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From Short-term Surgical Missions Towards Sustainable Partnerships

25 listopada 2020 zaktualizowane przez: Matthijs Botman, Global Surgery Amsterdam

From Short-term Surgical Missions Towards Sustainable Partnerships. A Survey Among Members of Foreign Teams

Introduction: Recently, the devastating consequences of neglected surgical care in global health became apparent with an estimated five billion people lacking access to safe surgical and anesthesia care. Traditionally, short-term surgical missions were the predominant strategy how surgical care was supported in Low- and Middle-Income Countries. Although surgical missions have been criticized in recent literature they are still being performed on a large scale. The aim of this study is to provide recommendations for persons and organizations involved in surgical mission on how to strengthen surgical care in LMICs in the future.

Method: An online survey was developed for members of foreign teams. Data was collected on 5 topics, consisting of: 1) basic characteristics of the missions, 2) main activities, 2) follow-up and reporting, 3) the local registration process for foreign teams and 4) collaboration with local stakeholders.

Przegląd badań

Status

Zakończony

Interwencja / Leczenie

Typ studiów

Obserwacyjny

Zapisy (Rzeczywisty)

61

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Lokalizacje studiów

    • Noord Holland
      • Amsterdam, Noord Holland, Holandia, 1105BD
        • Global surgery amsterdam

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

  • Dziecko
  • Dorosły
  • Starszy dorosły

Akceptuje zdrowych ochotników

Tak

Płeć kwalifikująca się do nauki

Wszystko

Metoda próbkowania

Próbka bez prawdopodobieństwa

Badana populacja

An international group of members of foreign teams, that did participate in at least one short-term surgical mission in a hospital in a LMIC

Opis

Inclusion Criteria:

Members of foreign teams, that did participate in at least one short-term surgical mission in a hospital in a LMIC

Exclusion Criteria:

-

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
Q7: Country Where the Last Mission Took Place
Ramy czasowe: approximately 20 minutes
Answer on the question: What was the country where your last mission took place?
approximately 20 minutes
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Ramy czasowe: approximately 20 minutes
List with names of the places and hospitals where the last mission took place
approximately 20 minutes
Q9: Number of Participants Per Organization
Ramy czasowe: approximately 20 minutes
Name of the organization that supported the last mission of the participant
approximately 20 minutes
Q10: Countries Where the NGOs Are Based
Ramy czasowe: approximately 20 minutes
List of countries where the supporting NGOs of the last mission are based
approximately 20 minutes
Q11: Importance of Potential Activities
Ramy czasowe: approximately 20 minutes

Points provided (1-4) for four potential activities of a visiting team (more points = more important activity) The points provided by all participants are summed per specific activity and the total scores are compared

The four potential activities are:

  • Treat patients yourself
  • Provide surgical equipment and consumables for the local team
  • Provide free treatment
  • Facilitate teaching of local staff

Scale with importance of potential activities. Maximum score: 4x58 = 232

approximately 20 minutes
Q12: Activities That Where Missing in Question 11.
Ramy czasowe: approximately 20 minutes

Respondents that were missing this activity as an option in question 11

Total number of respondents that were missing an activity: 29

Activities that were missing:

  • Financial collaboration
  • Advocacy
  • Academic collaboration
  • Sustainability
  • Collaboration with local staff
  • Follow-up
approximately 20 minutes
Q13. Medical Registration is Required in the Host Country
Ramy czasowe: approximately 20 minutes

Medical registration in the host country is required for specialists performing short-term reconstructive missions

Participants of the survey were asked what they think of this statement:

  • Strongly agree
  • Agree
  • Neither agree nor disagree
  • Disagree
  • Strongly disagree
approximately 20 minutes
Q14: The Process of Obtaining Medical Registration Was Straightforward
Ramy czasowe: approximately 20 minutes

The Process of Obtaining Medical Registration Was Straightforward

Participants of the survey were asked what they think of this statement:

  • Strongly agree
  • Agree
  • Neither agree nor disagree
  • Disagree
  • Strongly disagree
approximately 20 minutes
Q15: Collaboration
Ramy czasowe: approximately 20 minutes

What can you say about the collaboration between authorities in LMICs and visiting surgical teams?

Participants of the survey were asked to choose one of the following answers on this question:

  • collaboration is present but improvement is needed
  • there is no collaboration and it should be developed as a priority
  • collaboration has no benefits nor disadvantages
  • collaboration will likely be more harmful than beneficial for the mission
approximately 20 minutes
Q16. What Should Have a Higher Priority in the Hospital of Your Last Mission?
Ramy czasowe: approximately 20 minutes

What should have a higher priority in the hospital of your last mission ?

Respondents were asked to choose on the these two answers:

Teaching in anesthesia care or teaching in surgical care

approximately 20 minutes
Q17. A Structured Follow-up Strategy is Required
Ramy czasowe: approximately 20 minutes

A structured follow-up strategy (>6 months) of patients is required for short-term reconstructive surgical missions.

Participants of the survey were asked what they think of this statement:

  • Strongly agree
  • Agree
  • Neither agree nor disagree
  • Disagree
  • Strongly disagree
approximately 20 minutes
Q18. One Month After the Mission, an Official Report is Recommended
Ramy czasowe: approximately 20 minutes

One month after the mission, an official report on the outcome including all complications encountered is recommended for all missions.

Participants of the survey were asked what they think of this statement:

  • Strongly agree
  • Agree
  • Neither agree nor disagree
  • Disagree
  • Strongly disagree
approximately 20 minutes
Q19. A Written Long-term Strategy is Recommended at the Start of a New Project.
Ramy czasowe: approximately 20 minutes

A written long-term strategy (>5 years) with clear goals, developed by the visiting team and the local actors together, is recommended at the start of a new project.

Participants of the survey were asked what they think of this statement:

  • Strongly agree
  • Agree
  • Neither agree nor disagree
  • Disagree
  • Strongly disagree
approximately 20 minutes
Q20. Suggestions to Improve the Impact of Short Term Reconstructive Missions.
Ramy czasowe: approximately 20 minutes

What would you suggest to improve the impact of short term reconstructive missions?

The answers were categorized and the three most mentioned categories are:

  • Teaching of local staff
  • Follow-up
  • Building sustainable partnerships

The three activities were mentioned in total 68 times in the comments The distribution among the three categories is shown below

approximately 20 minutes

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Rzeczywisty)

1 czerwca 2019

Zakończenie podstawowe (Rzeczywisty)

30 października 2019

Ukończenie studiów (Rzeczywisty)

30 października 2019

Daty rejestracji na studia

Pierwszy przesłany

20 czerwca 2020

Pierwszy przesłany, który spełnia kryteria kontroli jakości

29 czerwca 2020

Pierwszy wysłany (Rzeczywisty)

30 czerwca 2020

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

19 grudnia 2020

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

25 listopada 2020

Ostatnia weryfikacja

1 listopada 2020

Więcej informacji

Terminy związane z tym badaniem

Inne numery identyfikacyjne badania

  • 2020-01

Plan dla danych uczestnika indywidualnego (IPD)

Planujesz udostępniać dane poszczególnych uczestników (IPD)?

TAK

Opis planu IPD

Individual participant data will be shared anonymously on this platform as requested by the journal of submission (int,. journal of surgery)

Ramy czasowe udostępniania IPD

ASAP

Typ informacji pomocniczych dotyczących udostępniania IPD

  • PROTOKÓŁ BADANIA

Informacje o lekach i urządzeniach, dokumenty badawcze

Bada produkt leczniczy regulowany przez amerykańską FDA

Nie

Bada produkt urządzenia regulowany przez amerykańską FDA

Nie

Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .

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