Department of Otolaryngology-Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, U.S.A.
Laryngoscope. 2020 May;130(5):E305-E310. doi: 10.1002/lary.28218. Epub 2019 Jul 30.
OBJECTIVES/HYPOTHESIS: Optimizing value of medical service trips (MSTs) requires alignment of the services provided with the needs and desires of hosts. Our aim was to understand which MST services Vietnamese otolaryngologists find most beneficial and contrast to those believed most important by volunteers.
Cross-sectional survey.
Otolaryngologists from a tertiary care institution travel to Vietnam yearly. In March 2018, surveys were distributed to Vietnamese otolaryngology faculty, residents, and US otolaryngology volunteers. The value of 11 MST-provided services were graded on a five-point Likert scale. Services included observing US otolaryngology volunteers perform surgery, US otolaryngology volunteer lectures, paper/electronic lecture material, instrument donation, minifellowships in the United States, among others. Respondents also voted for the single most important service. Responses were analyzed via Kruskal-Wallis analysis of variance and Wilcoxon rank sum test.
A total of 153 survey responses were recorded. There were 52% respondents who identified as male and 39% as female. The highest-valued services by Vietnamese otolaryngologists were didactic lectures given by US otolaryngology volunteers (4.6/5 ± 0.6), and reviewing cases with US otolaryngology volunteers in the clinic (4.4/5 ± 0.9). The least important services were instrument donation and seeing US otolaryngology volunteers assist with surgery (≤4.1/5). The highest-value services perceived by US otolaryngology volunteers were reviewing cases in the clinic and sponsoring minifellowships (4.9 ± 0.4). Vietnamese faculty perceived the single most important service to be US volunteer lectures (20/74 votes), whereas Vietnamese residents perceived minifellowships to be most important (13/34 votes) CONCLUSIONS: Vietnamese otolaryngologists desire an education-focused relationship with US otolaryngology volunteers, with didactic lectures and sponsored US fellowships having the highest value and performance of surgeries having less value.
4 Laryngoscope, 130:E305-E310, 2020.
目的/假设：优化医疗服务旅行（MST）的价值需要使提供的服务与东道主的需求和愿望保持一致。我们的目的是了解越南耳鼻喉科医生认为哪些 MST 服务最有益，并将其与志愿者认为最重要的服务进行对比。
横断面调查。
一家三级保健机构的耳鼻喉科医生每年前往越南。2018 年 3 月，向越南耳鼻喉科教师、住院医师和美国耳鼻喉科志愿者分发了调查问卷。11 项 MST 提供服务的价值通过五点 Likert 量表进行评分。服务包括观察美国耳鼻喉科志愿者进行手术、美国耳鼻喉科志愿者讲座、纸质/电子讲座材料、仪器捐赠、美国迷你奖学金等。受访者还投票选出了唯一最重要的服务。通过 Kruskal-Wallis 方差分析和 Wilcoxon 秩和检验对回复进行分析。
共记录了 153 份调查回复。52%的受访者为男性，39%为女性。越南耳鼻喉科医生认为最有价值的服务是美国耳鼻喉科志愿者的讲座（4.6/5±0.6），以及与美国耳鼻喉科志愿者一起在诊所查看病例（4.4/5±0.9）。最不重要的服务是仪器捐赠和观看美国耳鼻喉科志愿者协助手术（≤4.1/5）。美国耳鼻喉科志愿者认为最有价值的服务是在诊所查看病例和赞助迷你奖学金（4.9±0.4）。越南教师认为最重要的单一服务是美国志愿者讲座（20/74 票），而越南住院医师认为迷你奖学金最重要（13/34 票）。
越南耳鼻喉科医生希望与美国耳鼻喉科志愿者建立以教育为重点的关系，讲座和赞助的美国奖学金具有最高的价值，而手术的表现价值较低。
4 Laryngoscope，130：E305-E310，2020。
