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Journal articles on the topic 'Short term medical mission'

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Author: Grafiati

Published: 10 December 2022

Last updated: 29 January 2023

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1

P, Clarós, Cygan A., and Clarós A. "Key Points on Short Term Medical Mission International organization on Orofacial cleft." Dentistry and Oral Maxillofacial Surgery 4, no. 1 (September 30, 2021): 01–13. http://dx.doi.org/10.31579/2643-6612/019.

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Background: Children suffering from congenital facial malformations in underdeveloped countries are the main objective of the STMMIs with the aim of easing their lives. Clarós Foundation (CF) has carried out 115 missions worldwide with the aim, among others, of treating patients with this type of orofacial cleft malformation. We think that the experience we have acquired in this field can be transmitted to new NGOs institutions that want or wish to continue in this line. The optimization of the use of means and human resources, both from the NGO and the local health workers, will make it possible to achieve greater outcomes and results when applied in the development of Short Term Medical Mission International (STMMIs) missions. Material and Methods: We present the experience CF has acquired throughout the various STMMIs it has accomplished, during a period of 7 days each, specifying the details of its organization, patient selection, preparation of the surgery and its performance, in a well- organized manner to be fast, effective and safe in its results. During each of the 115 missions, the medical team has treated patients with this congenital pathology, in different proportions that go from 90% of the total cases to only 10% of the patients attended. The surgical techniques applied are those used in our medical center in Barcelona, which we may say, are the state-of-the-art surgical techniques used by the most advancedcenters. Results: A total of 1725 patientsunderwent surgery throughout 115 STMMIs, averageduration of 7 days each,115 STMMIs by 15 cases average. During this time 925 patients were operated for cleft lip and 800 patients for cleft palate. Male patients accounted for 58% and female for 42%. According to the age of the patients we found that the majority of cases were operated on babies 68.35% (1.179 neonatal period); 20.2% on children (300 cases) and (19.76%) adolescents (233 cases); and 1.10% adults in the 20-67 age range (13 cases). Of the total number of operated patients(1.725), there have been few immediate and late postoperative complications, but we estimate them at 11%. Conclusion: International cooperation between experienced NGOs and local medical teams turn out to be much more effective, less expensive and with better clinical results than those obtained without this collaboration. This organizational model can be very useful in order to know the details that these missions entail and apply them in your own activities.

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2

Clarós, Pedro. "Legal framework governing Short-Term Medical Missions." Clinical Medical Reviews and Reports 3, no. 4 (April 6, 2021): 01–05. http://dx.doi.org/10.31579/2690-8794/072.

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The presence and influence of Non-Governmental Organizations (NGOs) in the landscape of global health and development have dramatically increased over the past several decades. Increasingly, Medical Practitioners in industrialized countries have become interested in global health issues, an interest that often takes the form of Short-Term international Medical Missions (STMMs). His article will aim to help Medical Practitioners to have a synthetic overview of the legal framework governing medical volunteering in STMMs and give them some recommendations. The idea of this article started from the need to have an overview of the legal framework governing medical volunteering missions organized by the Claros’s Foundation named "Foundation Clarós" (hereinafter also "FC"). To better understand who this article is addressed to, it is interesting to bring to your attention the concrete case from which this article was born. The following is a brief outline of what FC is all about. FC is a private, non-profit organization (NGO) whose aim is to provide medical care and alleviate the suffering of people in health and medical precarious situations.

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Matlick, Garrett Logan. "Short-Term Medical Missions." AJN, American Journal of Nursing 118, no. 4 (April 2018): 11. http://dx.doi.org/10.1097/01.naj.0000532052.89405.cb.

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Malay, D. Scot. "Short-Term Medical Missions." Journal of Foot and Ankle Surgery 56, no. 2 (March 2017): 219. http://dx.doi.org/10.1053/j.jfas.2017.01.035.

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Bido, Jennifer, Sara J. Singer, Desirée Diez Portela, Roya Ghazinouri, Daniel A. Driscoll, Luis Alcantara Abreu, Barbara M. Aggouras, Thomas S. Thornhill, and Jeffrey N. Katz. "Sustainability Assessment of a Short-Term International Medical Mission." Journal of Bone and Joint Surgery-American Volume 97, no. 11 (June 2015): 944–49. http://dx.doi.org/10.2106/jbjs.n.01119.

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Long, Kristin L., Mark Cohen, and Nancy Perrier. "Pay It forward: Strategies for Successful Implementation of Short-term Endocrine Surgical Mission." World Journal of Endocrine Surgery 8, no. 2 (2016): 137–40. http://dx.doi.org/10.5005/jp-journals-10002-1177.

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ABSTRACT Introduction With increasing interest in humanitarian surgical efforts, numerous opportunities for specialized mission trips have developed. Extreme short-term surgical “blitzes” of specialist teams have offered much-needed surgical care but lack efforts for patient continuity and local sustainability. We sought to define characteristics that aid in the long-term success of short-term international surgical missions to better apply this insight toward future dedicated humanitarian endocrine surgical efforts. Materials and methods A broad search engine review identified 1,954 reports of medical and surgical missions. One hundred and sixty-six of these abstracts involved surgical missions from 2009 to 2014 with 24 articles including details of specific mission trips. We identified factors deemed essential for improving patient care and affecting local infrastructure for longterm sustainability and included our prospective experience with an endocrine surgery-specific mission trip for comparison. Results Of the 24 articles reviewed, missions went to Africa (9), North America (8), South America (5), and Asia (5). Factors for mission sustainability and success included the following: (a) ability to educate local physicians and trainees, (b) multiple return trips to the same location, and (c) formal pre-mission planning and site visits. Emerging interest is on optimizing patient outcomes and cost-effectiveness. Conclusion Short-term surgical missions require a local infrastructure for optimal patient outcomes. Sustainability hinges on education and involvement of local physicians and surgical trainees, pre-mission planning, and return trips to the same location. For endocrine surgical missions, preoperative evaluation and postoperative follow-up by the operating surgeon is important for optimizing performance and outcomes. How to cite this article Long KL, Cohen M, Perrier N. Pay It forward: Strategies for Successful Implementation of Short-term Endocrine Surgical Mission. World J Endoc Surg 2016;8(2):137-140.

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Meidl, Katherine A., Joseph M. Meidl, Laura R. Meidl, and Erik J. Meidl. "Effects of Short–Term Medical Mission Trips to Chiapas, Mexico, on the Religiosity of the Missionaries." Linacre Quarterly 84, no. 2 (May 2017): 115–29. http://dx.doi.org/10.1080/00243639.2016.1268800.

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This study evaluates the effects that short-term, foreign, Catholic medical mission trips had on the religiosity of the United States-based participants. The subjects of this study participated in Catholic medical missions to Chiapas State, Mexico, in 2014 and 2015. Twenty-two of forty-two participants responded to a survey to assess for any changes in their religiosity and associated attitudes and behaviors. The results revealed that participation in the medical mission was associated with a significant increase in non-organizational religious activity, intrinsic religiosity, concern for health disparities and the burden of illness in the developing world, the promotion of further missions, the provision of service and/or monetary aid to the poor in the missionary's local community, and an increased likelihood to discuss the Christian faith in conversations with others. There was no statistically significant association with organizational religious activity or local participation in evangelization activities. Summary This article reports on the changes seen in the religious attitudes and charitable works performed following participation in a short-term medical mission. After serving on a mission trip to Mexico, we found that United States-based missionaries had an increase in their private religious activities, felt closer to God, were more likely to help the poor in their own neighborhoods, and were more likely to discuss their Christian faith than prior to the mission trip. We discuss possible reasons for these changes.

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Elliott, Craig M., Robert J. Toomey, Brooke A. Goodman, and Peter Barbosa. "Transformative Learning." Journal of the American Podiatric Medical Association 102, no. 1 (January 1, 2012): 39–46. http://dx.doi.org/10.7547/1020039.

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Background: Short-term medical missions are common in medical educational settings and could possibly affect student learning. Little research has been conducted about the potential of these missions on students’ transformative learning, in particular as it relates to empathy and multicultural awareness. Methods: Eight podiatric medical students who participated in short-term medical missions in 2008 and 2009 completed an electronic survey to investigate the effect of their experience as it relates to their learning. The empathy and multicultural awareness impact of the mission experience was emphasized. Qualitative questions in the survey were coded, themed, and triangulated with the quantitative responses. Results: Six students (75%) “strongly agreed” that participating in the medical mission was a significant positive experience in their podiatric medical training. Six students felt that their experiences in serving these communities increased their personal awareness of multicultural/diversity needs in general. All of the students agreed that they will become better podiatric physicians because of their experiences in the medical missions. The qualitative data also indicate that the experience had an effect on the students’ views of health care and increased empathy toward their patients. Conclusions: Short-term medical missions could play a significant role in the transformative learning experience in podiatric medical education. This could affect the empathy and multicultural awareness of podiatric medical students. Further and more extensive evaluations of the potential impact of short-term medical missions in podiatric medical education should be explored because it could influence curriculum and global health in the field of podiatric medicine. (J Am Podiatr Med Assoc 102(1): 39–46, 2012)

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Hallock, Loretta, Allan R. Mayer, Brendan Collins, Angela Yuan, Jeff August, and Felice Colliton. "Gynecologic Short Term Medical Missions." Obstetrics & Gynecology 127 (May 2016): 23S. http://dx.doi.org/10.1097/01.aog.0000483337.28155.6b.

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Vu, Megan T., Teresa R. Johnson, Rebecca Francois, and Judith Simms-Cendan. "Sustained impact of short-term international medical mission trips: Resident perspectives." Medical Teacher 36, no. 12 (July 29, 2014): 1057–63. http://dx.doi.org/10.3109/0142159x.2014.920491.

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Johnson pharmD, Curtis A., Nora Stieglitz, and Mark E. Schroeder. "Opportunities and responsibilities for pharmacists on short-term medical mission teams." Journal of the American Pharmacists Association 49, no. 6 (November 2009): 801–7. http://dx.doi.org/10.1331/japha.2009.08172.

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Oliphant, John B. "Short-Term Medical Missions Done Well." Journal of Physician Assistant Education 29, no. 1 (March 2018): 58–61. http://dx.doi.org/10.1097/jpa.0000000000000182.

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Steinke, Mary K., Mary E. Riner, and Carol Shieh. "The Impact of Cultural Competence Education on Short-Term Medical Mission Groups." Journal of Transcultural Nursing 26, no. 4 (May 22, 2014): 428–35. http://dx.doi.org/10.1177/1043659614527321.

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Felicia, U. Bassey-Akamune, and O. Ilomuanya Margaret. "Short term medical mission: Serving the underserved patients in south southern Nigeria." Journal of Public Health and Epidemiology 9, no. 2 (February 28, 2017): 24–30. http://dx.doi.org/10.5897/jphe2016.0896.

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Hawkins, Janice. "Potential Pitfalls of Short-Term Medical Missions." Journal of Christian Nursing 30, no. 4 (2013): E1—E6. http://dx.doi.org/10.1097/cnj.0b013e3182a5f6f7.

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Malay, Patricia B. "Short-Term Medical Missions and Global Health." Journal of Foot and Ankle Surgery 56, no. 2 (March 2017): 220–22. http://dx.doi.org/10.1053/j.jfas.2017.01.031.

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&NA;. "Potential Pitfalls of Short-Term Medical Missions." Journal of Christian Nursing 30, no. 4 (2013): E7—E8. http://dx.doi.org/10.1097/01.cnj.0000435282.54160.0d.

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Alghothani, Nora, Yousef Alghothani, and Bassel Atassi. "Evaluation of a short-term medical mission to Syrian refugee camps in Turkey." Avicenna Journal of Medicine 2, no. 4 (2012): 84. http://dx.doi.org/10.4103/2231-0770.110738.

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MenkinSmith, Lacey P., Elizabeth Tenney, Dean Gebler, Christina K. Zigler, and Edward C. O'Bryan. "Malaria Diagnosis by U.S. Providers on Short-term Medical Mission Trips to Uganda." Journal of Health Care for the Poor and Underserved 32, no. 2 (2021): 830–42. http://dx.doi.org/10.1353/hpu.2021.0108.

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Campbell, Clark, Donell Campbell, David Krier, Ryan Kuehlthau, Todd Hilmes, and Melissa Stromberger. "Reduction in burnout may be a benefit for short-term medical mission volunteers." Mental Health, Religion & Culture 12, no. 7 (November 2009): 627–37. http://dx.doi.org/10.1080/13674670903124541.

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21

Tom, LK, K. Ragins, B. Colebunders, and JG Thomson. "152: A MODEL FOR SHORT-TERM MEDICAL MISSION EVALUATION: THE IMPACT OF A HAND SURGERY MISSION TO HONDURAS." Plastic and Reconstructive Surgery 127 (May 2011): 84. http://dx.doi.org/10.1097/01.prs.0000396839.98115.37.

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Montgomery, Laura M. "Short-Term Medical Missions: Enhancing or Eroding Health?" Missiology: An International Review 21, no. 3 (July 1993): 333–41. http://dx.doi.org/10.1177/009182969302100305.

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This paper analyzes two case studies of short-term medical missions to Latin America. Its conclusions suggest that when such projects are evaluated in terms of their impact upon the health status of the local population or health care delivery systems, they are found to have insignificant and even negative consequences. The shortcomings of these short-term efforts reflect the cultural assumptions that inform their design and implementation, rather than local health realities. Recommendations are suggested to increase the effectiveness of these missions in terms of the health needs of local populations.

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Mach, John C., Hope Barone, Christopher Boni, Humberto Jimenez, and Michael Tinglin. "Evaluating the impact of an international short-term medical mission through diabetic glycemic control." Journal of Public Health 41, no. 4 (November 2, 2018): 815–20. http://dx.doi.org/10.1093/pubmed/fdy182.

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AbstractBackgroundThis prospective observational study evaluated the impact of a primary care-based, international, short-term medical mission’s (STMM) impact on diabetes disease burden as represented through reductions in hemoglobin A1C (HbA1c).MethodsFrom November 2016 to May 2017, we tracked the HbA1c’s of diabetic individuals in Dajabon, Dominican Republic through care provided by Waves of Health (WOH). Participants were provided counseling, glucose monitoring equipment, a 6-month supply of anti-diabetic medications, and received a ‘check-in’ phone call at 3 months. HbA1c’s were re-measured at 6-month follow up. We hypothesized WOH diabetic care would have a modest impact of reducing mean HbA1c by 0.5%.ResultsIn total, 75% (n = 76) of 101 participants presented for follow-up care. Mean and median HbA1c decreased from 8.71 (SD 2.0) and 8.5% to 8.36 (SD 2.1) and 7.7%, respectively (P = 0.07). The percentage of individuals with HbA1c ≤7.5 increased by 10.4% at follow-up. The mean HbA1c decrease was 1.1%.ConclusionsThough limited by sample size, our results suggest that medical STMM’s may have a clinically meaningful impact in chronic disease management when utilizing a systematic combination of education, medical therapy, clearly documented medication instructions and regular trip intervals.

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Uwanuruochi, Kelechukwu, Benjamin Solomon, UlhasM Pandurangi, Anita Ganasekar, RaviKumar Murugesan, and Jaishankar Krishnamoorthy. "Short-term outcome of cardiac resynchronization carried out at the Madras Medical Mission, India." Nigerian Journal of Cardiology 11, no. 2 (2014): 124. http://dx.doi.org/10.4103/0189-7969.142110.

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Ardizzone, Laura L., Maribeth L. Massie, and Steve Gruendling. "Short-Term Medical Missions in the 21st Century: Getting You There and Back Safely." Clinical Scholars Review 6, no. 1 (2013): 61–65. http://dx.doi.org/10.1891/1939-2095.6.1.61.

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Students and health care providers traveling to other countries to provide much needed health services have increased over the past several years. Although participating in a mission can seem overwhelming at first, for those who have participated, it can be a transformative experience. It allows volunteers to make a difference while enhancing clinical skills and learning other valuable lessons while traveling. This article will review necessary steps that providers should take for their personal health and safety as well as a toolkit for patient and student safety.

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Barron, Keith R., Joseph C. Lai, Lacey P. MenkinSmith, Jennifer S. Lee, Mark E. Humphrey, and Jeffrey W. Hall. "Point-of-Care Ultrasound as Part of a Short-Term Medical Mission to Rural Nicaragua." Southern Medical Journal 111, no. 7 (July 2018): 434–38. http://dx.doi.org/10.14423/smj.0000000000000826.

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Sykes, Kevin J., Phong T. Le, Keith A. Sale, and Pamela J. Nicklaus. "A 7-Year Review of the Safety of Tonsillectomy during Short-Term Medical Mission Trips." Otolaryngology–Head and Neck Surgery 146, no. 5 (February 14, 2012): 752–56. http://dx.doi.org/10.1177/0194599812437317.

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Okeigbemen, SA. "Pattern of dental diseases among subjects attending a short-term medical mission project in Uromi, Nigeria." Annals of African Medicine 8, no. 1 (2009): 69. http://dx.doi.org/10.4103/1596-3519.55771.

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Woods, CatherineA, KennethL Abbott, DahliaA Halim, and HennaA Qureshi. "Pediatric care during a short-term medical mission to a Syrian refugee camp in Northern Jordan." Avicenna Journal of Medicine 7, no. 4 (2017): 176. http://dx.doi.org/10.4103/ajm.ajm_100_17.

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Esquivel, Micaela M., Joy C. Chen, Russell K. Woo, Nora Siegler, Francisco A. Maldonado-Sifuentes, Jehidy S. Carlos-Ochoa, Andy R. Cardona-Diaz, et al. "Why do patients receive care from a short-term medical mission? Survey study from rural Guatemala." Journal of Surgical Research 215 (July 2017): 160–66. http://dx.doi.org/10.1016/j.jss.2017.03.056.

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Stearman, Allyn Maclean. "Better Fed than Dead: The Yuquí of Bolivia and the New Tribes Mission: A 30-Year Retrospective." Missiology: An International Review 24, no. 2 (April 1996): 213–26. http://dx.doi.org/10.1177/009182969602400206.

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In the mid-1960s, the New Tribes Mission successfully completed the first of three peaceful contacts with the Yuquí Indians of the Bolivian Amazon. Because of the small sizes of the groups and mission efforts to provide immediate medical care, the Yuquí did not suffer significant initial population decline as is normally the case. In the mid-1980s, changing social and economic relationships between the Yuquí and the outside world caused unforseen disruptions in the previously closed mission environment. The intervention of anthropologists and development agencies coupled with escalating attacks against the New Tribes Mission by the Catholic Church altered the nature of missionary involvement with the Yuquí. A short-term multilateral development project initiated in 1987 witnessed unprecedented cooperation between mission personnel and development workers.

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Ray, Chester A., Marilyn Vasques, Todd A. Miller, M. Keith Wilkerson, and Michael D. Delp. "Effect of short-term microgravity and long-term hindlimb unloading on rat cardiac mass and function." Journal of Applied Physiology 91, no. 3 (September 1, 2001): 1207–13. http://dx.doi.org/10.1152/jappl.2001.91.3.1207.

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The purpose of this study was to test the hypothesis that exposure to short-term microgravity or long-term hindlimb unloading induces cardiac atrophy in male Sprague-Dawley rats. For the microgravity study, rats were subdivided into four groups: preflight (PF, n = 12); flight (Fl, n = 7); flight cage simulation (Sim, n = 6), and vivarium control (Viv, n = 7). Animals in the Fl group were exposed to 7 days of microgravity during the Spacelab 3 mission. Animals in the hindlimb-unloading study were subdivided into three groups: control (Con, n = 20), 7-day hindlimb-unloaded (7HU, n = 10), and 28-day hindlimb-unloaded (28HU, n = 19). Heart mass was unchanged in adult animals exposed to 7 days of actual microgravity (PF 1.33 ± 0.03 g; Fl 1.32 ± 0.02 g; Sim 1.28 ± 0.04 g; Viv 1.35 ± 0.04 g). Similarly, heart mass was unaltered with hindlimb unloading (Con 1.40 ± 0.04 g; 7HU 1.35 ± 0.06 g; 28HU 1.42 ± 0.03 g). Hindlimb unloading also had no effect on the peak rate of rise in left ventricular pressure, an estimate of myocardial contractility (Con 8,055 ± 385 mmHg/s; 28HU 8,545 ± 755 mmHg/s). These data suggest that cardiac atrophy does not occur after short-term exposure to microgravity and that neither short- nor long-term simulated microgravity alters cardiac mass or function.

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L Bonner, Juanita, Jessica Hopper, Linda Gore Martin, and Penelope Caldwell. "Pilot Surveys of Ethics and Short-Term Medical Mission Work: University of Wyoming Agua Salada Clinic, Honduras." Universal Journal of Public Health 1, no. 3 (October 2013): 86–96. http://dx.doi.org/10.13189/ujph.2013.010307.

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Houweling, Rebecca, and Barbara Astle. "Principles to Guide a Volunteer Humanitarian Faith-based Short-Term Medical Mission in Nepal: A Case Study." Christian Journal for Global Health 5, no. 3 (November 8, 2018): 35–42. http://dx.doi.org/10.15566/cjgh.v5i3.235.

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Global health inequities, natural disasters, and mass migration of refugees have led to an increase in volunteer humanitarian responses worldwide. While well intentioned for doing good, there is an increasing awareness of the importance for improved preparation for international volunteers involved in short-term medical missions (STMMs). This case study describes the retrospective application of Lasker’s (2016) Principles for Maximizing the Benefits for Volunteer Health Trips to international volunteers from two faith-based non-governmental organizations (NGOs) in Canada and the United States partnering with a faith-based NGO in Nepal. These principles are intended to maximize the benefits and diminish challenges that may develop between the international volunteers and the host country staff. Lessons from this case study highlight the importance of applying such principles to foster responsible STMMs. In conclusion, there is an increasing call by host country staff for collaborative and standardized guidelines or frameworks for STMMs and other global health activities.

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Prescott, Gina M., Ciera L. Patzke, Peter M. Brody, and William A. Prescott. "Comparison of prescribing patterns between United States and Dominican Republic prescribers on short-term medical mission trips." International Health 10, no. 1 (December 22, 2017): 27–32. http://dx.doi.org/10.1093/inthealth/ihx045.

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Clements, Jennifer N., Michelle L. Rager, and Emily M. Vescovi. "The Value of Pharmacy Services on a Short-Term Medical Mission Trip: Description of Services and Assessment of Team Satisfaction." Annals of Pharmacotherapy 45, no. 12 (November 8, 2011): 1576–81. http://dx.doi.org/10.1345/aph.1q328.

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Otey, Tamara D. "Teaching Faith Community Nursing on Short-Term Medical Missions in Nigeria." Journal of Christian Nursing 39, no. 2 (April 2022): E25—E31. http://dx.doi.org/10.1097/cnj.0000000000000946.

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Roche, Stephanie D., Pavinarmatha Ketheeswaran, and Veronika J. Wirtz. "International short-term medical missions: a systematic review of recommended practices." International Journal of Public Health 62, no. 1 (September 3, 2016): 31–42. http://dx.doi.org/10.1007/s00038-016-0889-6.

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Crutcher, James M., H. James Beecham, and Marc A. Laxer. "Short-Term Medical Field Missions in Developing Countries: A Practical Approach." Military Medicine 160, no. 7 (July 1, 1995): 339–43. http://dx.doi.org/10.1093/milmed/160.7.339.

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Berliner, Howard S., and Robb K. Burlage. "Proprietary Hospital Chains and Academic Medical Centers." International Journal of Health Services 17, no. 1 (January 1987): 27–46. http://dx.doi.org/10.2190/fgyj-rpvd-h4qt-vfwk.

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This article examines the reasons why proprietary hospital chains have become interested in buying or managing academic health center hospitals. Among the explanations that are discussed are such factors as vertical integration of health care, chain legitimation, integration of finance and delivery systems, and short-term profit potential. These factors are further examined through the use of a structured analysis of the interpenetration of proprietary chain hospitals and academic medical centers. We also discuss the consequences of these linkages in terms of such issues as continued educational mission, types of sponsored research programs, degree of indigent care provision, and changes in the nature of physician and other health worker training. The larger social implications of the movement of proprietary chains into tertiary medical care are evaluated.

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Sykes, Kevin J. "Re: The Role of Short-Term Medical Missions in Global Health Care." Journal of Foot and Ankle Surgery 56, no. 2 (March 2017): 224. http://dx.doi.org/10.1053/j.jfas.2017.01.033.

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Dauda, Bege. "Adhering to Ethical Imperatives in Short-Term Medical Missions in Developing Countries." Journal of Foot and Ankle Surgery 56, no. 2 (March 2017): 225. http://dx.doi.org/10.1053/j.jfas.2017.01.034.

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Roche, S., P. Ketheeswaran, and V. Wirtz. "Medicine without borders: a literature review of short-term international medical missions." Lancet Global Health 3 (March 2015): S12. http://dx.doi.org/10.1016/s2214-109x(15)70131-2.

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Gokcen, Eric C., Joshua C. Luginbuhl, and Joshua C. Luginbuhl. "The Perceived Effectiveness of a Short-term Orthopaedic Foot and Ankle Mission Trip to Kenya." Foot & Ankle Orthopaedics 5, no. 4 (October 1, 2020): 2473011420S0023. http://dx.doi.org/10.1177/2473011420s00231.

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Category: Other Introduction/Purpose: Short-term surgical mission trips have become increasingly common, with many benefits seen by the hosts and the visitors when trips are done properly. However, few visitors ever attempt to measure the impact of their visit other than to list the surgeries that were performed. This study was performed to determine the perceived educational impact on orthopaedic attendings and residents of a Kenyan internationally accredited orthopaedic residency program and to determine the hosts’ opinions on the effectiveness of orthopaedic short-term trips. Methods: A survey was developed and distributed to four host attending surgeons and 9 host residents at the beginning of an orthopaedic mission trip. The visitors included four attending orthopaedic foot and ankle surgeons from various US sites, and two orthopaedic surgery residents from one US program. Using a scale from 1-10, with 1 meaning definitely No, and 10 meaning definitely Yes, hosts were asked if they felt there was a need for more foot and ankle training in Kenya. A post-trip survey was distributed to the host attendings and residents to determine perceived competency in five topics of foot and ankle pathology. Results: When hosts were asked if they felt there was a need for more foot and ankle training in Kenya, attendings responded an average 8.3, and residents 9.4. When asked if a short-term trip would improve foot and ankle care for the community, attendings responded 7.8, and residents 7.9. A post-trip survey was completed by one attending and 3 residents to determine their perceived competency in five topics of foot and ankle pathology. Overall, they averaged an increase of +2.0 on the scale in their competency for all topics. The highest increase was with ankle instability and hallux valgus at +3.0, and the lowest increase was with Achilles pathology at +0.75. Conclusion: The survey supported the hypothesis that short-term orthopaedic foot and ankle surgery trips to this program are helpful according to the hosts. Furthermore, understanding the competencies of the hosts can help the visitors develop more impactful teaching by focusing on the topics of need. Further studies such as this should be routinely performed with medical trips to help determine their effectiveness.

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Andrews, Susan. "Identification of Current Best Practices for Short-term Medical Mission Trips and Adherence to Current Common Principles and Guidelines." Christian Journal for Global Health 7, no. 2 (May 23, 2020): 67–82. http://dx.doi.org/10.15566/cjgh.v7i2.341.

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Background: Recent reviews of published guidelines for conducting short-term medical missions (STMM) identify significant concerns about the lack of adherence and of formal regulations concurrent with the increasing number of individuals and organizations participating in STMM. Method: A descriptive survey methodology was used. A 44-item survey that identifies current practices utilized by healthcare providers (HCP) who have participated in STMM was used based on the literature and prior research, and distributed electronically to HCP participating in STTM to identify current best practices and compare findings with the most recent recommendations for short-term global health activities. A focus on current operational practices was surveyed and analyzed to develop operational recommendations for the ethical and safe care provided during STMM. Results: Eighty-seven surveys were included in the final analysis, with 33% (N=29) serving as coordinators for the trip. The majority of the respondents were female (67%) and the primary roles represented were: MD (N=17; 20%), nurse practitioner (N=20; 23%), and registered nurse (N=18; 21%). A majority (N=48; 67%) traveled to South America or Latin America, with 38% (N=33) having participated in four or more STMM. Language proficiency was reported as deficient (N=35; 40%) along with little or no knowledge of the basic culture (N=39; 45%). Additional data were collected on trip preparation, clinic operations, and outcomes follow up. Conclusions: Using a convenience sample, the results of the survey provide information on the current best practices utilized by HCP who have participated in STMM and compare the findings to assess for adherence with the most recent recommendations for short-term global health activities. There was variation in the degree to which HCP were knowledgeable about specific aspects related to knowledge of local culture, language proficiency, and adherence to recommended practices for STMM. Additional research on STMM is needed, along with further exploration of how evidence based practices for STMM can be implemented to improve access and safety to the care provided while in the host country.

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Goudard, Yvain, C. Butin, C. Carfantan, G. Pauleau, E. Soucanye de Landevoisin, G. Goin, D. Clement, J. Bordes, and P. Balandraud. "The 7th French Airborne Forward Surgical Team experience of surgical support to the population of a low-income country: a prospective study on 341 patients with short-term follow-up." Journal of the Royal Army Medical Corps 164, no. 6 (June 9, 2018): 423–27. http://dx.doi.org/10.1136/jramc-2018-000952.

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BackgroundThe 7th Airborne Forward Surgical Team (FST) has deployed to Chad in 2015 and 2016, in support of French military forces. Humanitarian surgical care is known to represent a significant part of the surgical activity in such missions, but to date limited data have been published on the subject.MethodsAll surgical patients from a civilian host population treated by the FST during these missions have been prospectively included. Indications, operative outcomes and postoperative outcomes were evaluated.ResultsDuring this period, the FST operated on 358 patients. Humanitarian surgical care represented 95% of the activity. Most patients (92.7%) were operated for elective surgery. Emergencies and infectious diseases represented, respectively, 7.3% and 9.1% of cases. The mean length of stay (LOS) was three days (2–4), and the median follow-up was 30 days (22–34). Mortality rate was 0.6% and morbidity was 5.6%. Parietal surgery had no significant complication and had shorter LOS (p<0.001). Emergent surgeries were more complicated (p<0.01) and required more reoperations (p<0.05). Surgical infectious cases had longer LOS (p<0.01).ConclusionsHumanitarian surgical care can be provided without compromising the primary mission of the medical forces. Close surveillance and follow-up allowed favourable outcomes with low morbidity and mortality rates. Humanitarian care is responsible for a considerable portion of the workload in such deployed surgical teams. Accounting for humanitarian care is essential in the planning and training for such future medical operations.

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Nouvet, Elysée, Elizabeth Chan, and Lisa J. Schwartz. "Looking good but doing harm? Perceptions of short-term medical missions in Nicaragua." Global Public Health 13, no. 4 (August 20, 2016): 456–72. http://dx.doi.org/10.1080/17441692.2016.1220610.

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Melby, Melissa K., Lawrence C. Loh, Jessica Evert, Christopher Prater, Henry Lin, and Omar A. Khan. "Beyond Medical “Missions” to Impact-Driven Short-Term Experiences in Global Health (STEGHs)." Academic Medicine 91, no. 5 (May 2016): 633–38. http://dx.doi.org/10.1097/acm.0000000000001009.

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Lalani, Karima, Lee Revere, Wenyaw Chan, Tiffany Champagne-Langabeer, Jennifer Tektiridis, and James Langabeer. "Impact of External Environmental Dimensions on Financial Performance of Major Teaching Hospitals in the U.S." Healthcare 9, no. 8 (August 20, 2021): 1069. http://dx.doi.org/10.3390/healthcare9081069.

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Teaching hospitals have a unique mission to not only deliver graduate medical education but to also provide both inpatient and ambulatory care and to conduct clinical medical research; therefore, they are under constant financial pressure, and it is important to explore what types of external environmental components affect their financial performance. This study examined if there is an association between the short-term and long-term financial performance of major teaching hospitals in the United States and the external environmental dimensions, as measured by the Resource Dependence Theory. Data for 226 major teaching hospitals spanning 46 states were analyzed. The dependent variable for short-term financial performance was days cash on hand, and dependent variable for long-term financial performance was return on assets, both an average of most recently available 4-year data (2014–2017). Utilizing linear regression model, results showed significance between outpatient revenue and days cash on hand as well as significant relationship between population of the metropolitan statistical area, unemployment rate of the metropolitan statistical area, and teaching hospital’s return on assets. Additionally, system membership, type of ownership/control, and teaching intensity also showed significant association with return on assets. By comprehensively examining all major teaching hospitals in the U.S. and analyzing the association between their short-term and long-term financial performance and external environmental dimensions, based upon Resource Dependence Theory, we found that by offering diverse outpatient services and novel delivery options, administrators of teaching hospitals may be able to increase organizational liquidity.

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Egwuchim, K., and A. Nzelu. "Establishment of Structured Preventive Mobile Cancer Care in Nigeria: A Success Story." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 188s. http://dx.doi.org/10.1200/jgo.18.32600.

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Background and context: Mass medical mission is a nonprofit, public health charity aimed at complementing the effort of government in improving the health indices of Nigerians. Its core initiative is the National Cancer Prevention Program (NCPP), a foremost effort toward national cancer control in Nigeria. In 2007, NCPP spearheaded community-based mass cervical cancer screening in Nigeria, initially known as National Cervical Cancer Prevention Program (NCCPP). This effort has contributed to a 15% reduction of cervical cancer mortality in Nigeria, from 9659 deaths to 8240 deaths, between 2008 and 2012 (GLOBOCAN data). The improvement in cervical cancer survivorship in Nigeria was proof positive that winning the fight against cancer was possible if the effort could be scaled up. Consequently, mass medical mission escalated its advocacy drive, which was tagged the Big War Against Cancer in Nigeria. Aim: The short-term goal was to raise funds toward the provision one Mobile Cancer Centres (MCC) for each state and a Comprehensive Cancer Centre for each of the six geopolitical zones in the long-term. Strategy/Tactics: Mass medical mission initiated the establishment of a fundraising platform known as the Committee Encouraging Corporate Philanthropy (CECP-Nigeria). A private sector led initiative to promote concerted and synergistic philanthropy for the common good through public-social-private partnership. The President of Nigeria is the grand patron while the Vice President, the National Patron. Returns: Through this effort, four of the pilot set of MCC (known as PinkCruise) are now in Nigeria, one of which was donated by the Lagos State Governor. The fixed centers from which the PinkCruise operate have also been set up in four selected cities representing the four old regions of Nigeria. These mobile units are unique as they are multifunctional with state-of-the-art facilities for screening, follow-up and treatment (including mammography, endoscopy, colonoscopy, colposcopy, cryotherapy, laboratory, vaccination and surgeries for precancer and early cancer). The PinkCruise have been deployed to carry out systematic mobile health outreaches, known as Mission PinkCruise, which also have an eye-care aspect known as Mission PinkVISSION. PinkVISSION is also an initiative of mass medical mission (mmm), aimed at achieving the goals of “Vision 2020: The Right to Sight”, by incorporating preventive eye care into cancer prevention and general health promotion. The acronym, VISSION, stands for Voluntary Integrated Sight Saving Initiative Of Nigeria. Both Mission PinkCruise and Mission PinkVISSION are free of charge to the hosts and the beneficiaries. What was learned: The synergy between PinkVISSION and PinkCruise results in improved uptake, impact and cost effectiveness of both the cancer campaign and the eye campaign.

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