Skip to main content

Advertisement

Log in

Cost-Effectiveness and Economic Benefits of Volunteerism

  • Global Health (Kurt McCammon, Section Editor)
  • Published:
Current Bladder Dysfunction Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Surgical pathology is very common, but access to even basic care is not universal. Volunteers, either individually or as part of a larger organization, have arisen to fill this gap. As volunteerism is ubiquitous, true audits of cost-effectiveness are equally as rare. We explore the economic benefits of volunteerism as well as potential metrics by which its cost-effectiveness may be assessed.

Recent Findings

There are a number of models after which a volunteer program may be structured—from the individual volunteer visiting a particular center to the establishment of self-sustaining units which themselves become training hubs. Cost-effectiveness analyses are uncommon but recommended in order to achieve efficiency with respect to finances as well as human capital. Establishing a universal metric such as disability adjusted life years averted (DALY) allows for cost comparisons across different programs. Several tools are available to assess cost-effectiveness including a number of software programs produced by the World Health Organization.

Summary

Volunteerism can be tremendously beneficial both to individual and to the host centers or countries. Establishing local centers which provide ongoing care and treatment with volunteer support seems to be the most impactful way in which surgical missions should be structured. Cost-effectiveness analyses are encouraged, and a number of tools and even a checklist exist which provide a framework for this purpose.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Shrime MG, Sleemi A, Ravilla TD. Charitable platforms in global surgery: a systematic review of their effectiveness, cost-effectiveness, sustainability, and role training. World J Surg. 2015;39:10–20.

    Article  Google Scholar 

  2. Eblovi D, Antúnez M, Clitheroe K, Meeks M, Balmert L, Thornton H, et al. Effectiveness, cost-effectiveness, and economic impact of a multi-specialty charitable surgical center in Honduras. Int J Surg Open. 2019;20:7–14.

    Article  Google Scholar 

  3. Alkire BC, Shrime MG, Dare AJ, Vincent JR, Meara JG. Global economic consequences of selected surgical diseases: a modelling study. Lancet Glob Heal. 2015.

  4. • Badlani G. International volunteerism and global responsibility. Translational Andrology and Urology. 2017 ( − A very good review on volunteerism and options avaiable to interested surgeons).

  5. Moll J, Krueger F, Zahn R, Pardini M, De Oliveira-Souza R, Grafman J. Human fronto-mesolimbic networks guide decisions about charitable donation. Proc Natl Acad Sci U S A. 2006;103:15623–8.

    Article  CAS  Google Scholar 

  6. Handy F, Mook L. Volunteering and volunteers: benefit-cost analyses. Res Soc Work Pract. 2011;21:412–20.

    Article  Google Scholar 

  7. Lough BJ, Tiessen R, Lasker JN. Effective practices of international volunteering for health: perspectives from partner organizations. Glob Health. 2018;14:11.

    Article  Google Scholar 

  8. Kentner N, Lange C, Reifschneider E, Takacs A. The cost and benefit of volunteers. East Lansing: Michigan Sate Univ Ext; 2003.

    Google Scholar 

  9. Downe-Wamboldt B, Ellerton ML. A study of the role of hospice volunteers. Hosp J. 1985;1:17–31.

    Article  Google Scholar 

  10. Hotchkiss RB, Fottler MD, Unruh L. Valuing volunteers: the impact of volunteerism on hospital performance. Health Care Manag Rev. 2009;34:119–28.

    Article  Google Scholar 

  11. • Jalloh M, Wood JP, Fredley M, DeVries CR. IVUmed: A Nonprofit Model for Surgical Training in Low-Resource Countries. Annals of Global Health. 2015. (While this article is a bit older, it provides insights on how establishing self-sustaining training centres may be very impactful).

  12. Haider M, Jalloh M, Yin J, Diallo A, Puttkammer N, Gueye S, et al. The role of international partnerships in improving urethral reconstruction in low- and middle-income countries. World J Urol. 2019.

  13. Nolte MT, Maroukis BL, Chung KC, Mahmoudi E. A systematic review of economic analysis of surgical mission trips using the World Health Organization Criteria. World J Surg. 2016.

  14. Handy F, Srinivasan N. Valuing Volunteers: an economic evaluation of the net benefits of hospital volunteers. Nonprofit and Voluntary Sector Quarterly. 2004.

  15. Gosselin RA, Gialamas G, Atkin DM. Comparing the cost-effectiveness of short orthopedic missions in elective and relief situations in developing countries. World J Surg. 2011;35:951–5.

    Article  Google Scholar 

  16. •• Shrime MG, Alkire BC, Grimes C, Chao TE, Poenaru D, Verguet S. Cost-effectiveness in global surgery: pearls, pitfalls, and a checklist. World Journal of Surgery. 2017. (This article provides useful, practical advice on assessing cost effectiveness).

  17. Gosselin RA, Maldonado A, Elder G. Comparative cost-effectiveness analysis of two MSF surgical trauma centers. World J Surg. 2010;34:415–9.

    Article  Google Scholar 

  18. World Health Organization. Choosing Interventions That Are Effective (Available at: https://www.who.int/choice/toolkit/en/).

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Satyendra Persaud.

Ethics declarations

Conflict of Interest

Satyendra Persaud and Leah Chisholm declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Global Health

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Persaud, S., Chisholm, L. Cost-Effectiveness and Economic Benefits of Volunteerism. Curr Bladder Dysfunct Rep 15, 362–365 (2020). https://doi.org/10.1007/s11884-020-00619-8

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11884-020-00619-8

Keywords

Navigation