Bidirectional needs assessment of otolaryngology-head and neck surgery short-term surgical trips in Zimbabwe.

Autor: Green KJ; Department of Otolaryngology-Head and Neck Surgery Mayo Clinic Jacksonville Florida USA., Matinhira N; Department of Otolaryngology-Head and Neck Surgery University of Zimbabwe Harare Zimbabwe., Jain A; Department of Otolaryngology - Head and Neck Surgery Thomas Jefferson University Sidney Kimmel Medical College Philadelphia Pennsylvania USA., Arya P; Departmant of Surgery Mercer University School of Medicine Savannah Georgia USA., Douse DM; Department of Otolaryngology-Head and Neck Surgery Mayo Clinic Rochester Minnesota USA., Dzongodza T; Department of Otolaryngology-Head and Neck Surgery University of Zimbabwe Harare Zimbabwe., Chidziva C; Department of Otolaryngology-Head and Neck Surgery Harare Eye, Ear, Nose, Throat Institute Harare Zimbabwe., Wiedermann JP; Department of Otolaryngology - Head and Neck Surgery Thomas Jefferson University Sidney Kimmel Medical College Philadelphia Pennsylvania USA.
Jazyk: angličtina
Zdroj: Laryngoscope investigative otolaryngology [Laryngoscope Investig Otolaryngol] 2024 Jun 12; Vol. 9 (3), pp. e1278. Date of Electronic Publication: 2024 Jun 12 (Print Publication: 2024).
DOI: 10.1002/lio2.1278
Abstrakt: Objectives: To describe findings from an otolaryngology-specific needs assessment tool in Zimbabwe.
Methods: Surveys were developed and shared with Low-Middle Income Country (LMIC) hosting institutions in Zimbabwe and to High-Income Country surgical trip participants (HIC). Respondents were otolaryngologists identified online and through professional networks who had participated in a surgical trip.
Results: The most common procedures Zimbabwe otolaryngologists reported treating were adenotonsillectomy (85.7%), chronic rhinosinusitis (71.4%), chronic otitis (57.1%), and head and neck tumor intervention (57.1%). The most common untreatable conditions that host physicians wanted to treat were skull base surgery (71.4%), flap reconstructions (57.1%), and laryngotracheal reconstruction (57.1%). The largest discrepancy between host desires and visiting team offerings were flap reconstruction (57.1%), nasal bone deformities (37.1%), and laryngotracheal reconstruction (17.1%). Perceptions of short-term surgical trips (STST) were recorded for host and visiting teams, and important differences between the public and private sectors of care in Zimbabwe were also identified.
Conclusion: The surveys utilized in this study served as a bidirectional needs assessment of the requirements and care goals of host institutions and visiting teams in Zimbabwe. Differences between public and private sectors of care, particularly regarding infrastructure, resources, and surgical goals, were revealed, and the results can be utilized as part of efforts to maximize efforts within global surgical partnerships.
Level of Evidence: VI.
Competing Interests: The authors declare no conflicts of interest.
(© 2024 The Author(s). Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society.)
Databáze: MEDLINE
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