外科可持续发展：乌干达慈善手术的健康、贫困与公平影响

数据集获取（Figshare）

• 源站标题：Sustainable Development in Surgery: The Health, Poverty, and Equity Impacts of Charitable Surgery in Uganda
• DOI：10.1371/journal.pone.0168867
• 发布日期：2016-12-30
• 文件数：2 个
• 文件总体积：4.04 MB
• 源站页面：https://plos.figshare.com/articles/dataset/Sustainable_Development_in_Surgery_The_Health_Poverty_and_Equity_Impacts_of_Charitable_Surgery_in_Uganda/4507289

命令行下载

curl -L -o "S1 Appendix.docx" "https://ndownloader.figshare.com/files/7290275"
curl -L -o "S2 Appendix.docx" "https://ndownloader.figshare.com/files/7290281"

文件清单

• S1 Appendix.docx（3.62 MB）
• S2 Appendix.docx（423.59 KB）

文件总体积 4.04 MB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Background
The recently adopted Sustainable Development Goals call for the end of poverty and the equitable provision of healthcare. These goals are often at odds, however: health seeking can lead to catastrophic spending, an outcome for which cancer patients and the poor in resource-limited settings are at particularly high risk. How various health policies affect the additional aims of financial wellbeing and equity is poorly understood. This paper evaluates the health, financial, and equity impacts of governmental and charitable policies for surgical oncology in a resource-limited setting.
Methods
Three charitable platforms for surgical oncology delivery in Uganda were compared to six governmental policies aimed at improving healthcare access. An extended cost-effectiveness analysis using an agent-based simulation model examined the numbers of lives saved, catastrophic expenditure averted, impoverishment averted, costs, and the distribution of benefits across the wealth spectrum.
Findings
Of the nine policies and platforms evaluated, two were able to provide simultaneous health and financial benefits efficiently and equitably: mobile surgical units and governmental policies that simultaneously address surgical scaleup, the cost of surgery, and the cost of transportation. Policies that only remove user fees are dominated, as is the commonly employed short-term “surgical mission trip”. These results are robust to scenario and sensitivity analyses.
Interpretation
The most common platforms for increasing access to surgical care appear unable to provide health and financial risk protection equitably. On the other hand, mobile surgical units, to date an underutilized delivery platform, are able to deliver surgical oncology in a manner that meets sustainable development goals by improving health, financial solvency, and equity. These platforms compare favorably with policies that holistically address surgical delivery and should be considered as countries strengthen health systems.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0168867（source: https://plos.figshare.com/articles/dataset/Sustainable_Development_in_Surgery_The_Health_Poverty_and_Equity_Impacts_of_Charitable_Surgery_in_Uganda/4507289）。