Ethics in Global Plastic Surgery Missions.

IF 1.5 Q3 SURGERY
Plastic and Reconstructive Surgery Global Open Pub Date : 2024-10-25 eCollection Date: 2024-10-01 DOI:10.1097/GOX.0000000000006245
Rishika Chikoti, Samantha Joy Leon, Danielle Thornburg, Lyndsay Kandi, Bryn Morris, Alanna Rebecca, William Casey, Michael A Howard, Chad M Teven
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Abstract

Background: Delivering ethical care in global plastic surgery is challenging due to the unique complexities of resource-limited settings. Additionally, the rise of medical tourism has highlighted the importance of informed consent and awareness of the potential risks that are associated with seeking medical care in foreign countries. This article aims to consider core medical ethics principles and apply them in the context of delivering global plastic surgery.

Methods: This article examines the application of the four core medical ethics principles in a framework set forth by Beauchamp and Childress, namely autonomy, beneficence, nonmaleficence, and justice, in the context of delivering plastic surgery in international settings. A literature review was performed, where all potential global plastic surgery articles were reviewed to better understand the application of the four core medical ethics framework in this context.

Results: Increased communication between visiting surgeons and local healthcare providers; heightened education of surgeons traveling to low-to-middle-income countries regarding local medical practices, resource availability, and cultural norms before providing surgical education; and a greater emphasis on collecting and publishing data analyzing short- and long-term outcomes in low-to-middle-income countries are all likely to improve the success of international medical missions, ensuring that all patients receive medical treatment in a manner that upholds Beauchamp and Childress' four core medical ethics principles.

Conclusion: Providing plastic and reconstructive surgery abroad can be done ethically if the four main principles of medical ethics (respect for autonomy, beneficence, nonmaleficence, and justice) are used.

全球整形外科任务中的伦理问题。
背景:由于资源有限环境的独特复杂性,在全球整形外科领域提供合乎道德的医疗服务具有挑战性。此外,医疗旅游的兴起凸显了知情同意的重要性,以及对在国外就医的潜在风险的认识。本文旨在探讨核心医学伦理原则,并将其应用于全球整形外科手术中:本文研究了博尚和柴尔德里斯提出的框架中的四项核心医学伦理原则,即自主性、受益性、非渎职性和公正性在国际整形手术中的应用。为了更好地理解四个核心医学伦理框架在这种情况下的应用,我们进行了一次文献回顾,回顾了所有可能的全球整形外科文章:结果:加强来访外科医生与当地医疗服务提供者之间的沟通;在提供手术教育之前,加强对前往中低收入国家的外科医生进行有关当地医疗实践、资源可用性和文化规范的教育;以及更加重视收集和发布有关中低收入国家短期和长期疗效的分析数据,这些都有可能提高国际医疗任务的成功率,确保所有患者都能在遵守博尚和柴尔德里斯提出的四项核心医学伦理原则的前提下接受治疗:结论:如果遵循医学伦理的四项主要原则(尊重自主性、受益性、非渎职性和公正性),在国外提供整形和再造手术是符合伦理的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.20
自引率
13.30%
发文量
1584
审稿时长
10 weeks
期刊介绍: Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
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