Department of Surgery, University of California at San Francisco, San Francisco, CA.
Department of Surgery, Obafemi Awolowo University, Ile Ife, Nigeria.
Ann Surg. 2020 Mar;271(3):460-469. doi: 10.1097/SLA.0000000000003640.
: Most surgeons from high-income countries who work in global surgery will do so through partnerships between their institutions and institutions in low- and middle-income countries (LMICs). In this article, the American Surgical Association Working Group for Global Surgery lays out recommendations for criteria that contribute to equitable, sustainable, and effective partnerships. These include ethically engaging with the LMIC partner institution by putting its interests first and by proactively seeking to be aware of cultural issues. Formally structuring the partnership with a memorandum of understanding and clearly designating leaders at both institutions are important criteria for assuring long-term sustainability. Needs assessments can be done using existing methods, such as those established for development of national surgical, obstetric, and anesthesia plans. Such assessments help to identify opportunities for partnerships to be most effective in addressing the biggest surgical needs in the LMIC. Examples of successful high-income countries-LMIC partnerships are provided.
: 大多数在全球外科领域工作的高收入国家的外科医生，将通过其所在机构与中低收入国家（LMICs）机构之间的伙伴关系来实现这一目标。在本文中，美国外科协会全球外科工作组为有助于公平、可持续和有效的伙伴关系的标准提出了建议。这些建议包括通过将 LMIC 伙伴机构的利益放在首位，并积极主动地寻求了解文化问题，与 LMIC 伙伴机构进行道德接触。通过谅解备忘录正式构建伙伴关系，并明确指定两个机构的领导者，是确保长期可持续性的重要标准。可以使用现有的方法（例如为制定国家外科、产科和麻醉计划而建立的方法）进行需求评估。这些评估有助于确定伙伴关系在解决 LMIC 中最大的外科需求方面最有效的机会。提供了成功的高收入国家-LMIC 伙伴关系的例子。
