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HEC Forum

, Volume 23, Issue 2, pp 105–113 | Cite as

Ethical Issues of Medical Missions: The Clinicians’ View

  • Barbara B. OttEmail author
  • Robert M. Olson
Article

Abstract

Surgery is an important part of health care worldwide. Without access to surgical treatments, morbidity and mortality increase. Access to surgical treatment is a significant problem in global public health because surgical services are not equally distributed in the world. There is a disproportionate scarcity of surgical access in low-income countries. There are many charitable organizations around the world that sponsor surgical missions to under served nations. One such organization is Operation Smile International, a group with which both authors have volunteered. This paper will describe the purpose and processes involved in Operation Smile and identify some of the key ethical issues that arise in short term medical volunteer work highlighting the importance of sustainability.

Keywords

Ethics Medical mission Surgical mission Short term medical mission Cleft lip repair Cleft palate repair 

References

  1. Beauchamp, T. L., & Childress, J. F. (2009). Principles of biomedical ethics (6th ed.). New York: Oxford University Press.Google Scholar
  2. Berzruchka, S. (2000). Medical tourism as medical harm to the third world: Why? For whom? Wilderness and Environmental Medicine, 11, 77–78.CrossRefGoogle Scholar
  3. DeCamp, M. (2007). Scrutinizing global short-term medical outreach. Hastings Center Report, 37(6), 21–23.CrossRefGoogle Scholar
  4. Dorf, D. S., & Curtin, J. W. (1982). Early cleft palate repair and speech outcome. Plastic and Reconstructive Surgery, 70(1), 74–81.CrossRefGoogle Scholar
  5. Farmer, P. (2009, May). Keynote address. Paper presented at Physicians for Peace Global Health Forum 2009: Collaborative and Sustainable Health Care in the Developing World. Physicians for Peace, Norfolk, VA.Google Scholar
  6. Fisher, Q. A., Nichols, D., Stewart, F. C., Finley, G. A., Magee, W. P., & Nelson, K. (2001). Assessing pediatric anesthesia practices for volunteer medical services abroad. Anesthesiology, 93, 1315–1322.CrossRefGoogle Scholar
  7. MacPherson, C. C. (2006). Healthcare development requires stakeholder consultation: Palliative care in the Caribbean. Cambridge Quarterly of Healthcare Ethics, 15, 248–255.Google Scholar
  8. Merrell, J. C., Tien, N. V., Son, N. T., An, L. N., Sellers, D., Russell, R., et al. (2007). Introduction of microsurgery in Vietnam by a charitable organization: A 15-year experience. Plastic and Reconstructive Surgery, 119, 1267–1273.CrossRefGoogle Scholar
  9. Montgomery, L. M. (1993). Short-term medical missions: Enhancing or eroding health? Missiology: An International Review, 21(3), 333–341.Google Scholar
  10. Operation Smile International. (2007). Operation smile international global standards of care. http://www.operationsmile.org/our_work/global-standards-of-care/. Accessed December 10, 2009.
  11. Operation Smile International. (2009a). Annual Report 2009. http://www.operationsmile.org/downloadables/news-events/publications/2009-annual-report.pdf. Accessed December 10, 2009.
  12. Operation Smile International. (2009b). Comprehensive care centers. http://www.operationsmile.org/our_work/building-self-sufficiency/comprehensive-care-centers.html. Accessed December 10, 2009.
  13. Ozgediz, D., Hsia, R., Weiser, T., Gosselin, R., Spiegel, D., Bickler, S., et al. (2009). Population health metrics for surgery: Effective coverage of surgical services in low-income and middle-income countries. World Journal of Surgery, 33(1), 1–5.CrossRefGoogle Scholar
  14. Ozgediz, D., Jmison, D., Cherian, M., & McQueen, K. (2008). The burden of surgical conditions and access to surgical care in low- and middle-income countries. Bulletin of the World Health Organization, 86(8), 646–647.CrossRefGoogle Scholar
  15. Sherman, R., & Magee, W. (2009). International missions—cleft care. In J. E. Losee & R. E. Kirschner (Eds.), Comprehensive cleft care. New York: McGraw-Hill.Google Scholar
  16. Stone, J. R. (2008). Healthcare inequality, cross-cultural training, and bioethics: Principles and applications. Cambridge Quarterly of Healthcare Ethics, 17(2), 216–226.Google Scholar
  17. Suchdev, P., Ahrens, K., Click, E., Macklin, L., Evangelista, D., & Graham, E. (2007). A model for sustainable short-term international medical trips. Ambulatory Pediatrics, 7(4), 317–320.CrossRefGoogle Scholar
  18. Wall, L. L. (2007). Ethical issues in vesico-vaginal fistula care and research. International Journal of Gynecology and Obstetrics, 99, 532–539.Google Scholar
  19. Wall, L. L., Arrowsmith, S. D., Lassey, A. T., & Danso, K. (2006). Humanitarian ventures or ‘fistula tourism?’ The perils of pelvic surgery in the developing world. International Urogynecology Journal, 17, 559–562.CrossRefGoogle Scholar
  20. Weiser, T. G., Regenbogen, S. E., Thompson, K. D., Haynes, A. B., Lipsitz, S. R., Berry, W. R., et al. (2008). An estimation of the global volume of surgery: A modeling strategy based on available data. Lancet, 372, 139–144.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2011

Authors and Affiliations

  1. 1.College of NursingVillanova UniversityVillanovaUSA
  2. 2.College of MedicineDrexel UniversityPhiladelphiaUSA

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