International Journal of Public Health

, Volume 64, Issue 3, pp 333–342 | Cite as

Development of a theoretical framework for assessment of quality of primary care medical service trips in Latin America

  • Christopher DaintonEmail author
  • Charlene H. Chu
  • Christina Gorman
  • William Cherniak
Original Article



Short-term medical service trips (MSTs) are a controversial modality for addressing the health of marginalized populations. Despite their prevalence, there are no routinely used evaluative frameworks. This study used stakeholder consensus to validate a literature-based framework for MST best practices.


A recent systematic review was used to construct a preliminary list of best practices for short-term MSTs. We then recruited a multidisciplinary panel of academics, medical professionals, program coordinators, and non-medical volunteers for a three-round e-Delphi consensus-building exercise to review the list. A 7-point Likert scale was used, with mean scores 4–7 representing rejection, scores < 2 representing acceptance, and elements scoring in between being redistributed for discussion.


The literature review identified 30 best practices. Twenty-six stakeholders were recruited for the e-Delphi panel, with 73.1% responding to all three rounds. Eighteen elements were accepted into the final framework.


This framework identifies essential MST best practices and enables volunteers to compare organizations. Future research should translate this framework into an assessment tool and initiate dialogue between host communities, local clinicians, and sending organizations.


Medical missions Global health Primary care Medical service trips Medical education Medical volunteering 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Swiss School of Public Health (SSPH+) 2019

Authors and Affiliations

  1. 1.Faculty of MedicineMcMaster UniversityTorontoCanada
  2. 2.Toronto Rehabilitation Institute-University Health NetworkTorontoCanada
  3. 3.Department of Occupational Health and Occupational Science, Faculty of MedicineUniversity of TorontoTorontoCanada
  4. 4.Dalla Lana School of Public HealthUniversity of TorontoTorontoCanada
  5. 5.Department of Family and Community MedicineUniversity of TorontoTorontoCanada
  6. 6.Division of Emergency MedicineMarkham Stouffville HospitalMarkhamCanada
  7. 7.Bridge to Health Medical and DentalTorontoCanada
  8. 8.TorontoCanada

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