From Short-term Surgical Missions Towards Sustainable Partnerships. A Survey Among Members of Foreign Teams
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 61
- 试验地点
- 1
- 主要终点
- Q11: Importance of Potential Activities
研究概览
简要总结
Introduction: Recently, the devastating consequences of neglected surgical care in global health became apparent with an estimated five billion people lacking access to safe surgical and anesthesia care. Traditionally, short-term surgical missions were the predominant strategy how surgical care was supported in Low- and Middle-Income Countries. Although surgical missions have been criticized in recent literature they are still being performed on a large scale. The aim of this study is to provide recommendations for persons and organizations involved in surgical mission on how to strengthen surgical care in LMICs in the future.
Method: An online survey was developed for members of foreign teams. Data was collected on 5 topics, consisting of: 1) basic characteristics of the missions, 2) main activities, 2) follow-up and reporting, 3) the local registration process for foreign teams and 4) collaboration with local stakeholders.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Members of foreign teams, that did participate in at least one short-term surgical mission in a hospital in a LMIC
排除标准
- 未提供
结局指标
主要结局
Q11: Importance of Potential Activities
时间窗: approximately 20 minutes
Points provided (1-4) for four potential activities of a visiting team (more points = more important activity) The points provided by all participants are summed per specific activity and the total scores are compared The four potential activities are: * Treat patients yourself * Provide surgical equipment and consumables for the local team * Provide free treatment * Facilitate teaching of local staff Scale with importance of potential activities. Maximum score: 4x58 = 232
Q12: Activities That Where Missing in Question 11.
时间窗: approximately 20 minutes
Respondents that were missing this activity as an option in question 11 Total number of respondents that were missing an activity: 29 Activities that were missing: * Financial collaboration * Advocacy * Academic collaboration * Sustainability * Collaboration with local staff * Follow-up
Q17. A Structured Follow-up Strategy is Required
时间窗: approximately 20 minutes
A structured follow-up strategy (\>6 months) of patients is required for short-term reconstructive surgical missions. Participants of the survey were asked what they think of this statement: * Strongly agree * Agree * Neither agree nor disagree * Disagree * Strongly disagree
Q19. A Written Long-term Strategy is Recommended at the Start of a New Project.
时间窗: approximately 20 minutes
A written long-term strategy (\>5 years) with clear goals, developed by the visiting team and the local actors together, is recommended at the start of a new project. Participants of the survey were asked what they think of this statement: * Strongly agree * Agree * Neither agree nor disagree * Disagree * Strongly disagree
Q7: Country Where the Last Mission Took Place
时间窗: approximately 20 minutes
Answer on the question: What was the country where your last mission took place?
Q9: Number of Participants Per Organization
时间窗: approximately 20 minutes
Name of the organization that supported the last mission of the participant
Q10: Countries Where the NGOs Are Based
时间窗: approximately 20 minutes
List of countries where the supporting NGOs of the last mission are based
Q14: The Process of Obtaining Medical Registration Was Straightforward
时间窗: approximately 20 minutes
The Process of Obtaining Medical Registration Was Straightforward Participants of the survey were asked what they think of this statement: * Strongly agree * Agree * Neither agree nor disagree * Disagree * Strongly disagree
Q15: Collaboration
时间窗: approximately 20 minutes
What can you say about the collaboration between authorities in LMICs and visiting surgical teams? Participants of the survey were asked to choose one of the following answers on this question: * collaboration is present but improvement is needed * there is no collaboration and it should be developed as a priority * collaboration has no benefits nor disadvantages * collaboration will likely be more harmful than beneficial for the mission
Q18. One Month After the Mission, an Official Report is Recommended
时间窗: approximately 20 minutes
One month after the mission, an official report on the outcome including all complications encountered is recommended for all missions. Participants of the survey were asked what they think of this statement: * Strongly agree * Agree * Neither agree nor disagree * Disagree * Strongly disagree
Q20. Suggestions to Improve the Impact of Short Term Reconstructive Missions.
时间窗: approximately 20 minutes
What would you suggest to improve the impact of short term reconstructive missions? The answers were categorized and the three most mentioned categories are: * Teaching of local staff * Follow-up * Building sustainable partnerships The three activities were mentioned in total 68 times in the comments The distribution among the three categories is shown below
Q8: Name of the Place and Hospital Where the Last Mission Took Place
时间窗: approximately 20 minutes
List with names of the places and hospitals where the last mission took place
Q16. What Should Have a Higher Priority in the Hospital of Your Last Mission?
时间窗: approximately 20 minutes
What should have a higher priority in the hospital of your last mission ? Respondents were asked to choose on the these two answers: Teaching in anesthesia care or teaching in surgical care
Q13. Medical Registration is Required in the Host Country
时间窗: approximately 20 minutes
Medical registration in the host country is required for specialists performing short-term reconstructive missions Participants of the survey were asked what they think of this statement: * Strongly agree * Agree * Neither agree nor disagree * Disagree * Strongly disagree
次要结局
未报告次要终点
研究者
Matthijs Botman
Principal investigator
Global Surgery Amsterdam