New trends of short-term humanitarian medical volunteerism: professional and ethical considerations

@article{Asgary2012NewTO,
  title={New trends of short-term humanitarian medical volunteerism: professional and ethical considerations},
  author={Ramin Asgary and Emily Junck},
  journal={Journal of Medical Ethics},
  year={2012},
  volume={39},
  pages={625 - 631}
}
Short-term humanitarian medical volunteerism has grown significantly among both clinicians and trainees over the past several years. Increasingly, both volunteers and their respective institutions have faced important challenges in regard to medical ethics and professional codes that should not be overlooked. We explore these potential concerns and their risk factors in three categories: ethical responsibilities in patient care, professional responsibility to communities and populations, and… 
The Ethics of Medical Volunteerism.
TLDR
This work states that there have been increasing requests for standardized global guidelines, transparency, and open review of MSTs and their outcomes.
The Development of a Humanitarian Health Ethics Analysis Tool
TLDR
A Humanitarian Health Ethics Analysis Tool was developed and tested as an action-oriented resource to support humanitarian workers in ethical decision making and highlighted different types of ethics support that humanitarian workers might find helpful in supporting the decision-making process.
Nurses' contribution to short‐term humanitarian care in low‐ to middle‐income countries: An integrative review of the literature
TLDR
Analysis of available literature describing nursing involvement within the particular context of short-term medical teams delivering charitable health care highlighted that although nurses are recruited and participate in health-focused humanitarian activities in low- to middle-income countries, there is extremely limited documented research about the amount and type of care that nurses specifically provide in this context.
Characteristics, determinants and perspectives of experienced medical humanitarians: a qualitative approach
TLDR
Tension exists between the philosophy and practical incorporation of accountability into operations of experienced medical humanitarian workers, and strategies are needed regarding management of psychosocial stresses and improve aid worker retention.
A Research Agenda for Humanitarian Health Ethics
TLDR
This paper maps key research questions for humanitarian health ethics: the ethical dimensions of healthcare provision and public health activities during international responses to situations of humanitarian crisis and proposes strategies for advancing this research agenda.
Evaluating underpinning, complexity and implications of ethical situations in humanitarian operations: qualitative study through the lens of career humanitarian workers
TLDR
This study helped identify a common instinct to uphold fairness and justice as an underlying drive to maintain humanity through proximity, solidarity, transparency and accountability in humanitarian situations.
Ethical Obligations Regarding Short-Term Global Health Clinical Experiences: An American College of Physicians Position Paper
TLDR
This position paper follows others that have noted that global health typically emphasizes vulnerable populations in underserved settings, and focuses on STEGHs, but these positions could also inform career global health work (32) or local activities inunderserved settings.
Ethical Obligations Regarding Short-Term Global Health Clinical Experiences: An American College of Physicians Position Paper
This American College of Physicians position paper aims to inform ethical decision making surrounding participation in shortterm global health clinical care experiences. Although the positions are
Health Care Voluntourism: Addressing Ethical Concerns of Undergraduate Student Participation in Global Health Volunteer Work
  • D. McCall, A. Iltis
  • Medicine
    HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues
  • 2014
TLDR
It is argued that the participation of undergraduate students inglobal health experiences raises many of the ethical concerns associated with voluntourism and global health experiences for medical students and that universities should be the primary point of delivery even when universities are not organizing the trips.
An ethics-based approach to Global Health Research Part 2: Strategies for overcoming logistic and implementation challenges.
TLDR
A pathway is presented for future global health researchers including generating ideas based on mutual needs of the partnership and the community and exploring the importance of regulations including the need to conduct research and partnership projects within the confines of each participant's professional scope of practice, expertise, and licensure.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 111 REFERENCES
Establishing moral bearings: ethics and expatriate health care professionals in humanitarian work.
TLDR
The proposed process can assist clinicians as they seek to establish their moral bearings in situations of ethical complexity and uncertainty, and will help health care professionals provide ethically sound care to patients and communities.
Ethics beyond borders: how health professionals experience ethics in humanitarian assistance and development work.
  • M. Hunt
  • Political Science, Medicine
    Developing world bioethics
  • 2008
TLDR
Five core themes emerged from the data, including: tension between respecting local customs and imposing values; obstacles to providing adequate care; differing understandings of health and illness; questions of identity for health workers; and issues of trust and distrust.
Ethical challenges and considerations of short-term international medical initiatives: an excursion to Ghana as a case study.
  • J. Jesus
  • Medicine
    Annals of emergency medicine
  • 2010
TLDR
The ethical subtleties that underlie the provision of care in international medical initiatives to the developing world are explored and potential avenues by which to address them are proposed.
Resources and constraints for addressing ethical issues in medical humanitarian work: experiences of expatriate healthcare professionals.
  • M. Hunt
  • Political Science, Medicine
    American journal of disaster medicine
  • 2009
TLDR
Findings related to expatriate healthcare professionals' experiences of resources and constraints for addressing ethical issues in humanitarian crises illuminate the complex nature of ethical reflection, deliberation, and decision-making in humanitarian healthcare practice.
Ethical Review of Global Short-Term Medical Volunteerism
  • M. Decamp
  • Sociology, Medicine
    HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues
  • 2011
TLDR
It is argued that frequent and formalized ethical review, conducted from the beginning with the local community (where this community helps define the terms of debate), remains the most important ethical safeguard for this work.
Ethical codes in humanitarian emergencies: from practice to research?
  • R. Black
  • Political Science, Psychology
    Disasters
  • 2003
TLDR
What lessons, if any, these ethical guidelines, together with different experiences of conducting research in war-torn Liberia, can provide in terms of the role of academic researchers--and research itself--in humanitarian crises are addressed.
‘Playing God Because you Have to’: Health Professionals’ Narratives of Rationing Care in Humanitarian and Development Work
TLDR
This article explores the accounts of Canadian-trained health professionals working in humanitarian and development organizations who considered not treating a patient or group of patients because of resource limitations, and how medications and equipment are represented.
Oceans of need in the desert: ethical issues identified while researching humanitarian agency response in Afghanistan.
TLDR
The paper concludes by highlighting the value of case studies, suggesting mechanisms for extending transparency and accountability in humanitarian health interventions, and highlighting the need of contextualising humanitarian work if the interventions are to be successful.
Concepts and practice of humanitarian medicine
The Fundamentals: Human Rights and Health.- The Right to Health.- Health and Human Rights-A Public Health Perspective.- Health for All or Hell for All? The Role of Leadership in Health Equity.- The
Perspective: postearthquake haiti renews the call for global health training in medical education.
TLDR
It is argued that the academic medicine community must prepare medical trainees not only to treat the illnesses of patients in resource-limited settings but also to fight the injustice that fosters disease and allows such catastrophes to unfold.
...
1
2
3
4
5
...