Reducing global inequities in medical oxygen access: the Lancet Global Health Commission on medical oxygen security

作者：Hamish Graham, Carina King, Ahmed Ehsanur Rahman, Freddy Eric Kitutu, Leith Greenslade, Muhammad Aqeel, Tim Baker, Lucio Flavio de Magalhães Brito, Harry Campbell, Karen Czischke, Mike English, Adegoke G. Falade, Patricia García, Mireia Gil, Hamish Graham, Amy Gray, Stephen R. C. Howie, Niranjan Kissoon, Ramanan Laxminarayan, Inês Li Lin, Michael S. Lipnick, Dianne Lowe, David Lowrance, Eric D McCollum, Tisungane Mvalo, Jacquie Oliwa, Stefan Peterson, Rediet Shimeles Workneh, Heather J. Zar, Shams El Arifeen, Freddie Ssengooba · 发表于：The Lancet Global Health · 年份：2025 · DOI：10.1016/s2214-109x(24)00496-0 · 被引用次数：69 · 研究领域：Respiratory Support and Mechanisms、Global Health and Surgery、Climate Change and Health Impacts

Executive summary “Oxygen delayed is life denied,” COVID-19 survivor, Kenya Medical oxygen is an essential medicine that has been in clinical use for over 150 years. It is required at every level of the healthcare system for children and adults with a wide range of acute and chronic conditions, and for safe surgery and perioperative care, and must be available to all who need it. The COVID-19 pandemic shone a spotlight on the longstanding inequities in access to medical oxygen globally, and the importance of this lifesaving therapy to people of all ages and in every part of the world. It was against this backdrop that the Lancet Global Health Commission on Medical Oxygen Security was launched in 2022 – to synthesise available evidence and harness expertise into concrete and actionable recommendations for governments, industry, global health agencies, donors, healthcare workforce, and researchers. Our work emphasises that oxygen is a service, not just a commodity, and achieving equitable oxygen access requires a systems approach, addressing multiple domains (production, storage, distribution, supply, clinical use, coordination, regulation, financing) across multiple sectors (health, education, energy, industry, transport). Previous efforts, including the major investments in response to the COVID-19 pandemic, largely focused on the delivery of equipment to produce more oxygen, neglecting the systems and people required to ensure equipment is distributed, maintained, and used...