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    ETHICS OF GLOBAL SURGICAL CARE: A FOUR-PART MODEL TO ENHANCE GLOBAL OTOLARYNGOLOGY AND HEAD AND NECK SURGERY CARE

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    Genre
    Thesis/Dissertation
    Date
    2023
    Author
    Shah, Arnav cc
    Advisor
    Tuohy, Brian
    Department
    Urban Bioethics
    Subject
    Medical ethics
    Community based participatory research
    Global health
    Global surgery
    Otolaryngology
    Urban bioethics
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/8505
    
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    DOI
    http://dx.doi.org/10.34944/dspace/8469
    Abstract
    Global surgery describes the systematic way to reduce health disparities and realize accessibility and sustainability in surgical care. Nearly five billion individuals lack access to adequate and necessary surgical and peri-surgical care. The contemporary model of global surgery is that of short-term surgical trips, which have origins in European and North American colonialism. The current state of global surgery in the surgical subspecialty of otolaryngology and head & neck surgery (OHNS) care fails to meet an adequate ethical threshold based on traditional bioethical principles. In order to improve the system of global OHNS care to promote sustainability and long-term impact, global OHNS care needs to shift away from providing direct clinical care. This work presents an ethical framework composed of four primary domains—(1) preparation and understanding the local context, (2) education, (3) partnership and exchange, (4) research and evaluation. This model can be used to shephard a future with stronger ethical global OHNS care.
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