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Displaying Results 1 - 22 of 22 on page 1 of 1
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2012 - That was the year that was
(2013)
O'NEILL, DESMOND
2012 - That was the year that was
(2013)
O'NEILL, DESMOND
Abstract:
Geriatric medicine has an encyclopaedic sweep, reflecting the complexity of both the ageing process and of our patient group. Keeping up with, and making sense of, the relevant scientific literature is challenging, especially as ageing has increased in prominence as a focus of research across many branches of the sciences and the humanities. This review of research published in 2012 in generalist, geriatric medicine and gerontology journals has been compiled with a view to extracting those aspects of research into ageing which could be considered relevant not only to the practice of geriatric medicine, but also to our understanding of the ageing process and the relationship of geriatric medicine to other medical specialties and public health. The research discussed includes new insights into global ageing and the compression of morbidity; nosological, clinical and therapeutic aspects of dementia; an innovative study on the microbiome and ageing; epidemiological perspectives into mul...
http://hdl.handle.net/2262/73038
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A concept in flux: questioning accountability in the context of global health cooperation
(2014)
Bruen, Carlos; Brugha, Ruairí; Kageni, Angela; Wafula, Francis
A concept in flux: questioning accountability in the context of global health cooperation
(2014)
Bruen, Carlos; Brugha, Ruairí; Kageni, Angela; Wafula, Francis
Abstract:
Abstract Background Accountability in global health is a commonly invoked though less commonly questioned concept. Critically reflecting on the concept and how it is put into practice, this paper focuses on the who, what, how, and where of accountability, mapping its defining features and considering them with respect to real-world circumstances. Changing dynamics in global health cooperation - such as the emergence of new health public-private partnerships and the formal inclusion of non-state actors in policy making processes - provides the backdrop to this discussion. Discussion Accountability is frequently reduced to one set of actors holding another to account. Changes in the global health landscape and in relations between actors have however made the practice of accountability more com...
http://dx.doi.org/10.1186/s12992-014-0073-9
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A concept in flux: questioning accountability in the context of global health cooperation.
(2014)
Bruen, Carlos; Brugha, Ruairi; Kageni, Angela; Wafula, Francis
A concept in flux: questioning accountability in the context of global health cooperation.
(2014)
Bruen, Carlos; Brugha, Ruairi; Kageni, Angela; Wafula, Francis
Abstract:
<p>The origingal article is available at <a href="http://www.biomedcentral.com">www.biomedcentral.com</a></p>
<p>BACKGROUND: Accountability in global health is a commonly invoked though less commonly questioned concept. Critically reflecting on the concept and how it is put into practice, this paper focuses on the who, what, how, and where of accountability, mapping its defining features and considering them with respect to real-world circumstances. Changing dynamics in global health cooperation - such as the emergence of new health public-private partnerships and the formal inclusion of non-state actors in policy making processes - provides the backdrop to this discussion.</p> <p>DISCUSSION: Accountability is frequently reduced to one set of actors holding another to account. Changes in the global health landscape and in relations between actors have however made the practice of accountability more complex and contested. Curre...
https://epubs.rcsi.ie/ephmart/49
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Access to health care of persons with disabilities as an indicator of equity in health systems
(2011)
MAC LACHLAN, MALCOLM; MANNAN, HASHEEM
Access to health care of persons with disabilities as an indicator of equity in health systems
(2011)
MAC LACHLAN, MALCOLM; MANNAN, HASHEEM
Abstract:
The outcomes of certain health services can be used to assess the overall effectiveness of a health care system. For example, maternal mortality is an indicator of the quality of a country?s maternal health services, which in turn reflects the overall functioning of the country?s health system.1 We propose that access by persons with disabilities to health care services, along with measures of disability, constitutes an indicator of overall equity in a health care system. Disability is defined here as activity limitation arising from any one of a variety of conditions, such as spinal cord injury, diabetes or HIV/AIDS, and it can constitute a significant barrier to accessing health care. Transport to health care facilities may be inaccessible to persons with disabilities, and the educational opportunities and social welfare supports available to such individuals may not be sufficient to enable them to properly access the health care they need. The ?system? that facilitates health for...
http://hdl.handle.net/2262/59471
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Comparison of remission criteria in a tumour necrosis factor inhibitor treated rheumatoid arthritis longitudinal cohort: patient global health is a confounder
(2013)
Balogh, Emese; Dias, Joao M; Orr, Carl; Mullan, Ronan; Harty, Len; FitzGerald, Oliver; ...
Comparison of remission criteria in a tumour necrosis factor inhibitor treated rheumatoid arthritis longitudinal cohort: patient global health is a confounder
(2013)
Balogh, Emese; Dias, Joao M; Orr, Carl; Mullan, Ronan; Harty, Len; FitzGerald, Oliver; Gallagher, Phil; Molloy, Miriam; O’Flynn, Eileen; Kelly, Alexia; Minnock, Patricia; O’Neill, Madeline; Moore, Louise; Murray, Mairead; Fearon, Ursula; Veale, Douglas J
Abstract:
Abstract Introduction Our objectives were to assess the frequency and sustainability of American College of Rheumatology (ACR)/European League against Rheumatism (EULAR) and Disease Activity Score (DAS)28(4v)–C-reactive protein (CRP) remission 12 months after the initiation of tumour necrosis factor inhibitor (TNFi) therapy in a rheumatoid arthritis (RA) cohort. Methods Data were collected of 273 biologic naive RA patients at baseline, then 3, 6 and 12 months post-TNFi therapy. Remission status was calculated using DAS28(4v)-CRP <2.6 and ACR/EULAR Boolean criteria. Response was scored using EULAR criteria. Results Mean (range) patient age was 59.9 (7.2-85.4) years with disease duration of 13.4 (1.0-52.0) years. Responder status maintained from 3–12 months (86%, 82.4%), laboratory/clinical parameters (erythrocyte sedimentation rate (ESR), CRP, patient global health (PG...
http://dx.doi.org/10.1186/ar4421
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Global Health Diplomacy, "San Francisco Values," and HIV/AIDS: From the Local to the Global.
(2015)
KEVANY, SEBASTIAN
Global Health Diplomacy, "San Francisco Values," and HIV/AIDS: From the Local to the Global.
(2015)
KEVANY, SEBASTIAN
Abstract:
Background San Francisco has a distinguished history as a cosmopolitan, progressive, and international city, including extensive associations with global health. These circumstances have contributed to new, interdisciplinary scholarship in the field of global health diplomacy (GHD). In the present review, we describe the evolution and history of GHD at the practical and theoretical levels within the San Francisco medical community, trace related associations between the local and the global, and propose a range of potential opportunities for further development of this dynamic field. Methods We provide a historical overview of the development of the ?San Francisco Model? of collaborative, community-owned HIV/AIDS treatment and care programs as pioneered under the ?Ward 86? paradigm of the 1980s. We traced the expansion and evolution of this model to the national level under the Ryan White Care Act, and internationally via the President's Emergency Plan for AIDS Relief. In par...
http://hdl.handle.net/2262/76628
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Health justice and capabilities: A turning point for global health?
(2013)
Khoo, Su-Ming
Health justice and capabilities: A turning point for global health?
(2013)
Khoo, Su-Ming
Abstract:
This essay discusses two important recent books on health justice and makes the case for their relevance to global health and to social and political mobilization for health reform. Health and Social Justice (Ruger 2010) and Health Justice (Venkatapuram 2011) take theories of capabilities and justice onto the substantive ground of human health. They substantiate and more fully specify the capabilities paradigm, its shared basis with health rights and relevance to health reforms and the growing global health justice movement. The recent turning point for global health invites a meeting point with the capabilities paradigm. The capabilities approach offers conceptual and practical potential for global health, linking normative, substantive and procedural claims for health justice and health rights.
http://hdl.handle.net/10379/3837
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Health workforce responses to global health initiatives funding: a comparison of Malawi and Zambia.
(2010)
Brugha, Ruairi; Kadzandira, John; Simbaya, Joseph; Dicker, Patrick; Mwapasa, Victor; Wa...
Health workforce responses to global health initiatives funding: a comparison of Malawi and Zambia.
(2010)
Brugha, Ruairi; Kadzandira, John; Simbaya, Joseph; Dicker, Patrick; Mwapasa, Victor; Walsh, Aisling
Abstract:
<p>This article is also available from <a href="http://www.human-resources-health.com/content/8/1/19">http://www.human-resources-health.com/content/8/1/19</a></p>
<p>BACKGROUND: Shortages of health workers are obstacles to utilising global health initiative (GHI) funds effectively in Africa. This paper reports and analyses two countries' health workforce responses during a period of large increases in GHI funds. METHODS: Health facility record reviews were conducted in 52 facilities in Malawi and 39 facilities in Zambia in 2006/07 and 2008; quarterly totals from the last quarter of 2005 to the first quarter of 2008 inclusive in Malawi; and annual totals for 2004 to 2007 inclusive in Zambia. Topic-guided interviews were conducted with facility and district managers in both countries, and with health workers in Malawi RESULTS: Facility data confirm significant scale-up in HIV/AIDS service delivery in both countries. In Malawi, this was ...
https://epubs.rcsi.ie/ephmart/12
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Impact of a text messaging program on adolescent reproductive health: a cluster-randomized trial in Ghana
(2017)
Rokicki, Slawa; Cohen, Jessica; Salomon, Joshua A.; Fink, Günther
Impact of a text messaging program on adolescent reproductive health: a cluster-randomized trial in Ghana
(2017)
Rokicki, Slawa; Cohen, Jessica; Salomon, Joshua A.; Fink, Günther
Abstract:
Objectives. To evaluate whether text-messaging programs can improve reproductive health among adolescent girls in low- and middle-income countries. Methods. We conducted a cluster–randomized controlled trial among 756 female students aged 14 to 24 years in Accra, Ghana, in 2014. We randomized 38 schools to unidirectional intervention (n=12), interactive intervention (n=12), and control (n=14). The unidirectional intervention sent participants text messages with reproductive health information. The interactive intervention engaged adolescents in text-messaging reproductive health quiz games. The primary study outcome was reproductive health knowledge at 3 and 15 months. Additional outcomes included self-reported pregnancy and sexual behavior. Analysis was by intent-to-treat. Results. From baseline to 3 months, the unidirectional intervention increased knowledge by 11 percentage points (95% confidence interval [CI]=7, 15) and the interactive intervention by 24 percentage points (95% C...
http://hdl.handle.net/10197/8480
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Investing in human resources for health: the need for a paradigm shift.
(2013)
Zhao, Feng; Squires, Neil; Weakliam, David; Van Lerberghe, Wim; Soucat, Agnes; Toure, K...
Investing in human resources for health: the need for a paradigm shift.
(2013)
Zhao, Feng; Squires, Neil; Weakliam, David; Van Lerberghe, Wim; Soucat, Agnes; Toure, Kadidiatou; Shakarishvili, George; Quain, Estelle; Maeda, Akiko
Abstract:
Development partner strategies and sup - port in the area of human resources for health (HRH) have been shaped by key reports and events over the past decade. Since 2004, when The Lancet published the Joint Learning Initiative’s call to over - come the HRH crisis, 1 the global health community has been trying to address the critical issues surrounding HRH. The 10-year action plan on HRH proposed in The world health report 2006 2 and the establishment in the same year of the Global Health Workforce Alliance have drawn unprecedented attention to HRH. Thanks to a growing body of evidence, 2 HRH issues have gradually made their way into the global health arena. Consensus has emerged on the “power of health workers” 1 and their critical importance to health system strengthening and disease control programmes
http://hdl.handle.net/10147/559043
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IPH response to EU Commission consultation on EU role in global health
(2009)
Institute of Public Health in Ireland (IPH)
IPH response to EU Commission consultation on EU role in global health
(2009)
Institute of Public Health in Ireland (IPH)
Abstract:
The European Commission launced a public consultation iin October 2009 on stakeholder views regarding the rationale, scope and strategic objectives for an EU role in global health. The Institute of Public Health in Ireland (IPH) aims to improve health on the island of Ireland by working to combat health inequalities and influence public policies in favour of health. The Institute promotes cooperation between Northern Ireland and the Republic of Ireland in public health research, training and policy advice. IPH also contributes to a number of European networks and projects and is a member of the International Association of National Public Health Institutes (IANPHI). IPH welcomes the opportunity to respond to the European Commission consultation on the role of the EU in global health.
http://dx.doi.org/10.14655/20090010
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IPH response to EU Commission consultation on EU role in global health
(2009)
Institute of Public Health in Ireland (IPH)
IPH response to EU Commission consultation on EU role in global health
(2009)
Institute of Public Health in Ireland (IPH)
Abstract:
The European Commission launced a public consultation iin October 2009 on stakeholder views regarding the rationale, scope and strategic objectives for an EU role in global health. The Institute of Public Health in Ireland (IPH) aims to improve health on the island of Ireland by working to combat health inequalities and influence public policies in favour of health. The Institute promotes cooperation between Northern Ireland and the Republic of Ireland in public health research, training and policy advice. IPH also contributes to a number of European networks and projects and is a member of the International Association of National Public Health Institutes (IANPHI). IPH welcomes the opportunity to respond to the European Commission consultation on the role of the EU in global health.
http://dx.doi.org/10.14655/20090010
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Litigating Reproductive Health Rights in the Inter-American System: What Does a Winning Case Look Like?
(2014)
O'Connell, Ciara
Litigating Reproductive Health Rights in the Inter-American System: What Does a Winning Case Look Like?
(2014)
O'Connell, Ciara
Abstract:
Remedies and reparation measures emerging from the Inter-American System of Human Rights in reproductive health cases have consistently highlighted the need to develop, and subsequently implement, non-repetition remedies that protect, promote, and fulfill women?s reproductive health rights. Litigation outcomes that determine there have been violations of reproductive rights are regarded as a ?win? for health rights litigation, but when implementation fails, is a ?win? still a win? There has been considerable success in litigating reproductive health rights cases, yet the Inter-American Commission on Human Rights and the Inter-American Court of Human Rights are not adequately equipped to follow up on cases after they have been won. Successful and sustainable implementation of reproductive health rights law requires incorporation of non-repetition remedies in the form of legislation, education, and training that seeks to remodel existing social and cultural practices that hinder women...
http://hdl.handle.net/2262/91205
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Politics & Policy Processes of Global Health Partnerships: The Case of Gavi, the Vaccine Alliance
(2018)
Bruen, Carlos
Politics & Policy Processes of Global Health Partnerships: The Case of Gavi, the Vaccine Alliance
(2018)
Bruen, Carlos
Abstract:
<p>At the 2008 Sir Mark Oliphant Conference on Vaccine and Immunotherapy Technologies, former GAVI Executive Secretary Julian Lob-Levyt described the organisation as “a new type of international entity…we are a pilot for new ways of doing development business”. Lauded since its inception in July 1999 as a 21st Century model for international development, GAVI emerged at a unique critical juncture in time. It also formed part of a more generalised and substantive shift from international to global health cooperation and the way that global health issues are addressed. For some, the proliferation of new organisational forms like GAVI appeared to promise a break with the past, renouncing the overly political bureaucratic processes of UN agencies while ushering in a new era of evidence, performance, and public-private partnerships. A shift in players, paradigms, and the political dynamics of global health has been taking place, with GAVI representative of this shift.</p> <...
https://epubs.rcsi.ie/phdtheses/240
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Relevance and Effectiveness of the WHO Global Code Practice on the International Recruitment of Health Personnel--Ethical and Systems Perspectives.
(2015)
Brugha, Ruairi F; Crowe, Sophie
Relevance and Effectiveness of the WHO Global Code Practice on the International Recruitment of Health Personnel--Ethical and Systems Perspectives.
(2015)
Brugha, Ruairi F; Crowe, Sophie
Abstract:
<p>The original article is available at <a href="http://ijhpm.com/">http://ijhpm.com/</a></p>
<p>The relevance and effectiveness of the World Health Organization's (WHO's) Global Code of Practice on the International Recruitment of Health Personnel is being reviewed in 2015. The Code, which is a set of ethical norms and principles adopted by the World Health Assembly (WHA) in 2010, urges members states to train and retain the health personnel they need, thereby limiting demand for international migration, especially from the under-staffed health systems in low- and middle-income countries. Most countries failed to submit a first report in 2012 on implementation of the Code, including those source countries whose health systems are most under threat from the recruitment of their doctors and nurses, often to work in 4 major destination countries: the United States, United Kingdom, Canada and Australia. Political commitment by sourc...
https://epubs.rcsi.ie/ephmart/86
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Resolution CM/Res(2020)3 on the implementation of pharmaceutical care for the benefit of patients and health services
(2020)
Henman, Martin
Resolution CM/Res(2020)3 on the implementation of pharmaceutical care for the benefit of patients and health services
(2020)
Henman, Martin
http://hdl.handle.net/2262/92711
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The evidence needed to make surgery a global health priority.
(2015)
Brugha, Ruairi F; Bijlmakers, Leon; Borgstein, Eric; Kachimba, John; COST-Africa Consor...
The evidence needed to make surgery a global health priority.
(2015)
Brugha, Ruairi F; Bijlmakers, Leon; Borgstein, Eric; Kachimba, John; COST-Africa Consortium
Abstract:
<p>The original article is available at <a href="https://www.thelancet.com">https://www.thelancet.com</a></p>
<p>In their policy analysis, Yusra Ribhi Shawar and colleagues (August, 2015) outline the complex responses needed to make surgery a global health priority, highlighting as a major challenge that “consensus needs to be reached on solutions”. Professional interests might have forestalled consensus on the need to train and supervise non-surgeons to deliver surgical services in places where surgeons cannot be retained. However, sceptics are right to call, and donors to wait, for evidence on the feasibility, safety, cost-effectiveness, and outcomes of such models.</p>
https://epubs.rcsi.ie/ephmart/80
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The Impact of Immunosenescence on Pulmonary Disease.
(2015)
Murray, Michelle A; Chotirmall, Sanjay H
The Impact of Immunosenescence on Pulmonary Disease.
(2015)
Murray, Michelle A; Chotirmall, Sanjay H
Abstract:
The global population is aging with significant gains in life expectancy particularly in the developed world. Consequently, greater focus on understanding the processes that underlie physiological aging has occurred. Key facets of advancing age include genomic instability, telomere shortening, epigenetic changes, and declines in immune function termed immunosenescence. Immunosenescence and its associated chronic low grade systemic "inflamm-aging" contribute to the development and progression of pulmonary disease in older individuals. These physiological processes predispose to pulmonary infection and confer specific and unique clinical phenotypes observed in chronic respiratory disease including late-onset asthma, chronic obstructive pulmonary disease, and pulmonary fibrosis. Emerging concepts of the gut and airway microbiome further complicate the interrelationship between host and microorganism particularly from an immunological perspective and especially so in the setti...
http://hdl.handle.net/10147/565675
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The RESPECT Study for consensus on global bereavement care after stillbirth
(2020)
Shakespeare, Clare; Merriel, Abi; Bakhbakhi, Danya; Blencowe, Hannah; Boyle, Frances M....
The RESPECT Study for consensus on global bereavement care after stillbirth
(2020)
Shakespeare, Clare; Merriel, Abi; Bakhbakhi, Danya; Blencowe, Hannah; Boyle, Frances M.; Flenady, Vicki; Gold, Katherine; Horey, Dell; Lynch, Mary; Mills, Tracey A.; Murphy, Margaret M.; Storey, Claire; Toolan, Miriam; Siassakos, Dimitrios; RESPECT working group
Abstract:
Objective: To develop global consensus on a set of evidence‐based core principles for bereavement care after stillbirth. Methods: A modified policy‐Delphi methodology was used to consult international stakeholders and healthcare workers with experience in stillbirth between September 2017 and October 2018. Five sequential rounds involved two expert stakeholder meetings and three internet‐based surveys, including a global internet‐based survey targeted at healthcare workers in a wide range of settings. Results: Initially, 23 expert stakeholders considered 43 evidence‐based themes derived from systematic reviews, identifying 10 core principles. The global survey received 236 responses from participants in 26 countries, after which nine principles met a priori criteria for inclusion. The final stakeholder meeting and internet‐based survey of all participants confirmed consensus on eight core principles. Highest quality bereavement care should be enabled through training of healthcare s...
http://hdl.handle.net/10468/9713
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Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants
(2016)
NCD Risk Factor Collaboration (NCD-RisC); Walton, Janette
Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants
(2016)
NCD Risk Factor Collaboration (NCD-RisC); Walton, Janette
Abstract:
Background: Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a complete set of BMI categories for adults in all countries. Methods: We analysed, with use of a consistent protocol, population-based studies that had measured height and weight in adults aged 18 years and older. We applied a Bayesian hierarchical model to these data to estimate trends from 1975 to 2014 in mean BMI and in the prevalences of BMI categories (<18·5 kg/m2 [underweight], 18·5 kg/m2 to <20 kg/m2, 20 kg/m2 to <25 kg/m2, 25 kg/m2 to <30 kg/m2, 30 kg/m2 to <35 kg/m2, 35 kg/m2 to <40 kg/m2, ≥40 kg/m2 [morbid obesity]), by sex in 200 countries and territories, organised in 21 regions. We calculated the posterior probability of meeting the target of halting by 2025 the rise in obesity at its 2010 levels, if post-...
http://hdl.handle.net/10468/3757
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Unchallenged good intentions: a qualitative study of the experiences of medical students on international health electives to developing countries
(2014)
O'Donnell, Patrick; McAuliffe, Ailish; O'Donovan, Diarmuid
Unchallenged good intentions: a qualitative study of the experiences of medical students on international health electives to developing countries
(2014)
O'Donnell, Patrick; McAuliffe, Ailish; O'Donovan, Diarmuid
Abstract:
Background: Irish medical students have a long and proud history of embarking on international health electives (IHEs) to broaden their experience in the developing world. Although there are many opinions in the literature about IHEs, there is a dearth of empirical research that explores the experience and the value of these experiences to medical students. Most students who participate in these IHEs from Irish medical schools are members of student IHE societies, which are entirely run by students themselves. There are varying levels of preparation and interaction with the medical schools in planning these experiences. This study explores the experiences of a sample of students who completed IHEs in 2012.Methods: This qualitative study used anonymized one-on-one interviews with medical students in Irish medical schools who completed IHEs to developing countries in 2012. Students were recruited using online noticeboards of student societies and e-mail. Purposive sampling was used to...
http://hdl.handle.net/10344/4244
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Unchallenged good intentions: a qualitative study of the experiences of medical students on international health electives to developing countries
(2018)
O’Donnell, Patrick; McAuliffe, Eilish; O‘Donovan, Diarmuid
Unchallenged good intentions: a qualitative study of the experiences of medical students on international health electives to developing countries
(2018)
O’Donnell, Patrick; McAuliffe, Eilish; O‘Donovan, Diarmuid
Abstract:
Background: Irish medical students have a long and proud history of embarking on international health electives (IHEs) to broaden their experience in the developing world. Although there are many opinions in the literature about IHEs, there is a dearth of empirical research that explores the experience and the value of these experiences to medical students. Most students who participate in these IHEs from Irish medical schools are members of student IHE societies, which are entirely run by students themselves. There are varying levels of preparation and interaction with the medical schools in planning these experiences. This study explores the experiences of a sample of students who completed IHEs in 2012. Methods: This qualitative study used anonymized one-on-one interviews with medical students in Irish medical schools who completed IHEs to developing countries in 2012. Students were recruited using online noticeboards of student societies and e-mail. Purposive sampling was used t...
http://hdl.handle.net/10379/13219
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