A Protocol to Develop Practice Guidelines for Primary Care Medical Service Trips

<p>Background</p><p>North American clinicians are increasingly participating in medical service trips (MSTs) that provide primary healthcare in Latin America and the Caribbean. Literature reviews have shown that the existence and use of evidence-based guidelines by these groups are...

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Autores principales:	Christopher Dainton, Charlene H. Chu, Henry Lin, William Cherniak, Lawrence C. Loh
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	medical missions humanitarian health medical service trips Latin America global health international health Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/d3ef62bb92794361b6e7f2d9b20786c9
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spelling	oai:doaj.org-article:d3ef62bb92794361b6e7f2d9b20786c92021-12-02T02:40:25ZA Protocol to Develop Practice Guidelines for Primary Care Medical Service Trips2214-999610.1016/j.aogh.2016.10.001https://doaj.org/article/d3ef62bb92794361b6e7f2d9b20786c92017-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/230https://doaj.org/toc/2214-9996<p>Background</p><p>North American clinicians are increasingly participating in medical service trips (MSTs) that provide primary healthcare in Latin America and the Caribbean. Literature reviews have shown that the existence and use of evidence-based guidelines by these groups are limited, which presents potential for harm.</p><p>Objective</p><p>This paper proposes a 5-step methodology to develop protocols for diagnosis and treatment of conditions encountered by MST clinicians.</p><p>Methods</p><p>We reviewed the 2010 American College of Physicians guidance statement on guidelines development and developed our own adaptation. Ancestry search of the American College of Physicians statement identified specific publications that provided additional detail on key steps in the guideline development process, with additional focus given to evidence, equity, and local adaptation considerations.</p><p>Findings</p><p>Our adaptation produced a 5-step process for developing locally optimized protocols for diagnosis and treatment of common conditions seen in MSTs. For specified conditions, this process includes: 1) a focused environmental scan of current practices based on grey literature protocols from MST sending organizations; 2) a review of relevant practice guidelines; 3) a literature review assessing the epidemiology, diagnosis, and treatment of the specified condition; 4) an eDelphi process with experts representing MST and Latin American and the Caribbean partner organizations assessing identified guidelines; and 5) external peer review and summary.</p><p>Conclusions</p>This protocol will enable the creation of practice guidelines that are based on best available evidence, local knowledge, and equitable considerations. The development of guidelines using this process could optimize the conduct of MSTs, while prioritizing input from local community partners.Christopher DaintonCharlene H. ChuHenry LinWilliam CherniakLawrence C. LohUbiquity Pressarticlemedical missionshumanitarian healthmedical service tripsLatin Americaglobal healthinternational healthInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 82, Iss 5, Pp 678-685 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	medical missions humanitarian health medical service trips Latin America global health international health Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	medical missions humanitarian health medical service trips Latin America global health international health Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Christopher Dainton Charlene H. Chu Henry Lin William Cherniak Lawrence C. Loh A Protocol to Develop Practice Guidelines for Primary Care Medical Service Trips
description	<p>Background</p><p>North American clinicians are increasingly participating in medical service trips (MSTs) that provide primary healthcare in Latin America and the Caribbean. Literature reviews have shown that the existence and use of evidence-based guidelines by these groups are limited, which presents potential for harm.</p><p>Objective</p><p>This paper proposes a 5-step methodology to develop protocols for diagnosis and treatment of conditions encountered by MST clinicians.</p><p>Methods</p><p>We reviewed the 2010 American College of Physicians guidance statement on guidelines development and developed our own adaptation. Ancestry search of the American College of Physicians statement identified specific publications that provided additional detail on key steps in the guideline development process, with additional focus given to evidence, equity, and local adaptation considerations.</p><p>Findings</p><p>Our adaptation produced a 5-step process for developing locally optimized protocols for diagnosis and treatment of common conditions seen in MSTs. For specified conditions, this process includes: 1) a focused environmental scan of current practices based on grey literature protocols from MST sending organizations; 2) a review of relevant practice guidelines; 3) a literature review assessing the epidemiology, diagnosis, and treatment of the specified condition; 4) an eDelphi process with experts representing MST and Latin American and the Caribbean partner organizations assessing identified guidelines; and 5) external peer review and summary.</p><p>Conclusions</p>This protocol will enable the creation of practice guidelines that are based on best available evidence, local knowledge, and equitable considerations. The development of guidelines using this process could optimize the conduct of MSTs, while prioritizing input from local community partners.
format	article
author	Christopher Dainton Charlene H. Chu Henry Lin William Cherniak Lawrence C. Loh
author_facet	Christopher Dainton Charlene H. Chu Henry Lin William Cherniak Lawrence C. Loh
author_sort	Christopher Dainton
title	A Protocol to Develop Practice Guidelines for Primary Care Medical Service Trips
title_short	A Protocol to Develop Practice Guidelines for Primary Care Medical Service Trips
title_full	A Protocol to Develop Practice Guidelines for Primary Care Medical Service Trips
title_fullStr	A Protocol to Develop Practice Guidelines for Primary Care Medical Service Trips
title_full_unstemmed	A Protocol to Develop Practice Guidelines for Primary Care Medical Service Trips
title_sort	protocol to develop practice guidelines for primary care medical service trips
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/d3ef62bb92794361b6e7f2d9b20786c9
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A Protocol to Develop Practice Guidelines for Primary Care Medical Service Trips

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