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Int J Health Policy Manag. 2019;8(9): 521-537. doi: 10.15171/ijhpm.2019.43
PMID: 31657175        PMCID: PMC6815989

Scoping Review

Decentralization and Regionalization of Surgical Care: A Review of Evidence for the Optimal Distribution of Surgical Services in Low- and Middle-Income Countries

Katherine R. Iverson 1,2 * , Emma Svensson 1,3, Kristin Sonderman 1,4, Ernest J. Barthélemy 1,5, Isabelle Citron 1, Kerry A. Vaughan 1,6, Brittany L. Powell 1,7, John G. Meara 1,8, Mark G. Shrime 1,9

Cited by CrossRef:

1- Caviglia M, Putoto G, Conti A, Tognon F, Jambai A, Vandy M, Youkee D, Buson R, Pini S, Rosi P, Hubloue I, Della Corte F, Ragazzoni L, Barone-Adesi F. Association between ambulance prehospital time and maternal and perinatal outcomes in Sierra Leone: a countrywide study. BMJ Glob Health. 2021;6(11):e007315 [Crossref]
2- Hekmat S, Sadatmoosavi A, Zare Z. The impact of hospital regionalisation policies on treatment costs: a systematic literature review. British Journal of Healthcare Management. 2023;29(5):148 [Crossref]
3- van Heemskerken P, Broekhuizen H, Gajewski J, Brugha R, Bijlmakers L. Barriers to surgery performed by non-physician clinicians in sub-Saharan Africa—a scoping review. Hum Resour Health. 2020;18(1) [Crossref]
4- Shalowitz D, Magalhaes M, Miller F. Ethical Outreach for Rural Cancer Care in the United States: Balancing Access With Optimal Clinical Outcomes. JCO Oncology Practice. 2023;19(5):225 [Crossref]
5- Garcia R, Shlobin N, Baticulon R, Ghotme K, Lippa L, Borba L, Qureshi M, Thango N, Khan T, Hutchinson P, Rosseau G. Global Neurosurgery: An Overview. 2024;95(3):501 [Crossref]
6- Chen N, Pan J. The causal effect of delivery volume on severe maternal morbidity: an instrumental variable analysis in Sichuan, China. BMJ Glob Health. 2022;7(5):e008428 [Crossref]
7- Henry J, Wong L, Reyes A, Jin J, Ferguson M, Yip C, Hill A. Achieving global surgical excellence: an evidence-based framework to guide surgical quality improvement programs in low and middle income countries. Front Health Serv. 2023;3 [Crossref]
8- Caviglia M, Putoto G, Conti A, Tognon F, Jambai A, Vandy M, Buson R, Pini S, Rosi P, Hubloue I, Della Corte F, Ragazzoni L, Barone-Adesi F. Association Between Ambulance Prehospital Time and Maternal and Perinatal Outcomes in Sierra Leone: A Countrywide Study. SSRN Journal. 2021; [Crossref]
9- Karamlou T, Johnston D, Backer C, Roselli E, Welke K, Caldarone C, Svensson L. Access or excess? Examining the argument for regionalized cardiac care. The Journal of Thoracic and Cardiovascular Surgery. 2020;160(3):813 [Crossref]
10- Vian T, Kaiser J, Ngoma T, Juntunen A, Mataka K, Bwalya M, Sakanga V, Rockers P, Hamer D, Biemba G, Scott N. Planning for Maternity Waiting Home Bed Capacity: Lessons from Rural Zambia. 2022;88(1) [Crossref]
11- Rzadki K, Baqri W, Yermakhanova O, Habbous S, Das S. Choreographed expansion of services results in decreased patient burden without compromise of outcomes: An assessment of the Ontario experience. 2024;11(2):178 [Crossref]
12- Chen N, Coyte P, Pan J. Does the reduction in obstetric hospitals result in an unintended decreased in-hospital delivery utilisation? A causal multilevel analysis in China. bmjph. 2025;3(1):e001683 [Crossref]
13- Henry J, Reyes A, Ameh E, Yip C, Nthumba P, Mehes M, Lelchuk A, Hollier L, Waqainabete I, Abdullah N, Alliance T, Hill A, Ferguson M. International consensus recommendations for the optimal prioritisation and distribution of surgical services in low-income and middle-income countries: a modified Delphi process. BMJ Open. 2023;13(1):e062687 [Crossref]
14- Chiu M, Ali A, Leung F, Dong C, Pechlivanoglou P, Hodgson D, Gibson P. Sociodemographic Factors and Utilization of Pediatric Oncology Satellite Clinics in Ontario, Canada. JAMA Netw Open. 2024;7(12):e2452063 [Crossref]