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From Short-term Surgical Missions Towards Sustainable Partnerships

2020年11月25日 更新者: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.

研究概览

地位

完全的

研究类型

观察性的

注册 (实际的)

61

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • Noord Holland
      • Amsterdam、Noord Holland、荷兰、1105BD
        • Global surgery amsterdam

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 孩子
  • 成人
  • 年长者

接受健康志愿者

是的

有资格学习的性别

全部

取样方法

非概率样本

研究人群

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

描述

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:

-

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Q7: Country Where the Last Mission Took Place
大体时间: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
大体时间: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
大体时间: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
大体时间:approximately 20 minutes
List of countries where the supporting NGOs of the last mission are based
approximately 20 minutes
Q11: Importance of Potential Activities
大体时间: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.
大体时间: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
大体时间: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
大体时间: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
大体时间: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?
大体时间: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
大体时间: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
大体时间: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.
大体时间: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.
大体时间: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

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2019年6月1日

初级完成 (实际的)

2019年10月30日

研究完成 (实际的)

2019年10月30日

研究注册日期

首次提交

2020年6月20日

首先提交符合 QC 标准的

2020年6月29日

首次发布 (实际的)

2020年6月30日

研究记录更新

最后更新发布 (实际的)

2020年12月19日

上次提交的符合 QC 标准的更新

2020年11月25日

最后验证

2020年11月1日

更多信息

与本研究相关的术语

其他研究编号

  • 2020-01

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

是的

IPD 计划说明

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

IPD 共享时间框架

ASAP

IPD 共享支持信息类型

  • 研究方案

药物和器械信息、研究文件

研究美国 FDA 监管的药品

研究美国 FDA 监管的设备产品

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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