Alhasan Noori Hussein Alhashemi
University of Basrah, College of Medicine , Basrah, Iraq
ABSTRACT
Background: This study explores the challenges and advancements in the field of surgical specialization, with a specific focus on laparoscopic surgery in Iraq, examining how these factors influence clinical outcomes and diagnostic practices. Methods: We utilized a structural equation modeling (SEM-PLS) approach to analyze data from questionnaires distributed among surgeons working in Iraqi healthcare institutions. The study aimed to identify key barriers and facilitators affecting the adoption and effectiveness of laparoscopic techniques. Results: The SEM-PLS analysis highlighted a significant shortage of endoscopic equipment and advanced training as primary barriers to the broader adoption of laparoscopic surgery. Cultural and social challenges were identified as secondary factors. Despite these challenges, there was notable progress in the consensus among healthcare professionals regarding the diagnostic and therapeutic benefits of laparoscopic procedures. Enhanced governmental support for the promotion of these techniques was also observed. Conclusion: Laparoscopic surgery in Iraq faces significant obstacles related to equipment availability and surgeon training, which impact clinical outcomes and diagnostic capabilities. Addressing these challenges requires increased investment in healthcare infrastructure, specifically in the training of healthcare personnel and the procurement of advanced medical equipment. The study suggests that targeted policies and improved resource allocation are essential to enhance the adoption of laparoscopic surgery, ultimately improving patient care and diagnostic accuracy in surgical practices.
Keywords: Surgical Specialisation, SEM-PLS, Healthcare Managers.
