Chiu Ya-Wen, Weng Yi-Hao, Chen Chih-Fu, Yang Chun-Yuh, Lee Ming-Liang
Division of Preventive Medicine and Health Services Research, Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan
Department of Pediatrics, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taipei, Taiwan.
Eval Health Prof. 2014 Sep;37(3):379-93. doi: 10.1177/0163278712461503. Epub 2012 Oct 10.
This study investigated the perceptions of short-term assignments of medical services among participating health care professionals dispatched from Taiwan to underdeveloped areas. Structured questionnaires were mailed to four groups of professionals (physicians, pharmacists, nurses, and public health personnel) who had participated in any of 88 medical missions dispatched to 24 allied nations. A total of 278 returns were valid for analysis. Among them, 222 respondents reported that they had participated in just one overseas medical mission (79.9%). The majority of physicians, pharmacists, and nurses listed humanitarianism as their foremost incentive for participation. In contrast, public health personnel most frequently reported that they had been assigned to the mission abroad. Pharmacists, nurses, and public health personnel most commonly stated that their top goal was health care; but physicians said that aiding Taiwan's diplomatic relations was their main motive. While all groups generally recognized language proficiency and cultural awareness as important for conducting successful short-term medical aid missions (STMMs), many members of groups did not rate their own capabilities in those area as sufficient, especially pharmacists (p < .001). Orientation for participants and training for local health workers were seen as relatively insufficient. In conclusion, there are considerable differences in the thoughts about STMMs across four key groups of heath personnel. The findings can help inform efforts to integrate evidence into the deployment of STMMs.
本研究调查了从台湾派遣至欠发达地区的参与医疗服务的医护专业人员对短期任务的看法。向参与了派往24个盟国的88次医疗任务的四组专业人员（医生、药剂师、护士和公共卫生人员）邮寄了结构化问卷。共有278份有效回复可供分析。其中，222名受访者表示他们只参加过一次海外医疗任务（79.9%）。大多数医生、药剂师和护士将人道主义作为他们参与的首要动机。相比之下，公共卫生人员最常报告说他们是被派往国外执行任务的。药剂师、护士和公共卫生人员最常表示他们的首要目标是医疗保健；但医生表示，协助台湾的外交关系是他们的主要动机。虽然所有组普遍认为语言能力和文化意识对成功开展短期医疗援助任务（STMMs）很重要，但许多组的成员并不认为自己在这些方面的能力足够，尤其是药剂师（p < .001）。对参与者的培训和对当地卫生工作者的培训被认为相对不足。总之，四类关键卫生人员对短期医疗援助任务的看法存在相当大的差异。这些发现有助于为将证据纳入短期医疗援助任务部署的工作提供参考。
