anaesthesia care. In Peru, monitoring is only partial because of the lack of data regarding some of the indicators. However, there is a need for comprehensive monitoring in order to gain knowledge of the progress towards the healthcare goals proposed by the World Health Organisation and The Lancet Commission Global Surgery.
References
1. Weiser TG, Makary MA, Haynes AB, Dziekan G, Berry WR, Gawande AA. Safe Surgery Saves Lives Measurement and surveillance. Lancet. 2009;374:1113-7.
2. Weiser TG, Regenbogen SE, Thompson KD, Haynes AB, Lipsitz SR, Berry WR, et al. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet. 2008;372:139-44.
3. World Health Organization. Sixty-Eighth World Health Assembly. Resolutions, decisions and annexes. WHA68.15: strengthening emergency and essential surgical care and anaesthesia as a component of universal health coverage. Ginebra [Internet]; 2015 [Cited 2016 May 22] Available from: http://apps.who.int/gb/ebwha/pdffiles/wHA68-REC1/A68_R1_REC1-en.pdf#page=27.
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5. Meara JG, Leather AJ, Hagander L, Alkire BC, Alonso N, Ameh EA, et al. Global surgery 2030: evidence and solutions for achieving health, welfare, and economi development. Lancet. 2015;386:569-624.
6. Ministerio de Salud. Dirección General de Epidemiología. Análisis de la Situación de Salud en Perú; 2013 [Cited 2017 Mar 01] Available from: http://www.dge.gob.pe/portal/docs/intsan/asis2012.pdf.
7. Alcalde-Rabanal JE, Lazo-González O, Nigenda G. Sistema de salud de Perú. Salud Publica Mex. 2011;53 Suppl. 2: S243-54.
8. Raykar NP, Bowder AN, Liu C, Vega M, Kim JH, Boye G, et al. Geospatial mapping to estimate timely access to surgical care in nine low-income and middle-income countries. Lancet. 2015;385 Suppl. 2:S16.
9. INEI. Compendio Estadístico del Perú 2015 [Internet]; 2015 [Cited 2016 Aug 14] Available from: https://www.inei.gob.pe/media/MenuRecursivo/publicaciones_digitales/Est/Lib1253/ compendio2015.html.
10. SUSALUD. Datos abiertos: Producción Asistencial en Intervenciones Quirúrgicas de las IPRESS [Internet]. 2017 [Cited 2017 Apr 10] Available from: http://datos.susalud.gob.pe/dataset/consulta-h-produccion-asistencial-en-intervenciones-quirurgicas-de-las-ipress.
11. Uribe-Leitz T, Esquivel MM, Molina G, Lipsitz SR, Verguet S, Rose J, et al. Projections to achieve minimum surgical rate threshold: an observational study. Lancet. 2015;385 Suppl. 2:S14.
12. Esquivel MM, Molina G, Uribe-Leitz T, Lipsitz SR, Rose J, Bickle SW, et al. Proposed minimun rates of surgery to support desirable health outcomes: an observational study based on four strategies. Lancet. 2015;385 Suppl. 2: S12.
13. SUSALUD. RENIPRESS [Internet]. 2017 [Cited 2016 Nov 29] Available from: http://datos.susalud.gob.pe/dataset/registro-de-ipress-renipress.
14. ESSALUD. Oficina de Relaciones Institucionales. Estadística Institucional: Memoria Anual 2015 de ESSALUD [Internet]. 2017 [Cited 2016 Nov 03] Available from: http://www.essalud.gob pe/memoria-institucional/.
15. ESSALUD. Oficina de Relaciones Institucionales. Estadística Institucional: ESSALUD: Principales Indicadores de Salud, 1990-2015 [Internet]. 2017 [Cited 2016 Nov 3]. Available from: Available from: http://www.essalud.gob.pe/downloads/series_estadisticas_1990_2015_VF.pdf .
16 Holmer H, Lantz A, Kunjumen T, Finlayson S, Hoyler M, Siyam A, et al. Global distributio of surgeons, anaesthesiologists, and obstetricians. Lancet Glob Health. 2015; Suppl. 2: S9-11.
17. Colegio Médico del Perú. Conoce a tu médico [Internet]. 2017 [Cited 2016 Sep 09] Available from: http://cmp.org.pe/servicios/conoce-a-tu-medico/.
18. INEI. Índice Temático: Población [Internet]. 2017 [Cited 2016 Sep 10] Available from: https://www.inei.gob.pe/estadisticas/indice-tematico/population/.
19. Holmer H, Shrime MG, Riesel JN, Meara JG, Hagander L. Towards closing the gap of the global surgeon, anaesthesiologist, and obstetrician workforce: thresholds and projections towards 2030. Lancet. 2015;385 Suppl. 2:S40.
20. Daniels KM, Riesel JN, Meara JG. The scale-up of the surgical workforce. Lancet. 2015;385 Suppl. 2:S41.
21. World Health Organization. Global health expenditure database. NHA indicators. 2017 [Cited 2016 Sep 05] Available from: http://apps.who.int/nha/database/ViewData/Indicators/en.
22. Ministerio de Salud. Avances de la Reforma de Salud. Reporte Informativo 2013-2014. Oficina General de Comunicaciones; 2015 [Cited 2016 Nov 05] Available from: http://bvs.minsa.gob.pe/local/minsa/3240.pdf.
23. Ministerio de Salud. Boletín N°6: Reforma es más salud; 2015 [Cited 2016 Nov 08] Available from: http://bvs.minsa.gob.pe/local/MINSA/3440.pdf.
24. Shrime MG, Dare A, Alkire BC, Meara JG. A global country-level comparison of the financial burden of surgery. Br J Surg 2016;103:1453-61.
25. INEI. Perú: Sistema de Monitoreo y Seguimiento de los Indicadores de Objetivos de Desarrollo Sostenible. 2017 [Cited 2016 Mar 07] Available from: http://ods.inei.gob.pe/ods/inicio.html.
26. Ariyaratnam R, Palmqvist CL, Hider P, Laing GL, Stupart D, Wilson L, et al. Towards a standard approach to measurement and reporting of peri-operative mortality rate as a global indicator of surgery. Surgery. 2015;158:17-26.
27. Ministerio de Salud. Oficina General de Comunicaciones. Normas Legales. RM 486-2005. NT N° 030-MINSA/DGSP-V.01: "Norma Técnica de los Servicios de Anestesiología"; 2005, 2017 [Cited 2017 Mar 09] Available from: http://www.dgiem.gob.pe/norma-tecnica-de-los-servicios-de-anestesiologia/.
28. Ministerio de Salud. Oficina General de Comunicaciones. Normas Legales. NT N° 089-MINSA/DGSP-V.01: "Norma Técnica de Salud para la Atención Anestesiológica"; 2011 [Cited 2017 Mar 09] Available from: ftp://ftp2.minsa.gob.pe/normaslegales/2011/RM022-2011-MINSA(A).PDF.
29. Weiser TG, Makasa EM, Gelb AW. Improving perioperative outcomes in low-resource countries: it can't be fixed without data. Can J Anesth. 2015;62:1239-43.
30. Steffner KR, McQueen KA, Gelb AW. Patient safety challenges in low-income and middle-income countries. Curr Opin Anaesthesiol. 2014;27:623-9.
31. Molina G, Funk LM, Rodriguez V, Lipsitz SR, Gawande A. Evaluation of surgical care in El Salvador using the WHO surgical vital statistics. World J Surg. 2013;37:1227-35.
32. Agha R. Towards national surgical surveillance in the UK - a pilot study. PLoS One. 2012;7:e47969.
33. Knowlton LM, Chackungal S, Dahn B, LeBrun D, Nickerson J, McQueen K. Liberian surgical and anesthesia infrastructure: a survey of county hospitals. World J Surg. 2013;37:721-9. [ Links ]
34. OMS [Internet]. 2017 [Cited 2017 Mar 22] Available from: http://www.who.int/countries/es/. 35 Weiser TG, Haynes AB, Molina G, Lipsitz SR, Esquivel MM, Uribe-Leitz T, et al. Size and distribution of the global volume of surgery in 2012. Bull World Health Organ. 2016;94, 201-209F. [ Links ]
35. Weiser TG, Haynes AB, Molina G, Lipsitz SR, Esquivel MM, Uribe-Leitz T, et al. Size and distribution of the global volume of surgery in 2012. Bull World Health Organ. 2016;94, 201-209F. [ Links ]
36. Ministerio de Salud. Oficina General de Estadística e Informática. RENIPRESS. 2017 [Cited 2017 Mar 03] Available from: http://www.minsa.gob.pe/portalweb/02estadistica/estadistica_2.asp?sub5=2. [ Links ]
37. INEI. Conoce la cédula censal. 2017 [Cited 2017 Mar 03] Available from: http://www.censos2017.pe/?page_id=1927. [ Links ]
38. Mayo, Adriana: “Censo del 2017 ubicará cada vivienda con tecnología precisa”. Diario La República. 23 May 2016. [Cited 2017 Mar 07] Available from: Available from: http://larepublica.pe/impresa/sociedad/769713-censo-del-2017-ubicara-cadavivienda-con-tecnologia-precisa . [ Links ]
2. Weiser TG, Regenbogen SE, Thompson KD, Haynes AB, Lipsitz SR, Berry WR, et al. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet. 2008;372:139-44.
3. World Health Organization. Sixty-Eighth World Health Assembly. Resolutions, decisions and annexes. WHA68.15: strengthening emergency and essential surgical care and anaesthesia as a component of universal health coverage. Ginebra [Internet]; 2015 [Cited 2016 May 22] Available from: http://apps.who.int/gb/ebwha/pdffiles/wHA68-REC1/A68_R1_REC1-en.pdf#page=27.
4. Weiser TG, Haynes AB, Molina G, Lipsitz SR, Esquivel MM, Uribe-Leitz T, et al. Estimate of the global volume of surgery in 2012: an assessmen supporting improved health outcomes. Lancet. 2015;385 Suppl. 2:S11.
5. Meara JG, Leather AJ, Hagander L, Alkire BC, Alonso N, Ameh EA, et al. Global surgery 2030: evidence and solutions for achieving health, welfare, and economi development. Lancet. 2015;386:569-624.
6. Ministerio de Salud. Dirección General de Epidemiología. Análisis de la Situación de Salud en Perú; 2013 [Cited 2017 Mar 01] Available from: http://www.dge.gob.pe/portal/docs/intsan/asis2012.pdf.
7. Alcalde-Rabanal JE, Lazo-González O, Nigenda G. Sistema de salud de Perú. Salud Publica Mex. 2011;53 Suppl. 2: S243-54.
8. Raykar NP, Bowder AN, Liu C, Vega M, Kim JH, Boye G, et al. Geospatial mapping to estimate timely access to surgical care in nine low-income and middle-income countries. Lancet. 2015;385 Suppl. 2:S16.
9. INEI. Compendio Estadístico del Perú 2015 [Internet]; 2015 [Cited 2016 Aug 14] Available from: https://www.inei.gob.pe/media/MenuRecursivo/publicaciones_digitales/Est/Lib1253/ compendio2015.html.
10. SUSALUD. Datos abiertos: Producción Asistencial en Intervenciones Quirúrgicas de las IPRESS [Internet]. 2017 [Cited 2017 Apr 10] Available from: http://datos.susalud.gob.pe/dataset/consulta-h-produccion-asistencial-en-intervenciones-quirurgicas-de-las-ipress.
11. Uribe-Leitz T, Esquivel MM, Molina G, Lipsitz SR, Verguet S, Rose J, et al. Projections to achieve minimum surgical rate threshold: an observational study. Lancet. 2015;385 Suppl. 2:S14.
12. Esquivel MM, Molina G, Uribe-Leitz T, Lipsitz SR, Rose J, Bickle SW, et al. Proposed minimun rates of surgery to support desirable health outcomes: an observational study based on four strategies. Lancet. 2015;385 Suppl. 2: S12.
13. SUSALUD. RENIPRESS [Internet]. 2017 [Cited 2016 Nov 29] Available from: http://datos.susalud.gob.pe/dataset/registro-de-ipress-renipress.
14. ESSALUD. Oficina de Relaciones Institucionales. Estadística Institucional: Memoria Anual 2015 de ESSALUD [Internet]. 2017 [Cited 2016 Nov 03] Available from: http://www.essalud.gob pe/memoria-institucional/.
15. ESSALUD. Oficina de Relaciones Institucionales. Estadística Institucional: ESSALUD: Principales Indicadores de Salud, 1990-2015 [Internet]. 2017 [Cited 2016 Nov 3]. Available from: Available from: http://www.essalud.gob.pe/downloads/series_estadisticas_1990_2015_VF.pdf .
16 Holmer H, Lantz A, Kunjumen T, Finlayson S, Hoyler M, Siyam A, et al. Global distributio of surgeons, anaesthesiologists, and obstetricians. Lancet Glob Health. 2015; Suppl. 2: S9-11.
17. Colegio Médico del Perú. Conoce a tu médico [Internet]. 2017 [Cited 2016 Sep 09] Available from: http://cmp.org.pe/servicios/conoce-a-tu-medico/.
18. INEI. Índice Temático: Población [Internet]. 2017 [Cited 2016 Sep 10] Available from: https://www.inei.gob.pe/estadisticas/indice-tematico/population/.
19. Holmer H, Shrime MG, Riesel JN, Meara JG, Hagander L. Towards closing the gap of the global surgeon, anaesthesiologist, and obstetrician workforce: thresholds and projections towards 2030. Lancet. 2015;385 Suppl. 2:S40.
20. Daniels KM, Riesel JN, Meara JG. The scale-up of the surgical workforce. Lancet. 2015;385 Suppl. 2:S41.
21. World Health Organization. Global health expenditure database. NHA indicators. 2017 [Cited 2016 Sep 05] Available from: http://apps.who.int/nha/database/ViewData/Indicators/en.
22. Ministerio de Salud. Avances de la Reforma de Salud. Reporte Informativo 2013-2014. Oficina General de Comunicaciones; 2015 [Cited 2016 Nov 05] Available from: http://bvs.minsa.gob.pe/local/minsa/3240.pdf.
23. Ministerio de Salud. Boletín N°6: Reforma es más salud; 2015 [Cited 2016 Nov 08] Available from: http://bvs.minsa.gob.pe/local/MINSA/3440.pdf.
24. Shrime MG, Dare A, Alkire BC, Meara JG. A global country-level comparison of the financial burden of surgery. Br J Surg 2016;103:1453-61.
25. INEI. Perú: Sistema de Monitoreo y Seguimiento de los Indicadores de Objetivos de Desarrollo Sostenible. 2017 [Cited 2016 Mar 07] Available from: http://ods.inei.gob.pe/ods/inicio.html.
26. Ariyaratnam R, Palmqvist CL, Hider P, Laing GL, Stupart D, Wilson L, et al. Towards a standard approach to measurement and reporting of peri-operative mortality rate as a global indicator of surgery. Surgery. 2015;158:17-26.
27. Ministerio de Salud. Oficina General de Comunicaciones. Normas Legales. RM 486-2005. NT N° 030-MINSA/DGSP-V.01: "Norma Técnica de los Servicios de Anestesiología"; 2005, 2017 [Cited 2017 Mar 09] Available from: http://www.dgiem.gob.pe/norma-tecnica-de-los-servicios-de-anestesiologia/.
28. Ministerio de Salud. Oficina General de Comunicaciones. Normas Legales. NT N° 089-MINSA/DGSP-V.01: "Norma Técnica de Salud para la Atención Anestesiológica"; 2011 [Cited 2017 Mar 09] Available from: ftp://ftp2.minsa.gob.pe/normaslegales/2011/RM022-2011-MINSA(A).PDF.
29. Weiser TG, Makasa EM, Gelb AW. Improving perioperative outcomes in low-resource countries: it can't be fixed without data. Can J Anesth. 2015;62:1239-43.
30. Steffner KR, McQueen KA, Gelb AW. Patient safety challenges in low-income and middle-income countries. Curr Opin Anaesthesiol. 2014;27:623-9.
31. Molina G, Funk LM, Rodriguez V, Lipsitz SR, Gawande A. Evaluation of surgical care in El Salvador using the WHO surgical vital statistics. World J Surg. 2013;37:1227-35.
32. Agha R. Towards national surgical surveillance in the UK - a pilot study. PLoS One. 2012;7:e47969.
33. Knowlton LM, Chackungal S, Dahn B, LeBrun D, Nickerson J, McQueen K. Liberian surgical and anesthesia infrastructure: a survey of county hospitals. World J Surg. 2013;37:721-9. [ Links ]
34. OMS [Internet]. 2017 [Cited 2017 Mar 22] Available from: http://www.who.int/countries/es/. 35 Weiser TG, Haynes AB, Molina G, Lipsitz SR, Esquivel MM, Uribe-Leitz T, et al. Size and distribution of the global volume of surgery in 2012. Bull World Health Organ. 2016;94, 201-209F. [ Links ]
35. Weiser TG, Haynes AB, Molina G, Lipsitz SR, Esquivel MM, Uribe-Leitz T, et al. Size and distribution of the global volume of surgery in 2012. Bull World Health Organ. 2016;94, 201-209F. [ Links ]
36. Ministerio de Salud. Oficina General de Estadística e Informática. RENIPRESS. 2017 [Cited 2017 Mar 03] Available from: http://www.minsa.gob.pe/portalweb/02estadistica/estadistica_2.asp?sub5=2. [ Links ]
37. INEI. Conoce la cédula censal. 2017 [Cited 2017 Mar 03] Available from: http://www.censos2017.pe/?page_id=1927. [ Links ]
38. Mayo, Adriana: “Censo del 2017 ubicará cada vivienda con tecnología precisa”. Diario La República. 23 May 2016. [Cited 2017 Mar 07] Available from: Available from: http://larepublica.pe/impresa/sociedad/769713-censo-del-2017-ubicara-cadavivienda-con-tecnologia-precisa . [ Links ]
How to Cite
1.
Shiraishi-Zapata CJ. Monitoring of national surgical care indicators in the Peruvian health system. Colomb. J. Anesthesiol. [Internet]. 2017 Jul. 1 [cited 2024 Apr. 24];45(3):210–215. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/652
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Published
2017-07-01
How to Cite
1.
Shiraishi-Zapata CJ. Monitoring of national surgical care indicators in the Peruvian health system. Colomb. J. Anesthesiol. [Internet]. 2017 Jul. 1 [cited 2024 Apr. 24];45(3):210–215. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/652
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