Cargando…
The Local Mission: Improving Access to Surgical Care in Middle-Income Countries
BACKGROUND: Billions of people lack access to quality surgical care. Short-term missions are used to supplement the delivery of surgical care in regions with poor access to care. Traditionally known for using international teams, Operation Smile has transitioned to using a local mission model, where...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7921038/ https://www.ncbi.nlm.nih.gov/pubmed/33388999 http://dx.doi.org/10.1007/s00268-020-05882-8 |
_version_ | 1783658393140985856 |
---|---|
author | Nagengast, Eric S. Munabi, Naikhoba C. O. Xepoleas, Meredith Auslander, Allyn Magee, William P. Chong, David |
author_facet | Nagengast, Eric S. Munabi, Naikhoba C. O. Xepoleas, Meredith Auslander, Allyn Magee, William P. Chong, David |
author_sort | Nagengast, Eric S. |
collection | PubMed |
description | BACKGROUND: Billions of people lack access to quality surgical care. Short-term missions are used to supplement the delivery of surgical care in regions with poor access to care. Traditionally known for using international teams, Operation Smile has transitioned to using a local mission model, where surgical service is delivered to areas of need by teams originating within that country. This study investigates the proportion and location of Operation Smile missions that use the local mission model. METHODS: A retrospective review was performed of the Operation Smile mission database for fiscal years 2014 to 2019. Missions were classified into local or international missions. Countries were also classified by their income levels as well as their specialist surgical workforce (SAO) density. As no individual patient or provider data was recorded, ethics board approval was not warranted. RESULTS: Between 2014 and 2019, Operation Smile held an average of 144.8 (range 135–154) surgical missions per year. Local missions accounted for 97 ± 5.6 (67%) of the missions. Of the 34 program countries, 26 (76%) used local missions. Of the countries that had only international missions, six (75%) were low-income countries and the average SAO density was 1.54 (range 0.19–5.88) providers per 100,000 people. Of the countries with local missions, 24 (92%) were middle-income, and the average SAO density was 30.9 (range 3.4–142.4). CONCLUSION: International investments may assist in the creation of local surgical teams. Once teams are established, local missions are a valuable way to provide specialized surgical care within a country’s own borders. |
format | Online Article Text |
id | pubmed-7921038 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-79210382021-03-19 The Local Mission: Improving Access to Surgical Care in Middle-Income Countries Nagengast, Eric S. Munabi, Naikhoba C. O. Xepoleas, Meredith Auslander, Allyn Magee, William P. Chong, David World J Surg Surgery in Low and Middle Income Countries BACKGROUND: Billions of people lack access to quality surgical care. Short-term missions are used to supplement the delivery of surgical care in regions with poor access to care. Traditionally known for using international teams, Operation Smile has transitioned to using a local mission model, where surgical service is delivered to areas of need by teams originating within that country. This study investigates the proportion and location of Operation Smile missions that use the local mission model. METHODS: A retrospective review was performed of the Operation Smile mission database for fiscal years 2014 to 2019. Missions were classified into local or international missions. Countries were also classified by their income levels as well as their specialist surgical workforce (SAO) density. As no individual patient or provider data was recorded, ethics board approval was not warranted. RESULTS: Between 2014 and 2019, Operation Smile held an average of 144.8 (range 135–154) surgical missions per year. Local missions accounted for 97 ± 5.6 (67%) of the missions. Of the 34 program countries, 26 (76%) used local missions. Of the countries that had only international missions, six (75%) were low-income countries and the average SAO density was 1.54 (range 0.19–5.88) providers per 100,000 people. Of the countries with local missions, 24 (92%) were middle-income, and the average SAO density was 30.9 (range 3.4–142.4). CONCLUSION: International investments may assist in the creation of local surgical teams. Once teams are established, local missions are a valuable way to provide specialized surgical care within a country’s own borders. Springer International Publishing 2021-01-02 2021 /pmc/articles/PMC7921038/ /pubmed/33388999 http://dx.doi.org/10.1007/s00268-020-05882-8 Text en © The Author(s) 2021, corrected publication 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Surgery in Low and Middle Income Countries Nagengast, Eric S. Munabi, Naikhoba C. O. Xepoleas, Meredith Auslander, Allyn Magee, William P. Chong, David The Local Mission: Improving Access to Surgical Care in Middle-Income Countries |
title | The Local Mission: Improving Access to Surgical Care in Middle-Income Countries |
title_full | The Local Mission: Improving Access to Surgical Care in Middle-Income Countries |
title_fullStr | The Local Mission: Improving Access to Surgical Care in Middle-Income Countries |
title_full_unstemmed | The Local Mission: Improving Access to Surgical Care in Middle-Income Countries |
title_short | The Local Mission: Improving Access to Surgical Care in Middle-Income Countries |
title_sort | local mission: improving access to surgical care in middle-income countries |
topic | Surgery in Low and Middle Income Countries |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7921038/ https://www.ncbi.nlm.nih.gov/pubmed/33388999 http://dx.doi.org/10.1007/s00268-020-05882-8 |
work_keys_str_mv | AT nagengasterics thelocalmissionimprovingaccesstosurgicalcareinmiddleincomecountries AT munabinaikhobaco thelocalmissionimprovingaccesstosurgicalcareinmiddleincomecountries AT xepoleasmeredith thelocalmissionimprovingaccesstosurgicalcareinmiddleincomecountries AT auslanderallyn thelocalmissionimprovingaccesstosurgicalcareinmiddleincomecountries AT mageewilliamp thelocalmissionimprovingaccesstosurgicalcareinmiddleincomecountries AT chongdavid thelocalmissionimprovingaccesstosurgicalcareinmiddleincomecountries AT nagengasterics localmissionimprovingaccesstosurgicalcareinmiddleincomecountries AT munabinaikhobaco localmissionimprovingaccesstosurgicalcareinmiddleincomecountries AT xepoleasmeredith localmissionimprovingaccesstosurgicalcareinmiddleincomecountries AT auslanderallyn localmissionimprovingaccesstosurgicalcareinmiddleincomecountries AT mageewilliamp localmissionimprovingaccesstosurgicalcareinmiddleincomecountries AT chongdavid localmissionimprovingaccesstosurgicalcareinmiddleincomecountries |