Freedom of choice, expressions of gratitude: Patient experiences of short-term surgical missions in Guatemala.

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Freedom of choice, expressions of gratitude: Patient experiences of short-term surgical missions in Guatemala.


JournalSocial science & medicine (1982)
Publication date – Jul – 2018
Authors – Roche, S; Brockington, M; Fathima, S; Nandi, M; Silverberg, B; Rice, HE; Hall-Clifford, R
KeywordsMedical missions, Patient experiences, patient satisfaction, short term
Open access – No
SpecialityOther
World region Central America
Country: Guatemala
Language – English
Submitted to the One Surgery Index on July 21, 2018 at 12:00 am
Abstract:

Lack of surgical care has been highlighted as a critical global health problem, and short-term medical missions (STMMs) have become a de facto measure to address this shortfall. Participation in STMMs is an increasingly popular activity for foreign medical professionals to undertake in low- and middle-income countries (LMICs) where their clinical skills may be in short supply. While there is emerging literature on the STMM phenomenon, patient experiences of surgical missions are underrepresented. This research addresses this gap through thirty-seven in-depth interviews with patients or caregivers who received care from a short-term surgical mission within the three years prior to the four-week data collection period in July and August 2013. Interviews were conducted in Antigua, Guatemala and nearby communities, and participants came from 9 different departments of the country. These first-hand accounts of health-seeking through a surgical mission provide important insights into the benefits and challenges of STMMs that patients encounter, including waiting time, ancillary costs, and access to care. Patient agency in care-seeking is considered within the pluralistic, privatized health care context in Guatemala in which foreign participants deliver STMM care.

OSI Number – 10175
PMID – 29803969

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