Knoxville, Tenn.; Minneapolis and Rochester, Minn.; Cleveland, Ohio; and San Francisco, Calif. From Fort Sanders Regional Medical Center; Abbott Northeastern Hospital; the Department of Plastic Surgery, Case Western Reserve University; the Departments of Pediatrics and Anesthesia, University of California, San Francisco; and the Department of Anesthesiology, Mayo Clinic College of Medicine.
Plast Reconstr Surg. 2011 Sep;128(3):216e-222e. doi: 10.1097/PRS.0b013e31822213b4.
Many international volunteer groups provide free reconstructive plastic surgery for the poor and underserved in developing countries. An essential issue in providing this care is that it meets consistent guidelines for both quality and safety-a topic that has been addressed previously. An equally important consideration is how to provide that care in an ethical manner. No literature presently addresses the various issues involved in making those decisions.
With these ethical considerations in mind, the Volunteers in Plastic Surgery Committee of the American Society of Plastic Surgeons/Plastic Surgery Foundation undertook a project to create a comprehensive set of guidelines for volunteer groups planning to provide this type of reconstructive plastic surgery in developing countries. The committee worked in conjunction with the Society for Pediatric Anesthesia on this project.
The Board of the American Society of Plastic Surgeons/Plastic Surgery Foundation has approved the ethical guidelines created for the delivery of care in developing countries. The guidelines address the variety of ethical decisions that may be faced by a team working in an underdeveloped country. These guidelines make it possible for a humanitarian effort to anticipate the types of ethical decisions that are often encountered and be prepared to deal with them appropriately.
Any group seeking to undertake an international mission trip in plastic surgery should be able to go to one source to find a detailed discussion of the perceived needs in providing ethical humanitarian care. This document was created to satisfy that need and is a companion to our original guidelines addressing safety and quality.
许多国际志愿者组织为发展中国家的贫困和服务不足人群提供免费的重建性整形手术。提供这种护理的一个基本问题是，它符合质量和安全的一致准则——这是之前已经讨论过的问题。同样重要的考虑因素是如何以合乎道德的方式提供这种护理。目前尚无文献涉及做出这些决策所涉及的各种问题。
考虑到这些道德因素，美国整形外科学会/整形外科学基金会的整形外科志愿者委员会着手制定了一套全面的准则，供计划在发展中国家提供这种重建性整形手术的志愿者组织使用。该委员会与小儿麻醉学会合作开展了该项目。
美国整形外科学会/整形外科学基金会董事会批准了为发展中国家提供护理的道德准则。这些准则涉及到在欠发达国家工作的团队可能面临的各种道德决策。这些准则使人道主义努力能够预见经常遇到的道德决策类型，并做好适当处理这些决策的准备。
任何寻求进行整形外科学国际使命之旅的团体都应该能够从一个来源找到提供合乎道德的人道主义护理的具体需求讨论。本文件的创建是为了满足这一需求，是我们最初的关于安全和质量准则的补充。
