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  • Velin, LottaLinköping University,Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Katastrofmedicinskt centrum (författare)

Systematic review of low-income and middle-income country perceptions of visiting surgical teams from high-income countries

  • Artikel/kapitelEngelska2022

Förlag, utgivningsår, omfång ...

  • 2022-04-28
  • BMJ Publishing Group,2022
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:liu-185039
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-185039URI
  • https://doi.org/10.1136/bmjgh-2022-008791DOI
  • https://lup.lub.lu.se/record/ca1cd3ac-5b97-4b80-b1f1-0df8720c73b3URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:for swepub-publicationtype

Anmärkningar

  • Background The shortage of surgeons, anaesthesiologists and obstetricians in low-income and middle-income countries (LMICs) is occasionally bridged by foreign surgical teams from high-income countries on short-term visits. To advise on ethical guidelines for such activities, the aim of this study was to present LMIC stakeholders perceptions of visiting surgical teams from high-income countries. Method We performed a systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines in November 2021, using standardised search terms in PubMed/Medline (National Library of Medicine), EMBASE (Elsevier), Global Health Database (EBSCO) and Global Index Medicus, and complementary hand searches in African Journals Online and Google Scholar. Included studies were analysed thematically using a meta-ethnographic approach. Results Out of 3867 identified studies, 30 articles from 15 countries were included for analysis. Advantages of visiting surgical teams included alleviating clinical care needs, skills improvement, system-level strengthening, academic and career benefits and broader collaboration opportunities. Disadvantages of visiting surgical teams involved poor quality of care and lack of follow-up, insufficient knowledge transfers, dilemmas of ethics and equity, competition, administrative and financial issues and language barriers. Conclusion Surgical short-term visits from high-income countries are insufficiently described from the perspective of stakeholders in LMICs, yet such perspectives are essential for quality of care, ethics and equity, skills and knowledge transfer and sustainable health system strengthening. More in-depth studies, particularly of LMIC perceptions, are required to inform further development of ethical guidelines for global surgery and support ethical and sustainable strengthening of LMIC surgical systems.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Lantz, AdamLund University,Lunds universitet,Kirurgi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Lunds Melanomstudiegrupp,Forskargrupper vid Lunds universitet,Kirurgi och folkhälsa,Surgery (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Melanoma Study Group,Lund University Research Groups,Surgery and public health,Helsingborg Hospital(Swepub:lu)med-al17 (författare)
  • Ameh, Emmanuel A.Natl Hosp Abuja, Nigeria,National hospital, Abuja (författare)
  • Roy, NobhojitWHO Collaborating Ctr Res Surg Care Delivery LMIC, India; George Inst Global Hlth, India,The George Institute for Global Health (författare)
  • Jumbam, Desmond T.Operat Smile, VA USA,Operation Smile (författare)
  • Williams, OmolaraLagos State Univ, Nigeria,Lagos State University (författare)
  • Elobu, AlexMulago Hosp, Uganda; Inst Digest Dis, Uganda,Mulago Hospital (författare)
  • Seyi-Olajide, JustinaLagos Univ Teaching Hosp, Nigeria,Lagos university teaching hospital (författare)
  • Hagander, LarsLund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Kirurgi och folkhälsa,Forskargrupper vid Lunds universitet,Barnkirurgi,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Surgery and public health,Lund University Research Groups,Pediatric surgery,Skåne University Hospital(Swepub:lu)med-lhd (författare)
  • Linköpings universitetAvdelningen för kirurgi, ortopedi och onkologi (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:BMJ Global Health: BMJ Publishing Group7:42059-7908

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