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Published in: BMC International Health and Human Rights 1/2012

Open Access 01-12-2012 | Research article

A comparative study of Taiwan's short-term medical missions to the South Pacific and Central America

Authors: Ya-Wen Chiu, Yi-Hao Weng, Chih-Fu Chen, Chun-Yuh Yang, Hung-Yi Chiou, Ming-Liang Lee

Published in: BMC International Health and Human Rights | Issue 1/2012

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Abstract

Background

Taiwan has been dispatching an increasing number of short-term medical missions (STMMs) to its allied nations to provide humanitarian health care; however, overall evaluations to help policy makers strengthen the impact of such missions are lacking. Our primary objective is to identify useful strategies by comparing STMMs to the South Pacific and Central America.

Methods

The data for the evaluation come from two main sources: the official reports of 46 missions to 11 countries in Central America and 25 missions to 8 countries in the South Pacific, and questionnaires completed by health professionals who had participated in the above missions. In Central America, STMMs were staffed by volunteer health professionals from multiple institutions. In the South Pacific, STMMs were staffed by volunteer health professionals from single institutions.

Results

In comparison to STMMs to Central America, STMMs to the South Pacific accomplished more educational training for local health providers, including providing heath-care knowledge and skills (p<0.05), and training in equipment administration (p<0.001) and drug administration (p<0.005). In addition, language constraints were more common among missions to Central America (p<0.001). There was no significant difference in the performance of clinical service between the two regions.

Conclusions

Health-care services provided by personnel from multiple institutions are as efficient as those from single institutions. Proficiency in the native language and provision of education for local health-care workers are essential for conducting a successful STMM. Our data provide implications for integrating evidence into the deployment of STMMs.
Literature
1.
go back to reference Walsh DS: A framework for short-term humanitarian health care projects. Int Nurs Rev. 2004, 51: 23-26. 10.1111/j.1466-7657.2003.00203.x.CrossRefPubMed Walsh DS: A framework for short-term humanitarian health care projects. Int Nurs Rev. 2004, 51: 23-26. 10.1111/j.1466-7657.2003.00203.x.CrossRefPubMed
2.
go back to reference Panosian C, Coates TJ: The new medical “missionaries” — grooming the next generation of global health workers. N Eng J Med. 2006, 354: 1771-1773. 10.1056/NEJMp068035.CrossRef Panosian C, Coates TJ: The new medical “missionaries” — grooming the next generation of global health workers. N Eng J Med. 2006, 354: 1771-1773. 10.1056/NEJMp068035.CrossRef
3.
go back to reference Mulvaney SW, McBeth J: Medical humanitarian missions. Am Fam Physician. 2009, 79: 359-360.PubMed Mulvaney SW, McBeth J: Medical humanitarian missions. Am Fam Physician. 2009, 79: 359-360.PubMed
4.
go back to reference Martiniuk AL, Manouchehrian M, Negin JA, Zwi AB: Brain gains: a literature review of medical missions to low and middle-income countries. BMC Health Serv Res. 2012, 12: 134-10.1186/1472-6963-12-134.CrossRefPubMedPubMedCentral Martiniuk AL, Manouchehrian M, Negin JA, Zwi AB: Brain gains: a literature review of medical missions to low and middle-income countries. BMC Health Serv Res. 2012, 12: 134-10.1186/1472-6963-12-134.CrossRefPubMedPubMedCentral
5.
go back to reference Chiu YW, Weng YH, Chen CF, Yang CY, Lee ML: Perceptions and efficiency of short-term medical aid missions among key groups of health professionals. Eval Health Prof. 2012, Epub ahead of print Chiu YW, Weng YH, Chen CF, Yang CY, Lee ML: Perceptions and efficiency of short-term medical aid missions among key groups of health professionals. Eval Health Prof. 2012, Epub ahead of print
6.
go back to reference Johnson CA, Stieglitz N, Schroeder ME: Opportunities and responsibilities for pharmacists on short-term medical mission teams. J Am Pharm Assoc. 2009, 49: 801-807. 10.1331/JAPhA.2009.08172.CrossRef Johnson CA, Stieglitz N, Schroeder ME: Opportunities and responsibilities for pharmacists on short-term medical mission teams. J Am Pharm Assoc. 2009, 49: 801-807. 10.1331/JAPhA.2009.08172.CrossRef
7.
go back to reference Dupuis CC: Humanitarian missions in the third world: a polite dissent. Plast Reconstr Surg. 2004, 113: 433-435. 10.1097/01.PRS.0000097680.73556.A3.CrossRefPubMed Dupuis CC: Humanitarian missions in the third world: a polite dissent. Plast Reconstr Surg. 2004, 113: 433-435. 10.1097/01.PRS.0000097680.73556.A3.CrossRefPubMed
8.
go back to reference Thompson MJ, Huntington MK, Hunt DD, Pinsky LE, Brodie JJ: Educational effects of international health electives on U.S. and Canadian medical students and residents: a literature review. Acad Med. 2003, 78: 342-347. 10.1097/00001888-200303000-00023.CrossRefPubMed Thompson MJ, Huntington MK, Hunt DD, Pinsky LE, Brodie JJ: Educational effects of international health electives on U.S. and Canadian medical students and residents: a literature review. Acad Med. 2003, 78: 342-347. 10.1097/00001888-200303000-00023.CrossRefPubMed
9.
go back to reference Bajkiewicz C: Evaluating short-term missions: how can we improve?. J Christ Nurs. 2009, 26: 110-114.CrossRefPubMed Bajkiewicz C: Evaluating short-term missions: how can we improve?. J Christ Nurs. 2009, 26: 110-114.CrossRefPubMed
10.
go back to reference Bishop R, Litch JA: Medical tourism can do harm. Br Med J. 2000, 320: 1017-10.1136/bmj.320.7240.1017.CrossRef Bishop R, Litch JA: Medical tourism can do harm. Br Med J. 2000, 320: 1017-10.1136/bmj.320.7240.1017.CrossRef
11.
go back to reference Green T, Green H, Scandlyn J, Kestler A: Perceptions of short-term medical volunteer work: a qualitative study in Guatemala. Global Health. 2009, 5: 4-10.1186/1744-8603-5-4.CrossRefPubMedPubMedCentral Green T, Green H, Scandlyn J, Kestler A: Perceptions of short-term medical volunteer work: a qualitative study in Guatemala. Global Health. 2009, 5: 4-10.1186/1744-8603-5-4.CrossRefPubMedPubMedCentral
12.
go back to reference Jesus JE: Ethical challenges and considerations of short-term international medical initiatives: an excursion to Ghana as a case study. Ann Emerg Med. 2010, 55: 17-22. 10.1016/j.annemergmed.2009.07.014.CrossRefPubMed Jesus JE: Ethical challenges and considerations of short-term international medical initiatives: an excursion to Ghana as a case study. Ann Emerg Med. 2010, 55: 17-22. 10.1016/j.annemergmed.2009.07.014.CrossRefPubMed
13.
go back to reference Suchdev P, Ahrens K, Click E, Macklin L, Evangelista D, Graham E: A model for sustainable short-term international medical trips. Ambul Pediatr. 2007, 7: 317-320. 10.1016/j.ambp.2007.04.003.CrossRefPubMed Suchdev P, Ahrens K, Click E, Macklin L, Evangelista D, Graham E: A model for sustainable short-term international medical trips. Ambul Pediatr. 2007, 7: 317-320. 10.1016/j.ambp.2007.04.003.CrossRefPubMed
14.
go back to reference Maki J, Qualls M, White B, Kleefield S, Crone R: Health impact assessment and short-term medical missions: a methods study to evaluate quality of care. BMC Health Serv Res. 2008, 8: 121-10.1186/1472-6963-8-121.CrossRefPubMedPubMedCentral Maki J, Qualls M, White B, Kleefield S, Crone R: Health impact assessment and short-term medical missions: a methods study to evaluate quality of care. BMC Health Serv Res. 2008, 8: 121-10.1186/1472-6963-8-121.CrossRefPubMedPubMedCentral
15.
go back to reference Mendoza RL: Public health policy and medical missions in the Philippines: the case of oral-facial clefting. Asia Pac J Public Health. 2009, 21: 94-103. 10.1177/1010539508327028.CrossRefPubMed Mendoza RL: Public health policy and medical missions in the Philippines: the case of oral-facial clefting. Asia Pac J Public Health. 2009, 21: 94-103. 10.1177/1010539508327028.CrossRefPubMed
16.
go back to reference Hunt MR: Strengths and challenges in the use of interpretive description: reflections arising from a study of the moral experience of health professionals in humanitarian work. Qual Health Res. 2009, 19: 1284-1292. 10.1177/1049732309344612.CrossRefPubMed Hunt MR: Strengths and challenges in the use of interpretive description: reflections arising from a study of the moral experience of health professionals in humanitarian work. Qual Health Res. 2009, 19: 1284-1292. 10.1177/1049732309344612.CrossRefPubMed
17.
go back to reference Bjerneld M, Lindmark G, Diskett P, Garrett MJ: Perceptions of work in humanitarian assistance: interviews with returning Swedish health professionals. Disaster Manag Response. 2004, 2: 101-108. 10.1016/j.dmr.2004.08.009.CrossRefPubMed Bjerneld M, Lindmark G, Diskett P, Garrett MJ: Perceptions of work in humanitarian assistance: interviews with returning Swedish health professionals. Disaster Manag Response. 2004, 2: 101-108. 10.1016/j.dmr.2004.08.009.CrossRefPubMed
18.
go back to reference Solheim J: Third world humanitarian medical trips — are they safe?. J Emerg Nurs. 2010, 36: 67-70. 10.1016/j.jen.2009.10.007.CrossRefPubMed Solheim J: Third world humanitarian medical trips — are they safe?. J Emerg Nurs. 2010, 36: 67-70. 10.1016/j.jen.2009.10.007.CrossRefPubMed
19.
go back to reference Bowman A, Gately B: Pakistan medical missions: an extension of our skills as emergency room nurses. J Emerg Nurs. 2007, 33: 463-467. 10.1016/j.jen.2007.05.011.CrossRefPubMed Bowman A, Gately B: Pakistan medical missions: an extension of our skills as emergency room nurses. J Emerg Nurs. 2007, 33: 463-467. 10.1016/j.jen.2007.05.011.CrossRefPubMed
20.
go back to reference Hoover EL, Cole-Hoover G, Berry PK, Hoover ET, Harris B, Rageh D, Weaver WL: Private volunteer medical organizations: how effective are they?. J Natl Med Assoc. 2005, 97: 270-275.PubMedPubMedCentral Hoover EL, Cole-Hoover G, Berry PK, Hoover ET, Harris B, Rageh D, Weaver WL: Private volunteer medical organizations: how effective are they?. J Natl Med Assoc. 2005, 97: 270-275.PubMedPubMedCentral
21.
go back to reference Chan G: Taiwan as an emerging foreign aid donor: developments, problems, and prospects. Pac Aff. 1997, 70: 37-56. 10.2307/2761227.CrossRef Chan G: Taiwan as an emerging foreign aid donor: developments, problems, and prospects. Pac Aff. 1997, 70: 37-56. 10.2307/2761227.CrossRef
22.
go back to reference Kickbusch I: Global health diplomacy: how foreign policy can influence health. Br Med J. 2011, 342: d3154-10.1136/bmj.d3154.CrossRef Kickbusch I: Global health diplomacy: how foreign policy can influence health. Br Med J. 2011, 342: d3154-10.1136/bmj.d3154.CrossRef
23.
go back to reference Tubilewicz C, Guilloux A: Does size matter? foreign aid in Taiwan’s diplomatic strategy, 2000–8. Aust J Int Aff. 2011, 65: 322-339. 10.1080/10357718.2011.563777.CrossRef Tubilewicz C, Guilloux A: Does size matter? foreign aid in Taiwan’s diplomatic strategy, 2000–8. Aust J Int Aff. 2011, 65: 322-339. 10.1080/10357718.2011.563777.CrossRef
24.
go back to reference Lane C, Glassman A: Bigger and better? Scaling up and innovation in health aid. Health Aff. 2007, 26: 935-948. 10.1377/hlthaff.26.4.935.CrossRef Lane C, Glassman A: Bigger and better? Scaling up and innovation in health aid. Health Aff. 2007, 26: 935-948. 10.1377/hlthaff.26.4.935.CrossRef
25.
go back to reference Hoover EL, Cole-Hoover G, Berry PK, Hoover ET, Harris B, Rageh D, Weaver WL: Medical volunteers: guidelines for success and safety. J Natl Med Assoc. 2005, 97: 85-90.PubMedPubMedCentral Hoover EL, Cole-Hoover G, Berry PK, Hoover ET, Harris B, Rageh D, Weaver WL: Medical volunteers: guidelines for success and safety. J Natl Med Assoc. 2005, 97: 85-90.PubMedPubMedCentral
26.
go back to reference Bailey BJ: Medical missions to Vietnam and Cuba: lessons in global education. Laryngoscope. 2007, 117: 1703-1709. 10.1097/MLG.0b013e3180ed4532.CrossRefPubMed Bailey BJ: Medical missions to Vietnam and Cuba: lessons in global education. Laryngoscope. 2007, 117: 1703-1709. 10.1097/MLG.0b013e3180ed4532.CrossRefPubMed
27.
go back to reference Murray JS: Pediatric nursing health care delivery plan for humanitarian missions in developing countries. Pediatr Nurs. 1999, 25: 387-392.PubMed Murray JS: Pediatric nursing health care delivery plan for humanitarian missions in developing countries. Pediatr Nurs. 1999, 25: 387-392.PubMed
Metadata
Title
A comparative study of Taiwan's short-term medical missions to the South Pacific and Central America
Authors
Ya-Wen Chiu
Yi-Hao Weng
Chih-Fu Chen
Chun-Yuh Yang
Hung-Yi Chiou
Ming-Liang Lee
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC International Health and Human Rights / Issue 1/2012
Electronic ISSN: 1472-698X
DOI
https://doi.org/10.1186/1472-698X-12-37

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