Medical volunteerism

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Medical volunteerism, also medical volunteering, is volunteering in the context of providing medical treatment. [1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13] [ excessive citations ] It is one form of both international and domestic volunteering. International medical volunteering may include a range of resource-based solutions associated with the set up of a mobile clinic, volunteer assistance in local hospitals or clinics, or at home healthcare services. [14]

Contents

Motivations of volunteers

Motivations of medical volunteers, analyzed through the Volunteer Functions Inventory framework, have been found to be focused on the values dimension first, followed by understanding, enhancement, social, career, and protective ones. Out of these, the first two were most important. In other words, the most common reason for medical volunteering is expressing or acting on important values, such as humanitarianism and helping those less fortunate and seeking to learn more about the world and/or exercise skills that are often unused. [15]

Ethics

Medical volunteering has in general been praised as “ethical imperative to serve the disadvantaged”. [16] Medical volunteers may have good intentions and aid beneficiaries may be grateful for their help. Yet, scholars have explored the significant drawbacks of such volunteerism. [17]

Short term medical volunteerism abroad, often in developing countries, is sometimes criticized as medical voluntourism. [18] [19] [20] [21] [22] While millions of individuals depend on the free assistance offered through medical volunteer work, such activities are criticized when compared to the alternative notion of sustainable capacities, i.e., work done in the context of long-term, locally-run, and foreign-supported infrastructures. [22] A preponderance of this criticism appears largely in scientific and peer-reviewed literature. [23] [24] [25] Recently, media outlets with more general readerships have published such criticisms as well. [26]

Local communities often voice concerns regarding the transient nature of international medical groups, whose presence is often perceived as convenient but fleeting. [27] These missions typically last between one week to two months, limiting their impact as they can only attend to a fraction of patients within a short timeframe. This brief interaction impedes the establishment of meaningful patient-provider relationships, which are crucial for effective treatment. [27] Moreover, inadequate communication prior to the arrival of these groups causes stress for patients who struggle to plan accordingly. Services being provided during the day may necessitate time off work, which is difficult to arrange at short notice.

Local healthcare teams also encounter challenges due to limited notice, hindering their ability to relay information to patients and adequately prepare to assist foreign teams as required. [27] Additionally, ethical concerns arise from the lack of experience and training among volunteers. Despite their well intentioned efforts, many volunteers lack certification, potentially endangering already vulnerable patients. There is also the risk that volunteers may exploit the desperate need for assistance in under-served countries as an opportunity to gain hands-on experience. [28]

Considering long-term consequences, the provision of free services by international groups may foster dependency on foreign aid and alleviate pressure on local authorities to address systemic gaps in healthcare access. [29] By implementing responses to criticism, medical volunteering can be improved or transformed to better suit the community at hand.

Types of volunteer work

While often seen in the context of volunteer physicians and nurses, the term can also cover the case of volunteers for clinical trials that are motivated by non-financial gains. [30]

Dental volunteering

Volunteering in the context of providing dental care is dental volunteering. Volunteering in international healthcare facilities is gaining popularity. Volunteer efforts in dentistry are widespread in the underdeveloped world. The World Dental Federation (Federation Dentaire Internationale, FDI) has defined the term Dental Volunteer as "A qualified and registered/licensed dentist who provides time and work free of charge". [31] Typical dental volunteering workforce includes, Dentist/ Dental Surgeons, Dental Specialists, Dental Hygienists, Dental and Hygienist students. [32] [33] [34] The factors that encourage the desire to involve in voluntary care include a desire to give back to the community, a desire to be more understanding of patients' needs, and a desire to feel fulfilled in their work. Volunteers' have expressed reasons for giving their time and energy range from altruism and the desire to 'help others' to spiritual and career advancement. It is clear that not all dental professionals feel the same way about giving back to the community. [35]

Dental volunteering has a potential of making a substantial contribution for the global oral health. Significant opportunity for fresh experiences are afforded to individuals in volunteer work. They enable participants to respect various cultures and ways of life while making a constructive contribution to the target community, whether that group is domestic or international. Dental volunteers play a crucial role in providing dental treatment to patients at community health centers. Considering that paid medical staff availability and willingness to serve cannot be assured, sustained reliance on volunteers presents significant difficulties. Some states of the United States have implemented a mechanism for volunteering in exchange for continuing education credits. It has been help underprivileged communities, however the reports have indicated that it has not fixed the problem of limited access to care. Earning continuing education credits for volunteering is generally viewed as a positive development. [36]

However, the typical approach in dental volunteering in developing countries are often criticized. Volunteer non-profit organizations (NGO) in the dental field have made significant strides toward eliminating worldwide disparities in oral health. However, the dental NGO sector is much less well understood than the medical and health NGO sector. The FDI, published a seminal study in 2002 analyzing baseline data about dental aid organizations. [37] Most of the dental NGOs are small in size, run on a shoestring budget, employ only a handful of people (most of whom are volunteers), lack professional management, provide inconsistent quality assurance, are unaware of relevant research, and have poor lines of communication and collaboration with one another. Concerns have been raised that certain volunteer programs may actually do more harm than good to the communities they aim to assist. It is reported that sometimes locals in host areas have a mixed reaction to volunteers. As a result of insufficient understanding, some projects have the potential to cause harm by being paternalistic, diminishing confidence in local health systems, failing to maintain patient safety, causing economic harm to local providers, and focusing more on volunteers than local communities. As a result, there is a call for further education of the concept among volunteer dental practitioners. [38]

History

International medical volunteerism

In the 1800s and early 1900s, during the period of European colonialism, international medical volunteering were considered "heroic missions" and a "Christian duty". [39] Starting in the 1960s, secular medical volunteering abroad emerged as a response to the lack of qualified healthcare personnel in developing countries and to the advent of nongovernmental and governmental organizations. This led to doctors and nurses practicing Western bio-medicine in non-Western environments. Almost a decade later, the growing interest in international volunteering was aided by globalization, which has played a pivotal role in the increased sense of global connectivity and awareness of health disparities and humanitarian needs. [40] Major global health initiatives presented a notable shift from disease-specific interventions (specifically malaria and HIV) to the advancement of general health care, and a focus on access to resources such as clean water, education, primary care, and hygiene. Starting in the 19th century, the WHO (World Health Organization) sought to encourage a change in policies to effectively bolster internal healthcare system. Following this, there was a rapid increase in the number of privately-managed short-term medical brigades, providing solutions aimed at outlining the WHO. [41]

Historical examples

During the 1793 yellow fever epidemic in Philadelphia, many of the city's black citizens offered voluntary nursing and logistical services in an attempt to mitigate the spread of infection. This was done at the behest of Benjamin Rush, who, while operating under the incorrect assumption that black and mixed-race citizens were resistant to the disease, appealed to the black community for help during the crisis. [42]

Assistance from the American Red Cross during the 1918 Influenza pandemic was vital in mitigating the spread of the disease. The decision to intervene in the first World War had diverted many domestic resources to the war effort, thus causing shortages of both medical supplies and personnel. The American Red Cross was called upon by then Surgeon General Rupert Blue to help alleviate these deficits. Though the services provided by local Red Cross chapters varied depending on the needs of the communities to which they were attached, the organization devoted significant effort and resources to combatting the outbreak. [43]

Contemporary examples

Medical volunteering is a major activity of a number of NGOs such as Médecins Sans Frontières. [44] [45] [22] Activities of Wikipedia's WikiProject Medicine have also been discussed in the context of medical volunteering. [46]

See also

Related Research Articles

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References

  1. ↑ Stone, Geren S.; Olson, Kristian R. (2016-03-01). "The Ethics of Medical Volunteerism". Medical Clinics of North America. Travel and Adventure Medicine. 100 (2): 237–246. doi:10.1016/j.mcna.2015.09.001. ISSN   0025-7125. PMID   26900110.
  2. ↑ Asgary, Ramin; Junck, Emily (2013-10-01). "New trends of short-term humanitarian medical volunteerism: professional and ethical considerations". Journal of Medical Ethics. 39 (10): 625–631. doi:10.1136/medethics-2011-100488. ISSN   0306-6800. PMID   23236086. S2CID   21597816.
  3. ↑ DeCamp, Matthew (2011-06-01). "Ethical Review of Global Short-Term Medical Volunteerism". HEC Forum. 23 (2): 91–103. doi:10.1007/s10730-011-9152-y. ISSN   1572-8498. PMID   21604023. S2CID   664080.
  4. ↑ Olakanmi, Ololade; Perry, Philip A. (2006-12-01). "Medical Volunteerism in Africa: An Historical Sketch". AMA Journal of Ethics. 8 (12): 863–870. doi: 10.1001/virtualmentor.2006.8.12.mhst1-0612 . ISSN   2376-6980. PMID   23241550.
  5. ↑ Alcauskas, Megan Patrick (2006-12-01). "From Medical School to Mission: The Ethics of International Medical Volunteerism". AMA Journal of Ethics. 8 (12): 797–800. doi:10.1001/virtualmentor.2006.8.12.fred1-0612. ISSN   2376-6980. PMID   23241536.
  6. ↑ Mankamyer, Cynthia (November 2010). "Medical volunteerism: Tips from a nurse returned from Haiti". Nursing2021. 40 (11): 48–51. doi:10.1097/01.NURSE.0000388315.60522.cc. ISSN   0360-4039. PMID   20975432.
  7. ↑ Saab, Basem; Alameddine, Reina (June 2018). "Reflections on medical volunteerism: free medical days for refugees". The British Journal of General Practice. 68 (671): 280–281. doi:10.3399/bjgp18X696413. ISSN   0960-1643. PMC   6002004 . PMID   29853582.
  8. ↑ Istl, Alexandra C.; McAlister, Vivian C. (December 2016). "Western University (No. 10 Canadian Stationary Hospital and No. 14 Canadian General Hospital): a study of medical volunteerism in the First World War". Canadian Journal of Surgery. 59 (6): 371–373. doi:10.1503/cjs.013716. ISSN   0008-428X. PMC   5125918 . PMID   27827791.
  9. ↑ Pickell, Zachary; Gu, Kathleen; Williams, Aaron M. (2020-12-01). "Virtual volunteers: the importance of restructuring medical volunteering during the COVID-19 pandemic". Medical Humanities. 46 (4): 537–540. doi:10.1136/medhum-2020-011956. ISSN   1468-215X. PMC   7445098 . PMID   32820042.
  10. ↑ Reynolds, Herbert Y. (2006-12-01). "Medical Volunteering: Giving Something Back". Lung. 184 (6): 369–371. doi:10.1007/s00408-006-0028-x. ISSN   1432-1750. PMID   17086461. S2CID   19130808.
  11. ↑ Keelan, Emma (October 2015). "So you want to be a Medical Volunteer". The Ulster Medical Journal. 84 (3): 220–221. ISSN   0041-6193. PMC   4642253 . PMID   26668428.
  12. ↑ Elnawawy, Omnia; Lee, Andrew CK; Pohl, Gerda (2014-06-01). "Making short-term international medical volunteer placements work: a qualitative study". British Journal of General Practice. 64 (623): e329–e335. doi:10.3399/bjgp14X680101. ISSN   0960-1643. PMC   4032015 . PMID   24868070.
  13. ↑ Potolidis, Dimitris (2020-05-08). "Medical Volunteerism in Times of COVID-19: Burden or Relief?". International Journal of Medical Students. 8 (2): 152–153. doi: 10.5195/ijms.2020.550 . ISSN   2076-6327. S2CID   218958807.
  14. ↑ Lough, Benjamin J.; Tiessen, Rebecca; Lasker, Judith N. (2018-01-24). "Effective practices of international volunteering for health: perspectives from partner organizations". Globalization and Health. 14 (1). doi: 10.1186/s12992-018-0329-x . hdl: 10393/37198 . ISSN   1744-8603.
  15. ↑ Fletcher, Thomas D.; Major, Debra A. (2004-07-01). "Medical Students' Motivations to Volunteer: An Examination of the Nature of Gender Differences". Sex Roles. 51 (1): 109–114. doi:10.1023/B:SERS.0000032319.78926.54. ISSN   1573-2762. S2CID   145806672.
  16. ↑ Scott, H. Denman; Bell, Johanna; Geller, Stephanie; Thomas, Melinda (2000-01-05). "Physicians Helping the UnderservedThe Reach Out Program". JAMA. 283 (1): 99–104. doi:10.1001/jama.283.1.99. ISSN   0098-7484. PMID   10632287.
  17. ↑ Nouvet, Elysée; Chan, Elizabeth; Schwartz, Lisa J. (2018-04-03). "Looking good but doing harm? Perceptions of short-term medical missions in Nicaragua". Global Public Health. 13 (4): 456–472. doi:10.1080/17441692.2016.1220610. ISSN   1744-1692.
  18. ↑ "The Future of Voluntourism", Ours to Explore, Potomac Books, pp. 163–178, 2021-06-01, doi:10.2307/j.ctv1k76jn5.17, S2CID   242372461 , retrieved 2021-10-19
  19. ↑ McLennan, Sharon (2014-04-01). "Medical voluntourism in Honduras: 'Helping' the poor?". Progress in Development Studies. 14 (2): 163–179. doi:10.1177/1464993413517789. ISSN   1464-9934. S2CID   144772758.
  20. ↑ McCall, Daniel; Iltis, Ana S. (2014-12-01). "Health Care Voluntourism: Addressing Ethical Concerns of Undergraduate Student Participation in Global Health Volunteer Work". HEC Forum. 26 (4): 285–297. doi:10.1007/s10730-014-9243-7. ISSN   1572-8498. PMID   25079381. S2CID   27467732.
  21. ↑ Ruffin, Madeline C. (May 2016). Ethical Considerations in Medical Voluntourism: Application to Speech-Language Pathology (Thesis). University of Maine.
  22. 1 2 3 Bauer, Irmgard (2017-03-06). "More harm than good? The questionable ethics of medical volunteering and international student placements". Tropical Diseases, Travel Medicine and Vaccines. 3: 5. doi: 10.1186/s40794-017-0048-y . ISSN   2055-0936. PMC   5531079 . PMID   28883975.
  23. ↑ Bezruchka, S. (2000). Medical Tourism as Medical Harm to the Third World: Why? For Whom? Wilderness and Environmental Medicine , 11, 77–78.
  24. ↑ Roberts, M. (2006). Duffle Bag Medicine. Journal of the American Medical Association , 295, 1491–1492.
  25. ↑ Pinto, A.D., & Upshur, R.E.G. (2009). Global Health Ethics for Students. Developing World Bioethics , 9, 1–10.
  26. ↑ Thompson, Jamie (4 November 2016). "Think looking after turtles in Costa Rica for three weeks is good for your CV? Think again". The Conversation. Retrieved 2021-10-19.
  27. 1 2 3 Nouvet, Elysée; Chan, Elizabeth; Schwartz, Lisa J. (2018-04-03). "Looking good but doing harm? Perceptions of short-term medical missions in Nicaragua". Global Public Health. 13 (4): 456–472. doi:10.1080/17441692.2016.1220610. ISSN   1744-1692.
  28. ↑ McKay, Ramah (2020). "Global health's durable dreams: ethnography, 'community health workers' and health without health infrastructure". Africa. 90 (1): 95–111. doi:10.1017/S0001972019000950. ISSN   0001-9720.
  29. ↑ Nouvet, Elysée; Chan, Elizabeth; Schwartz, Lisa J. (2018-04-03). "Looking good but doing harm? Perceptions of short-term medical missions in Nicaragua". Global Public Health. 13 (4): 456–472. doi:10.1080/17441692.2016.1220610. ISSN   1744-1692.
  30. ↑ Stunkel, Leanne; Grady, Christine (2011-05-01). "More than the money: A review of the literature examining healthy volunteer motivations". Contemporary Clinical Trials. 32 (3): 342–352. doi:10.1016/j.cct.2010.12.003. ISSN   1551-7144. PMC   4943215 . PMID   21146635.
  31. ↑ "Ethical Recruitment of Dental Volunteers | FDI". www.fdiworlddental.org. Retrieved 2022-11-18.
  32. ↑ "Dental Volunteer Opportunities | Berxi". www.berxi.com. Retrieved 2022-11-18.
  33. ↑ "Dental Volunteers | Global Dental Relief". www.globaldentalrelief.org. 2017-03-06. Retrieved 2022-11-18.
  34. ↑ "Dental Volunteer Abroad & Medical Mission Trips | Dentists & Students". Volunteer Forever. Retrieved 2022-11-18.
  35. ↑ Marsh, Lynn A. (2012). "Dental hygienist attitudes toward providing care for the underserved population". Journal of Dental Hygiene. 86 (4): 315–322. ISSN   1553-0205. PMID   23168105.
  36. ↑ Holladay, Chelsea M.; Gwozdek, Anne E. (2018-08-01). "Assessment of Michigan Dentists' and Dental Hygienists' Perceptions Toward Obtaining Continuing Education Credits for Volunteering in Community-Based Clinics". American Dental Hygienists' Association. 92 (4): 43–50. ISSN   1553-0205. PMID   30143549.
  37. ↑ Benzian, Habib; Gelbier, Stanley (October 2002). "Dental aid organisations: baseline data about their reality today". International Dental Journal. 52 (5): 309–314. doi: 10.1002/j.1875-595x.2002.tb00876.x . ISSN   0020-6539. PMID   12418597.
  38. ↑ Paterson, Andrew James; Milne, John Gordon; Kazimoto, Joseph Edward; Bagg, Jeremy (2019-03-02). "International healthcare volunteering: lessons learned from efforts to put a sustainable model for emergency dentistry and oral health education into rural tanzania". Dental Update. 46 (3): 197–201. doi:10.12968/denu.2019.46.3.197. ISSN   0305-5000. S2CID   159207984.
  39. ↑ Bauer, Irmgard (2017-03-06). "More harm than good? The questionable ethics of medical volunteering and international student placements". Tropical Diseases, Travel Medicine and Vaccines. 3 (1): 5. doi: 10.1186/s40794-017-0048-y . ISSN   2055-0936. PMC   5531079 . PMID   28883975.
  40. ↑ Elnawawy, Omnia; Lee, Andrew CK; Pohl, Gerda (2014-05-27). "Making short-term international medical volunteer placements work: a qualitative study". British Journal of General Practice. 64 (623): e329–e335. doi:10.3399/bjgp14x680101. ISSN   0960-1643. PMC   4032015 .
  41. ↑ Portman, Mark T.; Martin, Edward J. (2015). "Medical Brigades, Global Health and the United Nations: Millennium Development Goals and Developing Nations". Journal of Health and Human Services Administration. 38 (1): 90–107. ISSN   1079-3739. JSTOR   24459677.
  42. ↑ "The Yellow Fever Epidemic in Philadelphia, 1793". Contagion - CURIOSity Digital Collections. 2020-03-26. Retrieved 2023-05-04.
  43. ↑ Jones, Marian Moser (2010). "The American Red Cross and Local Response to the 1918 Influenza Pandemic: A Four-City Case Study". Public Health Reports. 125 (Suppl 3): 92–104. doi:10.1177/00333549101250S312. ISSN   0033-3549. PMC   2862338 . PMID   20568571.
  44. ↑ Eadsforth, Holly (2019-01-14). "Professionalisation of International Medical Volunteer Work to Maintain Ethical Standards: A Qualitative Study Exploring the Experience of Volunteer Doctors in Relation to UK Policy". Medical Sciences. 7 (1): 9. doi: 10.3390/medsci7010009 . ISSN   2076-3271. PMC   6359092 . PMID   30646600.
  45. ↑ "Burnout, Job Satisfaction High Among Infectious Disease Specialists: Public Health Watch". ContagionLive. 2019-04-17. Retrieved 2023-11-22.
  46. ↑ Konieczny, Piotr (2023). "Where experts and amateurs meet: the ideological hobby of medical volunteering on Wikipedia". WikiJournal of Medicine. 10 (1): 5. doi: 10.15347/wjm/2023.005 . S2CID   260648854.
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