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Ethical Dilemmas in Global Plastic Surgery: Divergent Perspectives of Local and Visiting Surgeons.
Schoenbrunner, Anna R; McIntyre, Joyce K; Nthumba, Peter; Muchemwa, Faith Chengetavyi; Sigler, Alicia; Gosman, Amanda A.
Afiliación
  • Schoenbrunner AR; From the Department of Plastic and Reconstructive Surgery, The Ohio State University; Division of Plastic Surgery, University of Massachusetts Medical School; Department of Surgery, AIC Kijabe Hospital; Department of Surgery, University of Zimbabwe College of Health Sciences; Shriners Ambulatory Cli
  • McIntyre JK; From the Department of Plastic and Reconstructive Surgery, The Ohio State University; Division of Plastic Surgery, University of Massachusetts Medical School; Department of Surgery, AIC Kijabe Hospital; Department of Surgery, University of Zimbabwe College of Health Sciences; Shriners Ambulatory Cli
  • Nthumba P; From the Department of Plastic and Reconstructive Surgery, The Ohio State University; Division of Plastic Surgery, University of Massachusetts Medical School; Department of Surgery, AIC Kijabe Hospital; Department of Surgery, University of Zimbabwe College of Health Sciences; Shriners Ambulatory Cli
  • Muchemwa FC; From the Department of Plastic and Reconstructive Surgery, The Ohio State University; Division of Plastic Surgery, University of Massachusetts Medical School; Department of Surgery, AIC Kijabe Hospital; Department of Surgery, University of Zimbabwe College of Health Sciences; Shriners Ambulatory Cli
  • Sigler A; From the Department of Plastic and Reconstructive Surgery, The Ohio State University; Division of Plastic Surgery, University of Massachusetts Medical School; Department of Surgery, AIC Kijabe Hospital; Department of Surgery, University of Zimbabwe College of Health Sciences; Shriners Ambulatory Cli
  • Gosman AA; From the Department of Plastic and Reconstructive Surgery, The Ohio State University; Division of Plastic Surgery, University of Massachusetts Medical School; Department of Surgery, AIC Kijabe Hospital; Department of Surgery, University of Zimbabwe College of Health Sciences; Shriners Ambulatory Cli
Plast Reconstr Surg ; 149(4): 789e-799e, 2022 Apr 01.
Article en En | MEDLINE | ID: mdl-35349548
BACKGROUND: As more of the world's resources are directed toward improving patient access to safe surgical and anesthesia care, there is a growing concern that volunteer surgeons' "desire to help" has numerous unintended consequences. The purpose of this study was to ask in-country, local surgeons and visiting volunteer plastic surgeons about the frequency of ethical dilemmas for different types of global surgery collaborations and to assess their perception of compliance with the concepts of autonomy, beneficence, nonmaleficence, and justice. METHODS: A cross-sectional email survey tool was sent to a representative sample of domestic American Society of Plastic Surgeons members, all international members of the American Society of Plastic Surgeons, and international partners of the Volunteers in Plastic Surgery committee of the Plastic Surgery Foundation. The survey response rate was 7.7 percent, with 356 respondents from 65 countries. RESULTS: This survey data showed a statistically significant divergence of perspectives between local and visiting surgeons in regard to scope of practice, quality of patient care, impact on local health care systems, perception of the quality of care by local providers, the integrity of the informed consent process, and photography in global plastic surgery collaborations. Though the short-term mission trip model was particularly polarizing when comparing the responses of local and visiting surgeons, educational and research exchanges may also significantly interrupt local health care and incite ethical lapses. CONCLUSION: This survey provides quantitative insight into the impact of current global plastic surgery collaborations and highlights ethical areas of disagreement between local and visiting surgeons.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía Plástica / Procedimientos de Cirugía Plástica / Cirujanos Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Ethics Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Plast Reconstr Surg Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía Plástica / Procedimientos de Cirugía Plástica / Cirujanos Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Ethics Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Plast Reconstr Surg Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos