Doctor of Philosophy, Miami University, 2020, Gerontology
Existing literature on medical humanitarianism focuses predominately on international initiatives that provide assistance for a shorter period of time, in response to such events as natural disasters and war. There is a need for research on models for, and the implementation of, medical humanitarian programs that provide services for longer periods of time within local communities to reduce health disparities in America. Health disparities related to socioeconomic status (SES), access to healthcare, and health literacy levels remain a challenge for individuals as they continue to age. This research is built on the premise that lack of adequate surgical services or healthcare at any age can contribute to a cumulative disadvantage across an individual's life course, negatively impacting their overall aging experience. The purpose of the study was to elicit and articulate the organizational model, program theory, and underlying theory of change for Surgery on Sunday (SOS), as an exemplar of a local medical humanitarian effort to reduce health disparities. This was accomplished by using qualitative data from a thorough review of key organizational documents (board minutes) and communication (emails to volunteer staff, mission statement, organizational goals, newsletters), and key informant interviews with SOS staff to understand and describe the organizational program theory of SOS. Results show that major themes in the SOS program theory are the importance of communication, fostering and leveraging relationships, the evolving nature of the organization and health policy, "doing the right thing" for patient care and health outcomes, and participant experiences and an organizational culture that has cultivated "a fellowship that is second to none". The clear articulation and evaluation of the SOS program theory will guide the implementation of other local, non-profit medical humanitarian initiatives.
Committee: Suzanne Kunkel (Committee Chair); Amy Roberts (Committee Member); Jennifer Bulanda (Committee Member); Janardan Subedi (Committee Member); Cameron Hay-Rollins (Committee Member)
Subjects: Gerontology; Health; Health Care