Boeck Marissa A, Goodman Laura F, Lin Yihan, Wilczak Brittanie, Tefera Girma
Division of Trauma and Critical Care, Northwestern University Feinberg School of Medicine, NMH/Arkes Family Pavilion Suite 650, 676 N Saint Clair, Chicago, IL, 60611, USA.
Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Harvard T.H. Chan School of Public Health, One Brigham, Circle, 1620 Tremont St 4-020, Boston, MA, 02120, USA.
World J Surg. 2018 Jul;42(7):2018-2027. doi: 10.1007/s00268-017-4448-y.
Five billion people worldwide lack access to safe surgery. American College of Surgeons (ACS) members have a strong history of humanitarian and volunteer work. Since its founding in 2004, Operation Giving Back (OGB) has served as a volunteer resource portal. This study sought to understand current activities, needs, and barriers to ACS member volunteerism, and to re-assess the role of OGB.
A 25-question electronic survey was sent to ACS members in August 2015. Utilizing branching logic, those who were involved or interested in volunteerism completed the full survey. Data were assessed using univariable analysis methods.
Three percent (n = 1764) of those e-mailed answered the survey. Respondents were mostly men (82%), ≥50 years of age (61%), and general surgeons (70%). Fifty-three percent (n = 937) reported current or past volunteer activities, and 76.5% (n = 1349) were interested in activities within three years. Approximately 84% were interested in international volunteerism and 55% in domestic volunteerism. Few (5.7%) had both training and experience in emergency and disaster response, and only 17% had institutional salary support. Eighty-two percent wished to work with OGB, and 418 indicated organizations with whom they are involved could benefit from OGB collaboration.
Interest in surgical volunteerism among ACS member survey respondents is high. OGB has the opportunity to meet member needs by developing programmatic activities, identifying volunteer prospects, facilitating multi-institutional consortia, and leading pre-deployment training. By maximizing volunteer efforts, OGB has the potential to foster sustainable and scalable ethical practices to improve basic access to surgical care globally.
全球有50亿人无法获得安全的外科手术。美国外科医师学会（ACS）成员有着悠久的人道主义和志愿工作历史。自2004年成立以来，“回馈行动”（OGB）一直是一个志愿者资源平台。本研究旨在了解ACS成员志愿服务的当前活动、需求和障碍，并重新评估OGB的作用。
2015年8月向ACS成员发送了一份包含25个问题的电子调查问卷。利用分支逻辑，那些参与或对志愿服务感兴趣的人完成了完整的调查。使用单变量分析方法评估数据。
收到电子邮件的人中3%（n = 1764）回复了调查。受访者大多为男性（82%），年龄≥50岁（61%），普通外科医生（70%）。53%（n = 937）报告了当前或过去的志愿活动，76.5%（n = 1349）对三年内的活动感兴趣。约84%对国际志愿服务感兴趣，55%对国内志愿服务感兴趣。很少有人（5.7%）在应急和灾害应对方面既有培训又有经验，只有17%有机构薪资支持。82%希望与OGB合作，418人表示他们参与的组织可从与OGB的合作中受益。
ACS成员调查受访者对外科志愿服务的兴趣很高。OGB有机会通过开展项目活动、确定志愿者候选人、促进多机构联盟以及开展部署前培训来满足成员需求。通过最大限度地发挥志愿者的作用，OGB有潜力促进可持续和可扩展的道德实践，以改善全球基本外科护理的可及性。
