服务旅行审核工具评估短期医疗任务质量的可靠性。

Reliability of the Service Trip Audit Tool to assess the quality of short-term medical missions.

机构信息

McMaster University, 1280 Main St West, Hamilton, ON, Canada, L8S 4L8.

Department of Public Health Sciences, University of Toronto, 155 College Street Toronto, ON M5T 3M7 Canada.

出版信息

Int Health. 2021 Dec 1;13(6):606-614. doi: 10.1093/inthealth/ihaa006.

DOI:10.1093/inthealth/ihaa006

PMID:32176774

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8643480/

Abstract

BACKGROUND

We aimed to assess the adherence of short-term medical missions (STMMs) operating in Latin America and the Caribbean (LAC) to key best practices using the Service Trip Audit Tool (STAT) and to calculate the inter-rater reliability of the data points. This tool was based on a previously published inventory of 18 STMM best practices.

METHODS

Programme administrators and recent volunteers from 335 North American organizations offering STMMs in LAC were invited to complete the STAT anonymously online. Adherence to each of 18 best practices was reported as either 'yes', 'no' or 'not sure'. Fleiss' κ was used to assess inter-rater agreement of the responses.

RESULTS

A total of 194 individuals from 102 organizations completed the STAT (response rate 30.4%; 102/335 organizations) between 12 July and 7 August 2017. Reported adherence was >80% for 9 of 18 best practices. For 37 non-governmental organizations (NGOs) with multiple raters, inter-rater agreement was moderate to substantial (κ>0.4) for 12 of 18 best practices.

CONCLUSIONS

This is the first study to evaluate adherence to STMM best practices. Such an objective evaluation will be valuable to governments, volunteers and NGO donors who have an interest in identifying high-quality partners. Assessment and monitoring of STMMs through self-audit may be foundational steps towards quality improvement.

摘要

背景

本研究旨在使用短期医疗任务审核工具（Service Trip Audit Tool，STAT）评估在拉丁美洲和加勒比地区（LAC）开展的短期医疗任务（short-term medical mission，STMM）对关键最佳实践的遵循情况，并计算数据点的组内相关系数（intra-rater reliability）。该工具基于之前发布的 18 项 STMM 最佳实践清单。

方法

邀请来自在 LAC 提供 STMM 的 335 个北美组织的项目管理人员和最近的志愿者匿名在线完成 STAT。对于 18 项最佳实践中的每一项，报告结果均为“是”“否”或“不确定”。采用 Fleiss' κ 评估应答者之间的组内一致性。

结果

2017 年 7 月 12 日至 8 月 7 日，共有 102 个组织的 194 人完成了 STAT（应答率为 30.4%，102/335 个组织）。18 项最佳实践中有 9 项的报告遵循率>80%。对于 37 个有多个应答者的非政府组织（NGO），18 项最佳实践中有 12 项的组内一致性为中度至高度（κ>0.4）。