Medical Device Donation Practices in Canada: A Survey of Donor and Recipient Perspectives

W. Gentles, B. Bradley, Charles Yoon, Sulmaz Zahedi, Yolanda Adusei-poku, John Zienaa, Nicolas Adjabu, Yu-Ling Cheng
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Abstract

Background and Objective: Although developing countries have been receiving donations of medical equipment for many years, a number of studies have indicated that a high percentage of donated equipment is never put into use. [1,3,4] Many of the reasons for this can be traced back to inadequate donation practices on the part of donor organizations.  The objective of this study was to gain an improved understanding of the practices and challenges associated with medical equipment donations by Canadian charitable organizations. Material and Methods: Forty-one organizations (registered and non-registered charities, non-governmental organizations (NGOs), non-profit organizations, medical clinics, and hospitals) completed an online survey, and 16 respondents were interviewed via telephone or in person. In addition, representatives from 28 hospitals in Ghana were interviewed in person to gain an understanding of the recipient experience. Results: We observed that for many Canadian donor organizations there is room for improvement in formalizing procedures, testing to verify equipment functionality before shipping, providing additional support for recipients in the form of manuals, spare parts and training, and long-term monitoring of donated items to measure effectiveness. For recipients, the most common challenges faced were lack of spare parts, and lack of operating or service manuals. Despite these challenges, all of the Ghanaian survey respondents said that donated medical equipment benefited their hospitals. Conclusion: We concluded that because of staffing limitations in smaller donor organizations, and in order to better meet the needs of recipients, it would be beneficial for Canadian organizations to communicate and collaborate with one another to share resources and expertise when planning donations overseas.
加拿大医疗器械捐赠实践:捐赠者和接受者观点的调查
背景和目的:虽然发展中国家多年来一直接受医疗设备的捐赠,但一些研究表明,捐赠的设备中有很大一部分从未投入使用。[1,3,4]造成这种情况的很多原因可以追溯到捐赠组织的捐赠实践不足。这项研究的目的是更好地了解加拿大慈善组织在医疗设备捐赠方面的做法和面临的挑战。材料与方法:41个组织(注册和未注册的慈善机构、非政府组织、非营利组织、医疗诊所和医院)完成了在线调查,16个受访者通过电话或亲自采访。此外,还对加纳28家医院的代表进行了面谈,以了解受助者的经历。结果:我们观察到,对于许多加拿大捐赠组织来说,在程序的正规化、运输前测试以验证设备的功能、以手册、备件和培训的形式为接受者提供额外的支持以及对捐赠物品进行长期监测以衡量有效性方面都有改进的空间。对于接受者来说,最常见的挑战是缺乏备件,以及缺乏操作或服务手册。尽管存在这些挑战,所有接受调查的加纳人都说,捐赠的医疗设备使他们的医院受益。结论:我们认为,由于小型捐赠机构人员的限制,为了更好地满足受助者的需求,加拿大的组织在规划海外捐赠时,相互沟通和协作,共享资源和专业知识是有益的。
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