Health impact assessment and short-term medical missions: A methods study to evaluate quality of care

Maki, Jesse; Qualls, Munirih L.; White, Benjamin; Kleefield, Sharon; Crone, Robert K.

doi:10.1186/1472-6963-8-121

Cited by 230 publications

(298 citation statements)

References 15 publications

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“…When conservative estimates put the amount of money spent on STMMs annually at USD$250 million, this funding joins the ranks with annual funding for research of AIDS, lung cancer, colon cancer, cervical cancer and the like [14,53]. With that in mind, consider the number of papers published on these diseases compared to the number of papers regarding STMMs.…”

Section: Discussionmentioning

confidence: 99%

“…This same challenge exists for the community of global surgeons as well. It was projected in 2008 that with all the STMMs combined, the annual direct investment from the US alone could exceed USD$250 million [14]. From an economic perspective, we must ask ourselves what use of these funds is the most effective at bringing safe surgical access to underserved populations worldwide.…”

Section: "Better Than the Alternative"mentioning

confidence: 99%

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Designing a set of safety standards for surgical short term medical missions

Wagner¹,

Schwaitzberg²,

Shah³

et al. 2017

Glob Surg

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The global burden of surgical disease is on the rise. In underserved areas this need is being increasingly met by surgical short-term medical missions (STMMs). However, access to safe surgical care is still of great concern to global health advocates. We sought to evaluate the current safety practices and outcomes of surgical care being provided by STMMs. We looked at 35 primary research papers from surgical STMMs between 1991-2016 and analyzed their documentation of safety standards and follow up procedures. This led us to two important conclusions: 1 -surgical STMM practices and outcomes are not well documented and 2 -there is a need for standardized safety guidelines when participating in surgical STMMs. Here we introduce an actionable set of international surgical safety standards that we invite all short-term surgeons and groups to utilize as a means of setting a foundation for the practice of safe surgery on mission trips.

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Section: Discussionmentioning

confidence: 99%

Section: "Better Than the Alternative"mentioning

confidence: 99%

Designing a set of safety standards for surgical short term medical missions

Wagner¹,

Schwaitzberg²,

Shah³

et al. 2017

Glob Surg

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“…50 patients may be treated in this period of time so the pattern of practice is now for teams of healthcare workers to move to areas of need rather than the other way round. 1 • Complex facial surgery can be undertaken on well planned short surgical missions.…”

Section: Ethiopiamentioning

confidence: 99%

Treatment of Noma: medical missions in Ethiopia

McGurk

Marck

2010

Br Dent J

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“…Se esse valor for melhorado enquanto a sustentabilidade é alcançada, pacientes, gestores e fornecedores podem beneficiar em conjunto e mais efetivamente. A gestão de resíduos tem sido geralmente integrada na estrutura dos Sistemas de Gestão da Qualidade e melhorias de qualidade levam a menos desperdício de recursos, melhorias na satisfação do paciente e eficácia de cuidados médicos (6). De acordo com o Manual de Especificações para as Medidas Nacionais de Qualidade da Comissão Conjunta (2015B2), emitido pela Joint Commission, uma organização independente, sem fins lucrativos, que acredita e certifica quase 21000 organizações e programas de saúde nos Estados Unidos, está ainda para ser encontrada a medida capaz de indicar se o processo foi gerido com eficácia suficiente para conduzir aos melhores resultados prováveis (7).…”

Section: Introductionunclassified

“…If this value is improved, patients, managers and suppliers can benefit while sustainability is attained. Waste management has been generally integrated into Quality Systems Management frameworks and quality improvements lead to less waste of resources and improvements in patient satisfaction and effectiveness of medical care (6). According to Specifications Manual for Joint Commission National Quality Core Measures, issued by The Joint Commission, an independent, notfor-profit organization, that accredits and certifies nearly 21,000 health care organizations and programs in the United States, the measure that should be capable of indicating whether the process has been delivered with sufficient efficiency to make improved outcomes likely has yet to be found (7).…”

Section: Introductionmentioning

confidence: 99%

Hospital Waste Management - Case Study

Edra

Maia²,

Cardoso³

et al. 2017

BBR

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23 Biomedical and Biopharmaceutical Research J o r n a l d e I n v e s t i g a ç ã o B i o m é d i c a e B i o f a r m a c ê u t i c aHospital waste management -Case study Gestão AbstractThe importance of waste management in hospitals is indisputable in preserving the environment and protecting public health, but management models are rarely discussed. This study presents the legal and conceptual frameworks of good waste management practices applicable to hospitals and associated indicators. As a case study, the overall performance of Hospital Centre of São João, in Porto, was analysed based on published reports. Data on the production of waste in their different typologies were collected from 2010 to 2016, enabling a correlation of the waste production with the kg/bed/day indicator. The aim of this study was to gather data and discuss trends in a real scenario of evolution over a six-year period in order to contribute to a future research proposal on indicators that can be used as reference for benchmarking the construction of methodological guides for hospital waste management. Keywords: Hospital Waste; Management; Performance indicators ; Health professionals ResumoA importância da gestão de resíduos nos hospitais é indiscutível na preservação do ambiente e na proteção da saúde pública, mas os modelos de gestão raramente são debatidos. Neste estudo apresentam-se os enquadramentos legal e conceptual das boas práticas de gestão de resíduos hospitalares, e os indicadores associados, e analisa-se o desempenho global no Hospital de São João, do Porto, como estudo de caso com base nos relatórios publicados. Foram analisados os dados relativos à produção de resíduos nas suas diferentes tipologias desde 2010 a 2016, correlacionando a sua produção com o indicador utilizado pela instituição kg/cama/dia. Pretende-se com uma cenarização da evolução num período de seis anos contribuir para uma proposta de investigação futura sobre indicadores que poderão servir de referência para benchmarking na construção de guias metodológicos de gestão de resíduos hospitalares.

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Health impact assessment and short-term medical missions: A methods study to evaluate quality of care

Cited by 230 publications

References 15 publications

Designing a set of safety standards for surgical short term medical missions

Designing a set of safety standards for surgical short term medical missions

Treatment of Noma: medical missions in Ethiopia

Hospital Waste Management - Case Study

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