Kung Tiffany H, Richardson Eugene T, Mabud Tarub S, Heaney Catherine A, Jones Evaleen, Evert Jessica
Department of Medicine-Infectious Disease, Stanford University School of Medicine, Stanford, California, USA.
Division of Global Health Equity, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Med Educ. 2016 Nov;50(11):1122-1130. doi: 10.1111/medu.13106.
High-income country (HIC) trainees are undertaking global health experiences in low- and middle-income country (LMIC) host communities in increasing numbers. Although the benefits for HIC trainees are well described, the benefits and drawbacks for LMIC host communities are not well captured.
This study evaluated the perspectives of supervising physicians and local programme coordinators from LMIC host communities who engaged with HIC trainees in the context of the latter's short-term experiences in global health.
Thirty-five semi-structured interviews were conducted with LMIC host community collaborators with a US-based, non-profit global health education organisation. Interviews took place in La Paz, Bolivia and New Delhi, India. Interview transcripts were assessed for recurrent themes using thematic analysis.
Benefits for hosts included improvements in job satisfaction, local prestige, global connectedness, local networks, leadership skills, resources and sense of efficacy within their communities. Host collaborators called for improvements in HIC trainee attitudes and behaviours, and asked that trainees not make promises they would not fulfil. Findings also provided evidence of a desire for parity between the opportunities afforded to US-based staff and those available to LMIC-based partners.
This study provides important insights into the perspectives of LMIC host community members in the context of short-term experiences in global health for HIC trainees. We hope to inform the behaviour of HIC trainees and institutions with regard to international partnerships and global health activities.
高收入国家（HIC）的实习生越来越多地在低收入和中等收入国家（LMIC）的东道社区开展全球健康体验活动。尽管高收入国家实习生所获得的益处已有详尽描述，但低收入和中等收入国家东道社区所获得的益处和弊端却未得到充分体现。
本研究评估了低收入和中等收入国家东道社区的指导医师和当地项目协调员对于与高收入国家实习生开展全球健康短期体验活动的看法。
对与一家美国非营利性全球健康教育组织合作的低收入和中等收入国家东道社区的合作者进行了35次半结构化访谈。访谈在玻利维亚的拉巴斯和印度的新德里进行。使用主题分析法对访谈记录进行反复出现的主题评估。
东道方获得的益处包括工作满意度提高、当地声誉提升、全球联系增强、当地网络拓展、领导能力提升、资源增加以及社区内的效能感增强。东道社区合作者呼吁改善高收入国家实习生的态度和行为，并要求实习生不要做出无法兑现的承诺。研究结果还表明，人们希望美国工作人员与低收入和中等收入国家合作伙伴所获得的机会能够平等。
本研究为低收入和中等收入国家东道社区成员在高收入国家实习生全球健康短期体验活动中的看法提供了重要见解。我们希望为高收入国家实习生及机构在国际合作关系和全球健康活动方面的行为提供参考。
