Skip to main content
Erschienen in: International Journal of Public Health 1/2017

03.09.2016 | Review

International short-term medical missions: a systematic review of recommended practices

verfasst von: Stephanie D. Roche, Pavinarmatha Ketheeswaran, Veronika J. Wirtz

Erschienen in: International Journal of Public Health | Ausgabe 1/2017

Einloggen, um Zugang zu erhalten

Abstract

Objectives

To identify practices for conducting international short-term medical missions (STMMs) recommended in the literature and examine how these link STMMs to recipient countries’ existing health systems.

Methods

Systematic review of PubMed-indexed articles on STMMs and their bibliographies using preferred reporting items for systematic reviews and meta-analyses guidelines. Recommendations were organized using the World Health Organization Health Systems Framework.

Results

In 92 publications, 67 % offered at least one recommendation that would link STMMs to the recipient country’s health system. Among these recommendations, most focused on service delivery and few on health financing and governance. There is a lack of consensus around a proper standard of care, patient selection, and trip duration.

Conclusions

Comprehensive global standards are needed for STMM work to ensure that services are beneficial both to patients and to the broader healthcare systems of recipient countries. By providing an overview of the current recommendations and important gaps where practice recommendations are needed, this study can provide relevant input into the development of global standards for STMMs.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
Zurück zum Zitat Bezruchka S (2000) Medical tourism as medical harm to the third world: why? For whom? Wilderness Environ Med 11(2):77–78CrossRefPubMed Bezruchka S (2000) Medical tourism as medical harm to the third world: why? For whom? Wilderness Environ Med 11(2):77–78CrossRefPubMed
Zurück zum Zitat Chapin E, Doocy S (2010) International short-term medical service trips: guidelines from the literature and perspectives from the field. World Health Popul 12(2):43–53CrossRefPubMed Chapin E, Doocy S (2010) International short-term medical service trips: guidelines from the literature and perspectives from the field. World Health Popul 12(2):43–53CrossRefPubMed
Zurück zum Zitat Chary A (2015) Hysterectomies and healer shopping. In: Chary A, Rohloff P (eds) Privitization and the new medical pluralism: shifting healthcare landscapes in Maya Guatemala. Lexington Books, Lanham, pp 107–123 Chary A (2015) Hysterectomies and healer shopping. In: Chary A, Rohloff P (eds) Privitization and the new medical pluralism: shifting healthcare landscapes in Maya Guatemala. Lexington Books, Lanham, pp 107–123
Zurück zum Zitat Council for International Organisations of Medical Sciences (2002) International ethical guidelines for biomedical research involving human subjects. Bull Med Ethics 182:17–23 Council for International Organisations of Medical Sciences (2002) International ethical guidelines for biomedical research involving human subjects. Bull Med Ethics 182:17–23
Zurück zum Zitat Dainton C, Chu C, Lin H, Loh L (2016) Clinical guidelines for Western clinicians engaged in primary care medical service trips in Latin America and the Caribbean: an integrative literature review. Trop Med Int Health 21(4):470–478. doi:10.1111/tmi.12675 CrossRefPubMed Dainton C, Chu C, Lin H, Loh L (2016) Clinical guidelines for Western clinicians engaged in primary care medical service trips in Latin America and the Caribbean: an integrative literature review. Trop Med Int Health 21(4):470–478. doi:10.​1111/​tmi.​12675 CrossRefPubMed
Zurück zum Zitat Deem L (2011) College students practice dentistry in third world countries. Pa Dent J (Harrisb) 78(3):28–32 Deem L (2011) College students practice dentistry in third world countries. Pa Dent J (Harrisb) 78(3):28–32
Zurück zum Zitat Dupuis CC (2004) Humanitarian missions in the third world: a polite dissent. Plast Reconstr Surg 113(1):433–435CrossRefPubMed Dupuis CC (2004) Humanitarian missions in the third world: a polite dissent. Plast Reconstr Surg 113(1):433–435CrossRefPubMed
Zurück zum Zitat Fisher QA, Politis GD, Tobias JD, Proctor LT, Samandari-Stevenson R, Roth A et al (2002) Pediatric anesthesia for voluntary services abroad. Anesth Analg 95(2):336–350PubMed Fisher QA, Politis GD, Tobias JD, Proctor LT, Samandari-Stevenson R, Roth A et al (2002) Pediatric anesthesia for voluntary services abroad. Anesth Analg 95(2):336–350PubMed
Zurück zum Zitat Hsieh HF, Shannon SE (2005) Three approaches to qualitative content analysis. Qual Health Res 15(9):1277–1288CrossRefPubMed Hsieh HF, Shannon SE (2005) Three approaches to qualitative content analysis. Qual Health Res 15(9):1277–1288CrossRefPubMed
Zurück zum Zitat Hunt MR, Sinding C, Schwartz L (2012) Tragic choices in humanitarian health work. J Clin Ethics 23(4):338–344PubMed Hunt MR, Sinding C, Schwartz L (2012) Tragic choices in humanitarian health work. J Clin Ethics 23(4):338–344PubMed
Zurück zum Zitat Kingham TP, Price RR, Casey KM, Rogers SO, Kushner AI (2011) Beyond volunteerism: augmenting surgical care in resource-limited settings. Bull Am Coll Surg 96(7):16–21PubMed Kingham TP, Price RR, Casey KM, Rogers SO, Kushner AI (2011) Beyond volunteerism: augmenting surgical care in resource-limited settings. Bull Am Coll Surg 96(7):16–21PubMed
Zurück zum Zitat Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JPA et al (2009) Annals of Internal Medicine Academia and Clinic The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions. Ann Intern Med 151(4):W65–W94CrossRefPubMed Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JPA et al (2009) Annals of Internal Medicine Academia and Clinic The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions. Ann Intern Med 151(4):W65–W94CrossRefPubMed
Zurück zum Zitat Melby M, Loh L, Evert J, Prater C, Lin H, Khan OA (2015) Beyond medical “missions” to impact-driven short-term experiences in global health (STEGHs): ethical principles to optimize community benefit and learner experience. Acad Med 91(5):633–638. doi:10.1097/ACM.0000000000001009 CrossRef Melby M, Loh L, Evert J, Prater C, Lin H, Khan OA (2015) Beyond medical “missions” to impact-driven short-term experiences in global health (STEGHs): ethical principles to optimize community benefit and learner experience. Acad Med 91(5):633–638. doi:10.​1097/​ACM.​0000000000001009​ CrossRef
Zurück zum Zitat Montgomery L (1993) Short-term medical missions: enhancing or eroding health? Missiol Int Rev 21(3):333–341CrossRef Montgomery L (1993) Short-term medical missions: enhancing or eroding health? Missiol Int Rev 21(3):333–341CrossRef
Zurück zum Zitat Ng-Kamstra JS, Risel JN, Arya S, Weston B, Kreutzer T, Meara JG et al (2016) Surgical non-governmental organizations: global surgery’s unknown nonprofit sector [published online March 23 2016]. World J Surg. doi:10.1007/s00268-016-3486-1 PubMed Ng-Kamstra JS, Risel JN, Arya S, Weston B, Kreutzer T, Meara JG et al (2016) Surgical non-governmental organizations: global surgery’s unknown nonprofit sector [published online March 23 2016]. World J Surg. doi:10.​1007/​s00268-016-3486-1 PubMed
Zurück zum Zitat Patel PB, Hoyler M, Maine R, Hughes CD, Hagander L, Meara JG (2012) An opportunity for diagonal development in global surgery: cleft lip and palate care in resource-limited settings. Plast Surg Int 2012:892437. doi:10.1155/2012/892437 PubMedPubMedCentral Patel PB, Hoyler M, Maine R, Hughes CD, Hagander L, Meara JG (2012) An opportunity for diagonal development in global surgery: cleft lip and palate care in resource-limited settings. Plast Surg Int 2012:892437. doi:10.​1155/​2012/​892437 PubMedPubMedCentral
Zurück zum Zitat Rohloff P, Chary A (2015) Introduction. In: Chary A, Rohloff P (eds) Privitization and the new medical pluralism: shifting healthcare landscapes in Maya Guatemala. Lexington Books, Lanham, pp xiii–xxxi Rohloff P, Chary A (2015) Introduction. In: Chary A, Rohloff P (eds) Privitization and the new medical pluralism: shifting healthcare landscapes in Maya Guatemala. Lexington Books, Lanham, pp xiii–xxxi
Zurück zum Zitat Rose A (2011) Questioning the universality of medical ethics: dilemmas raised performing surgery around the globe. Hastings Cent Rep 41(5):18–22CrossRefPubMed Rose A (2011) Questioning the universality of medical ethics: dilemmas raised performing surgery around the globe. Hastings Cent Rep 41(5):18–22CrossRefPubMed
Zurück zum Zitat Schneider WJ, Migliori MR, Gosain AK, Gregory G, Flick R (2011) Volunteers in plastic surgery guidelines for providing surgical care for children in the less developed world: part II. Ethical considerations. Plast Reconstr Surg 128(3):216e–222e. doi:10.1097/PRS.0b013e31822213b4 CrossRefPubMed Schneider WJ, Migliori MR, Gosain AK, Gregory G, Flick R (2011) Volunteers in plastic surgery guidelines for providing surgical care for children in the less developed world: part II. Ethical considerations. Plast Reconstr Surg 128(3):216e–222e. doi:10.​1097/​PRS.​0b013e31822213b4​ CrossRefPubMed
Zurück zum Zitat Shrime M, Sleemi A, Ravilla T (2015) Charitable platforms in global surgery: a systematic review of their effectiveness, cost-effectiveness, sustainability, and role training. World J Surg 39(1):10–20. doi:10.1007/s00268-014-2516-0 CrossRefPubMed Shrime M, Sleemi A, Ravilla T (2015) Charitable platforms in global surgery: a systematic review of their effectiveness, cost-effectiveness, sustainability, and role training. World J Surg 39(1):10–20. doi:10.​1007/​s00268-014-2516-0 CrossRefPubMed
Zurück zum Zitat Wall LL (2007) Ethical issues in vesico-vaginal fistula care and research. Int J Gynaecol Obstet 99(Suppl 1):S32–S39CrossRefPubMed Wall LL (2007) Ethical issues in vesico-vaginal fistula care and research. Int J Gynaecol Obstet 99(Suppl 1):S32–S39CrossRefPubMed
Zurück zum Zitat Whyte SR, Whyte A, Meinert L, Twebaze J (2014) Therapeutic clientship: belonging in Uganda’s projectified landscape of AIDS care. In: Prince RJ, Marsland R (eds) When people come first: critical studies in global health. Princeton University Press, Princeton, pp 187–207 Whyte SR, Whyte A, Meinert L, Twebaze J (2014) Therapeutic clientship: belonging in Uganda’s projectified landscape of AIDS care. In: Prince RJ, Marsland R (eds) When people come first: critical studies in global health. Princeton University Press, Princeton, pp 187–207
Zurück zum Zitat Woods JE, Kiely JM (2000) Short-term international medical service. Mayo Clin Proc 75(3):311–313CrossRefPubMed Woods JE, Kiely JM (2000) Short-term international medical service. Mayo Clin Proc 75(3):311–313CrossRefPubMed
Zurück zum Zitat Zink T (2012) Unanticipated souvenirs and unintended consequences: what happens after the medical missionaries leave? Minn Med 95(11):28–29PubMed Zink T (2012) Unanticipated souvenirs and unintended consequences: what happens after the medical missionaries leave? Minn Med 95(11):28–29PubMed
Metadaten
Titel
International short-term medical missions: a systematic review of recommended practices
verfasst von
Stephanie D. Roche
Pavinarmatha Ketheeswaran
Veronika J. Wirtz
Publikationsdatum
03.09.2016
Verlag
Springer International Publishing
Erschienen in
International Journal of Public Health / Ausgabe 1/2017
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-016-0889-6

Weitere Artikel der Ausgabe 1/2017

International Journal of Public Health 1/2017 Zur Ausgabe