Exploring the concept of surgical transition: surgical activity in the light of economic development in Sierra Leone, Liberia, Ghana and India

Changes in surgical volume must be understood within the broader context of societal and economic development as well as the health system. The concept of "surgical transition" highlights how demographic and socioeconomic progress is reflected in the quantity, diversity, and complexity of surgical services. As countries advance, internal priorities, such as healthcare policies, financing, infrastructure, and service delivery mechanisms, also evolve. These factors influence surgical care delivery. Each phase of the surgical transition presents different challenges and needs. Recognizing the phase of surgical transition can help guide strategies and establish realistic interim targets for the global surgical indicators, making them more actionable tools for measuring progress and comparing systems.

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Publication Details

Journal
Frontiers in Surgery
Published
2025-08-15
DOI
https://doi.org/10.3389/fsurg.2025.1629828
Primary Topic
Global Health and Surgery
Type
article
Field-Weighted Citation Impact
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Exploring the concept of surgical transition: surgical activity in the light of economic development in Sierra Leone, Liberia, Ghana and India

Håvard A Adde, Adam Gyedu, Pranav Bhushan, Alex J. van Duinen et al.
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Frontiers in Surgery
Global Health and Surgery
article

Exploring the concept of surgical transition: surgical activity in the light of economic development in Sierra Leone, Liberia, Ghana and India

Håvard A Adde, Adam Gyedu, Pranav Bhushan, Alex J. van Duinen, Håkon A. Bolkan, Nobhojit Roy, Priti Patil, Juul M. Bakker, Anita Gadgil, Priyansh Nathani
article en

Abstract

Changes in surgical volume must be understood within the broader context of societal and economic development as well as the health system. The concept of "surgical transition" highlights how demographic and socioeconomic progress is reflected in the quantity, diversity, and complexity of surgical services. As countries advance, internal priorities, such as healthcare policies, financing, infrastructure, and service delivery mechanisms, also evolve. These factors influence surgical care delivery. Each phase of the surgical transition presents different challenges and needs. Recognizing the phase of surgical transition can help guide strategies and establish realistic interim targets for the global surgical indicators, making them more actionable tools for measuring progress and comparing systems.

Frontiers in SurgeryVol. 12
International Institute of Information Technology (IN), Norwegian University of Science and Technology (NO), Kwame Nkrumah University of Science and Technology (GH), Karolinska Institutet (SE), Bhabha Atomic Research Center Hospital (IN), Ålesund Hospital (NO), St Olav's University Hospital (NO), George Institute for Global Health (IN), University of Global Health Equity (RW), University of Manitoba (CA)
Openalex Percentile: Top 71%
Global Health and Surgery
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