Building effective relationships in global surgery: an exploratory qualitative study.

IF 2.4 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Hpb Pub Date : 2025-08-21 DOI:10.1016/j.hpb.2025.08.002

Dorothy Hughes, Betel Yibrehu, Peter Kingham, Kristoffer Lassen, Alejandro Serrablo, Catherine Teh, Lisa Yarrow, Brendan Visser, Mehan Siriwardhane

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引用次数: 0

Abstract

Background: The rise in malignant hepatopancreatobiliary tumors disproportionately affects low- and middle-income countries (LMICs) due to systemic challenges. In 2023, the International Hepatopancreatobiliary Association (IHPBA) launched a relationship-building initiative to mitigate outcome disparities by increasing capacity and quality. This study aimed to understand the dynamics and value of such collaborations.

Methods: This was a qualitative, descriptive study utilizing virtual, semi-structured interviews of surgeons and proceduralists engaged in international HPB surgery collaborations. Transcripts were coded inductively, allowing themes to emerge.

Results: Sixteen surgeons and one proceduralist participated from six world regions. Six were from high-income countries and 11 from LMICs. Overarching themes were: Interconnected Resources, Relationships, and Experiences. Country resources, professional relationships, and previous and ongoing collaborations were highly inter-connected. The IHPBA and individuals' resources presented both barriers and facilitators to collaboration.

Conclusion: Increasing access to and mutual understanding of resources is foundational for successful partnerships. Professional networks are also essential, and access to networking should be expanded and diversified. Partners must understand environments' constraints and needs. Associations like IHPBA should be networking drivers, increasing surgeons' informal and formal platform use. Surgical associations have a responsibility to create a culture that promotes and prioritizes participants' experiences beyond productivity.

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建立有效的全球外科关系：一项探索性质的研究。

背景：由于系统性挑战，恶性肝胆胰肿瘤的增加对低收入和中等收入国家（LMICs）的影响尤为严重。2023年，国际肝胆胰协会（IHPBA）发起了一项关系建设倡议，旨在通过提高能力和质量来缓解结果差异。本研究旨在了解这种合作的动态和价值。方法：这是一项定性的、描述性的研究，利用虚拟的、半结构化的访谈，对从事国际HPB手术合作的外科医生和程序学家进行访谈。转录本被归纳编码，让主题浮现。结果：来自世界6个地区的16名外科医生和1名程序学家参与了该手术。6名来自高收入国家，11名来自中低收入国家。总体主题是：相互关联的资源、关系和经验。国家资源、专业关系以及以前和正在进行的合作高度相互关联。IHPBA和个人资源既是合作的障碍，也是合作的促进因素。结论：增加对资源的获取和相互了解是成功伙伴关系的基础。专业网络也很重要，网络接入应该扩大和多样化。合作伙伴必须了解环境的约束和需求。像IHPBA这样的协会应该成为网络驱动者，增加外科医生非正式和正式平台的使用。外科协会有责任创造一种文化，促进和优先考虑参与者的体验，而不是生产力。

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

Hpb GASTROENTEROLOGY & HEPATOLOGY-SURGERY

CiteScore

5.60

自引率

3.40%

发文量

244

审稿时长

57 days

期刊介绍： HPB is an international forum for clinical, scientific and educational communication. Twelve issues a year bring the reader leading articles, expert reviews, original articles, images, editorials, and reader correspondence encompassing all aspects of benign and malignant hepatobiliary disease and its management. HPB features relevant aspects of clinical and translational research and practice. Specific areas of interest include HPB diseases encountered globally by clinical practitioners in this specialist field of gastrointestinal surgery. The journal addresses the challenges faced in the management of cancer involving the liver, biliary system and pancreas. While surgical oncology represents a large part of HPB practice, submission of manuscripts relating to liver and pancreas transplantation, the treatment of benign conditions such as acute and chronic pancreatitis, and those relating to hepatobiliary infection and inflammation are also welcomed. There will be a focus on developing a multidisciplinary approach to diagnosis and treatment with endoscopic and laparoscopic approaches, radiological interventions and surgical techniques being strongly represented. HPB welcomes submission of manuscripts in all these areas and in scientific focused research that has clear clinical relevance to HPB surgical practice. HPB aims to help its readers - surgeons, physicians, radiologists and basic scientists - to develop their knowledge and practice. HPB will be of interest to specialists involved in the management of hepatobiliary and pancreatic disease however will also inform those working in related fields. Abstracted and Indexed in: MEDLINE® EMBASE PubMed Science Citation Index Expanded Academic Search (EBSCO) HPB is owned by the International Hepato-Pancreato-Biliary Association (IHPBA) and is also the official Journal of the American Hepato-Pancreato-Biliary Association (AHPBA), the Asian-Pacific Hepato Pancreatic Biliary Association (A-PHPBA) and the European-African Hepato-Pancreatic Biliary Association (E-AHPBA).