Digital Pathology in South Africa: A Survey and Cross-Sectional Analysis of the Current Level of Use and Comparison With the International Community.

Abstract

Background: Telepathology and digital pathology are increasingly utilised for routine diagnostics globally, improving patient safety and diagnostic efficiency. No research exists on the adoption of digital pathology in South Africa. Understanding the current use can help understand implementation needs and ensure equitable access to this modern diagnostic tool. This can help realise the technology's benefits across the diverse communities in South Africa. Methods: This was a nonexperimental descriptive study. Primary quantitative data were collected via a questionnaire distributed to South African histopathologists in August 2023. The questionnaire focused on participants' demographic information and the use of digital pathology by histopathologists in South Africa. Descriptive data analysis was performed. Results: The study comprised 71 histopathologists, representing 23% of all registered histopathologists in the country. There was a near-equal distribution of female and male histopathologists. Most of the participating histopathologists worked in the private sector. Nearly all of the histopathologists surveyed indicated some exposure to digital pathology (99%). Most participants use digital pathology for external quality assurance and training. The use of digital pathology as a routine diagnostic tool was noted by 22% of participants, although only 3% reported daily use. Conclusion: The current use and adoption of digital pathology by South African histopathologists are comparable to the international community. By increasing the use of digital pathology for routine diagnostic use, we can enhance the accuracy of diagnoses and improve healthcare outcomes for patients and healthcare professionals.