Planning and Executing Medical Missions Trips and Telemedicine

Planning a medical missions trip to another country? Unsure which medications to put on the formulary? Concerned about how to handle malpractice and other regulatory requirements? Looking for inexpensive medication, equipment, and supplies? Need to know what other services would be useful to make available? Wanting to integrate telemedicine?

By Mark D. Harris, MD, MPH, MBA, MDiv, ThM, PhD, DBA

Christ told His disciples to go into all the earth and make disciples of all nations. For millennia, medical care has been a reliable and fruitful way that Christians have obeyed His commands. Medical missions, however, are increasingly fraught with difficulties. Can we make the standard of care in the developing world the same as the developed world? Will we undermine the local medical system and economy by providing treatment that the locals would have otherwise done? What if the locals cannot provide the same standard of care that foreigners can? How can our doctors, often US-based, practice medicine on patients they cannot understand in countries in which they are not licensed?

Sample Formulary

Medications are a large part of clinical medicine. Health care providers do more with medications than just about any other intervention. Patients often expect medication when they walk out. This sample formulary should be modified to meet the needs of the people at the trip location.

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Mental Health – Context of Care and Recovery

Mental health is more than medications, therapies, counseling, patients, and doctors. It is about a milieu of family, friends, finances, faith, and a thousand other factors. Let’s look at them. 

By Mark D. Harris

Years ago a friend of mine was abandoned by her husband. She and her sons have remained in the church but now the boys are out of the house and she is alone. A couple of months ago I saw her in the hall and greeted her with a big hug. Her eyes lit up – it had been a long time since she had been touched. The Beatle’s Eleanor Rigby is not just a song, but a statement of an exploding problem throughout the world – people are lonely. Doug Saunders captured this problem in his book Arrival City in which he remarked on “the silent isolation of the middle class.” He wrote of new immigrants “no longer would they hear every word and movement around them; no longer was the air constantly vibrating with the parry and banter of the entire community.”[1] The only regular noise many people hear at home are the sounds of the television and the computer.

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