Obstet Gynecol. 2010 Sep;116(3):793-799. doi: 10.1097/AOG.0b013e3181f680b2.
International humanitarian medical efforts provide essential services to patients who would not otherwise have access to specific health care services. The Committees on Ethics and Global Women's Health of the American College of Obstetricians and Gynecologists encourage College Fellows and other health care professionals to participate in international humanitarian medical efforts for this reason. However, such programs present Fellows with a unique set of practical and ethical challenges. It is important for health care providers to consider these challenges before participating in international surgical efforts in these settings. Health care professionals should ensure that they have the necessary surgical competence and training, including sufficient mentorship, prior to functioning as the primary surgeon abroad. Before they perform surgery, health care professionals should ensure that patients have access to adequate medical resources and preoperative and postoperative care. They should be willing and prepared to postpone or cancel surgery when the standards of ethical medical care cannot be met and the members of the surgical team believe that the best interest of the patient cannot be achieved with the current available resources. Health care professionals' efforts should contribute to the long-term well-being of the patients and the communities being served through the ethical practice of medicine, responsible conduct of research, and investment in the sustainability of services. The care of the patient should be the highest priority for those participating in these medical programs.
国际人道主义医疗工作为那些无法获得特定医疗服务的患者提供了必要的服务。出于这个原因，美国妇产科医师学会的伦理和全球妇女健康委员会鼓励学会会员和其他医疗保健专业人员参与国际人道主义医疗工作。然而，这些项目给学会会员带来了一系列独特的实际和伦理挑战。在参与这些环境中的国际外科工作之前，医疗保健提供者考虑这些挑战非常重要。医疗保健专业人员在作为国外主要外科医生之前，应确保他们具有必要的外科能力和培训，包括足够的指导。在进行手术之前，医疗保健专业人员应确保患者有足够的医疗资源，并在术前和术后得到照顾。当无法达到伦理医疗护理标准，且手术团队成员认为无法用当前可用资源实现患者的最佳利益时，他们应该愿意并准备推迟或取消手术。医疗保健专业人员的努力应该通过医学的伦理实践、负责任的研究行为以及对服务可持续性的投资，为患者和所服务的社区的长期福祉做出贡献。对于参与这些医疗项目的人来说，患者的护理应该是最高优先事项。
