Carbone Sarah, Wigle Jannah, Akseer Nadia, Barac Raluca, Barwick Melanie, Zlotkin Stanley
Centre for Global Child Health, The Hospital for Sick Children, 686 Bay St, Toronto, ON, M5G A4, Canada.
Global Health. 2017 May 22;13(1):27. doi: 10.1186/s12992-017-0250-8.
Leading children's hospitals in high-income settings have become heavily engaged in international child health research and educational activities. These programs aim to provide benefit to the institutions, children and families in the overseas locations where they are implemented. Few studies have measured the actual reciprocal value of this work for the home institutions and for individual staff who participate in these overseas activities. Our objective was to estimate the perceived reciprocal value of health professionals' participation in global child health-related work. Benefits were measured in the form of skills, knowledge and attitude strengthening as estimated by an adapted Global Health Competency Model.
A survey questionnaire was developed following a comprehensive review of literature and key competency models. It was distributed to all health professionals at the Hospital for Sick Children with prior international work experience (n = 478).
One hundred fifty six health professionals completed the survey (34%). A score of 0 represented negligible value gained and a score of 100 indicated significant capacity improvement. The mean respondent improvement score was 57 (95% CI 53-62) suggesting improved overall competency resulting from their international experiences. Mean scores were >50% in 8 of 10 domains. Overall scores suggest that international work brought value to the hospital and over half responded that their international experience would influence their decision to stay on at the hospital.
The findings offer tangible examples of how global child health work conducted outside of one's home institution impacts staff and health systems locally.
高收入环境下的领先儿童医院已深度参与国际儿童健康研究和教育活动。这些项目旨在为其实施所在海外地区的机构、儿童和家庭带来益处。很少有研究衡量这项工作对国内机构以及参与这些海外活动的个人工作人员的实际互惠价值。我们的目标是评估卫生专业人员参与全球儿童健康相关工作的感知互惠价值。益处是以通过适应性全球健康能力模型估计的技能、知识和态度强化形式来衡量的。
在对文献和关键能力模型进行全面审查后制定了一份调查问卷。将其分发给病童医院所有有过国际工作经验的卫生专业人员（n = 478）。
156名卫生专业人员完成了调查（34%）。分数为0表示获得的价值可忽略不计，分数为100表示能力有显著提升。受访者的平均提升分数为57（95%置信区间53 - 62），表明他们的国际经历使整体能力得到了提高。10个领域中有8个领域的平均分数>50%。总体分数表明国际工作给医院带来了价值，超过半数的受访者表示他们的国际经历会影响他们留在医院的决定。
研究结果提供了切实的例子，说明在本国机构之外开展的全球儿童健康工作如何对当地工作人员和卫生系统产生影响。
