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将全球标准应用于短期全球卫生临床体验:以“健康与和平计划”为例。

Applying global standards to short-term global health clinical experiences: the case of Project Salud y Paz.

机构信息

Midwestern University Arizona College of Osteopathic Medicine, Glendale, AZ, USA.

, Phoenix, USA.

出版信息

Global Health. 2019 Jan 9;15(1):5. doi: 10.1186/s12992-018-0445-7.

DOI:10.1186/s12992-018-0445-7
PMID:30626419
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6327382/
Abstract

This case study was extracted from an administrative report generated for Project Salud y Paz (SYP), a non-governmental organization (NGO) that supports short term global health clinical experiences (STGHCE) in Guatemala. As a basis to generate criticisms and offer recommendations, the analysis used the shared themes of two sets of standards recently published by Globalization and Health (GH) and the American College of Physicians (ACP). These standards respectively address the ethical responsibilities of organizations and of physicians in the conduct of STGHCE. Information used in the original quality analysis and quality improvement consultation for SYP was gathered from interviews, medical committee minutes, output statistics, and observations in the course of a real-time trip. This case study describes how the standards served as a useful lens to assess SYP and as a platform from which to make recommendations for improved compliance with global conventions. Additionally, the standards provide SYP a body of consensus wisdom for holding itself accountable to patients, host communities, volunteers, and the donor community on a continuing basis. While the shared themes of these standards are intentionally broad and require context in their application, NGOs that support STGHCE may find it instructive to benchmark them to assure their own compliance with global standards for both the organization and their volunteer physicians.

摘要

本案例研究取自一个行政报告,该报告是为支持危地马拉短期全球卫生临床体验(STGHCE)的非政府组织“健康与和平项目”(SYP)生成的。作为提出批评和建议的基础,该分析使用了最近由《全球化与健康》(GH)和美国医师学院(ACP)发布的两套标准的共同主题。这些标准分别涉及组织和医生在进行 STGHCE 时的道德责任。用于对 SYP 进行原始质量分析和质量改进咨询的信息是从访谈、医学委员会记录、输出统计数据和实时旅行过程中的观察中收集的。本案例研究描述了这些标准如何作为评估 SYP 的有用工具,以及作为提出改进全球公约合规性建议的平台。此外,这些标准为 SYP 提供了一套共识智慧,使其能够持续对患者、接待社区、志愿者和捐助社区负责。虽然这些标准的共同主题是有意广泛的,并需要在其应用中考虑到背景,但支持 STGHCE 的非政府组织可能会发现将其作为基准以确保其自身符合组织和志愿者医生的全球标准是有益的。

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引用本文的文献

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Global Health. 2022 Feb 19;18(1):19. doi: 10.1186/s12992-022-00815-7.

本文引用的文献

1
Ethical Obligations Regarding Short-Term Global Health Clinical Experiences: An American College of Physicians Position Paper.关于短期全球卫生临床体验的道德义务:美国医师学院立场文件。
Ann Intern Med. 2018 May 1;168(9):651-657. doi: 10.7326/M17-3361. Epub 2018 Mar 27.
2
Guidelines for responsible short-term global health activities: developing common principles.负责任的短期全球卫生活动指南:制定共同原则。
Global Health. 2018 Feb 7;14(1):18. doi: 10.1186/s12992-018-0330-4.
3
Demographic profile of physician participants in short-term medical missions.参与短期医疗任务的医生参与者的人口统计学概况。
BMC Health Serv Res. 2016 Dec 7;16(1):682. doi: 10.1186/s12913-016-1929-x.
4
Economic assessment of US physician participation in short-term medical missions.美国医生参与短期医疗任务的经济评估。
Global Health. 2016 Aug 22;12(1):45. doi: 10.1186/s12992-016-0183-7.
5
Brain Gains: a literature review of medical missions to low and middle-income countries.脑增益:对向低收入和中等收入国家派遣医疗队的文献综述。
BMC Health Serv Res. 2012 May 29;12:134. doi: 10.1186/1472-6963-12-134.