Medical_volunteerism

Medical volunteerism

Medical volunteerism

Medical volunteering


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]

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.[14]

Ethics

Medical volunteering has in general been praised as “ethical imperative to serve the disadvantaged”.[15]

Short term medical volunteerism abroad, often in developing countries, is sometimes criticized as medical voluntourism.[16][17][18][19][20] 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.[20] A preponderance of this criticism appears largely in scientific and peer-reviewed literature.[21][22][23] Recently, media outlets with more general readerships have published such criticisms as well.[24] By implementing responses to criticism, the effectiveness of medical volunteering can be shifted to best 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.[25]

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".[26] Typical dental volunteering workforce includes, Dentist/ Dental Surgeons, Dental Specialists, Dental Hygienists, Dental and Hygienist students.[27][28][29] 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's clear that not all dental professionals feel the same way about giving back to the community.[30]

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. In 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 hasn’t fixed the problem of limited access to care. Earning continuing education credits for volunteering is generally viewed as a positive development.[31]

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.[32] 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's 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.[33]

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.[34]

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.[35]

Contemporary examples

Medical volunteering is a major activity of a number of NGOs such as Médecins Sans Frontières.[36][37][20] Activities of Wikipedia's WikiProject Medicine have also been discussed in the context of medical volunteering.[38]

See also


References

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  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. 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.
  9. 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.
  10. "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
  11. 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.
  12. Ruffin, Madeline C. (May 2016). Ethical Considerations in Medical Voluntourism: Application to Speech-Language Pathology (Thesis). University of Maine.
  13. Bezruchka, S. (2000). Medical Tourism as Medical Harm to the Third World: Why? For Whom? Wilderness and Environmental Medicine, 11, 77–78.
  14. Roberts, M. (2006). Duffle Bag Medicine. Journal of the American Medical Association, 295, 1491–1492.
  15. Pinto, A.D., & Upshur, R.E.G. (2009). Global Health Ethics for Students. Developing World Bioethics, 9, 1–10.
  16. 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.
  17. 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.
  18. "Ethical Recruitment of Dental Volunteers | FDI". www.fdiworlddental.org. Retrieved 2022-11-18.
  19. "Dental Volunteer Opportunities | Berxi". www.berxi.com. Retrieved 2022-11-18.
  20. "Dental Volunteers | Global Dental Relief". www.globaldentalrelief.org. 2017-03-06. Retrieved 2022-11-18.
  21. 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.
  22. 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.
  23. "The Yellow Fever Epidemic in Philadelphia, 1793". Contagion - CURIOSity Digital Collections. 2020-03-26. Retrieved 2023-05-04.

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