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医疗传教的伦理问题:临床医生的观点。

Ethical issues of medical missions: the clinicians' view.

作者信息

Ott Barbara B, Olson Robert M

机构信息

College of Nursing, Villanova University, Villanova, PA, USA.

出版信息

HEC Forum. 2011 Jun;23(2):105-13. doi: 10.1007/s10730-011-9154-9.

DOI:10.1007/s10730-011-9154-9
PMID:21598049
Abstract

Surgery is an important part of health care worldwide. Without access to surgical treatments, morbidity and mortality increase. Access to surgical treatment is a significant problem in global public health because surgical services are not equally distributed in the world. There is a disproportionate scarcity of surgical access in low-income countries. There are many charitable organizations around the world that sponsor surgical missions to under served nations. One such organization is Operation Smile International, a group with which both authors have volunteered. This paper will describe the purpose and processes involved in Operation Smile and identify some of the key ethical issues that arise in short term medical volunteer work highlighting the importance of sustainability.

摘要

手术是全球医疗保健的重要组成部分。如果无法获得外科治疗,发病率和死亡率将会上升。获得外科治疗是全球公共卫生领域的一个重大问题,因为外科服务在世界上分布不均。低收入国家在外科治疗可及性方面存在严重的短缺。世界各地有许多慈善组织赞助前往医疗服务不足国家的外科医疗任务。“微笑行动”国际组织就是这样一个组织,两位作者都曾在该组织做过志愿者。本文将描述“微笑行动”的目的和流程,并指出短期医疗志愿者工作中出现的一些关键伦理问题,强调可持续性的重要性。

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2
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本文引用的文献

1
Population health metrics for surgery: effective coverage of surgical services in low-income and middle-income countries.外科手术的人群健康指标:低收入和中等收入国家外科服务的有效覆盖情况
World J Surg. 2009 Jan;33(1):1-5. doi: 10.1007/s00268-008-9799-y.
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The burden of surgical conditions and access to surgical care in low- and middle-income countries.低收入和中等收入国家的外科疾病负担及获得外科治疗的情况。
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全球卫生领域培训范围外行医的程度、性质和后果。
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More harm than good? The questionable ethics of medical volunteering and international student placements.弊大于利?医疗志愿服务和国际学生实习项目中存在问题的伦理道德
Trop Dis Travel Med Vaccines. 2017 Mar 6;3:5. doi: 10.1186/s40794-017-0048-y. eCollection 2017.
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Effects of short-term medical mission trips to Chiapas, Mexico, on the religiosity of the missionaries.前往墨西哥恰帕斯州的短期医疗传教之旅对传教士宗教信仰的影响。
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全球手术量的估计:基于现有数据的建模策略。
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Ethical issues in vesico-vaginal fistula care and research.膀胱阴道瘘护理与研究中的伦理问题。
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A model for sustainable short-term international medical trips.可持续短期国际医疗旅行模式。
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Introduction of microsurgery in Vietnam by a charitable organization: a 15-year experience.一个慈善组织在越南开展显微外科手术的介绍:15年经验
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