发展中国家在使用超声波方面的障碍。

IF 3.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Critical Ultrasound Journal Pub Date : 2015-12-01 Epub Date: 2015-06-19 DOI:10.1186/s13089-015-0028-2
Sachita Shah, Blaise A Bellows, Adeyinka A Adedipe, Jodie E Totten, Brandon H Backlund, Dana Sajed
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引用次数: 162

摘要

背景:在资源有限的环境中,包括发展中国家,获得超声的机会显著增加;然而,发展中国家仍然缺乏超声教育和超声训练有素的医生支持。为了进一步调查这种潜在的知识差距,我们的主要目标是通过调查在低收入和中等收入环境中执业的护理提供者来评估在资源有限的环境中使用超声的感知障碍。方法:向低收入和中等收入国家(LMICs)使用超声设备的卫生保健提供者(包括医生、护士、技术人员和临床官员)提供25个问题的在线调查。这是从超声和放射学会列表中获得的方便样本。对调查结果进行分析,得出描述性结果。结果:来自44个中低收入国家的138名受访者完成了调查,其中包括来自非洲、南美洲和亚洲大陆的国家,回复率为9.6%。91%的受访者是医生,9%是护士或其他提供者。超声的应用多种多样,包括产科(75%)、深静脉血栓(DVT)评估(51%)、脓肿评估(54%)、心脏评估(64%)、下腔静脉(IVC)评估(49%)、创伤超声聚焦评估(FAST)检查(64%)、胆道树评估(54%)和其他应用。受访者确定了以下使用超声的障碍:缺乏培训(60%),缺乏设备(45%),超声机故障(37%),以及缺乏超声维护能力(47%)。74%的受访者希望接受进一步的超声培训,82%的受访者愿意接受远程学习或远程超声培训。受试者使用Skype、Dropbox、电子邮件照片和图片存档和通信系统(PACS)等通信工具作为超声图像的沟通和反馈方式。结论:发展中国家的卫生保健提供者认为缺乏培训是他们在实践中常规使用超声的主要障碍。虽然设备要求(包括维护和机器成本)也是重要因素,但未来需要研究培训方法的最佳实践,包括远程成像和远程学习,以提高超声在低资源环境中的使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perceived barriers in the use of ultrasound in developing countries.

Background: Access to ultrasound has increased significantly in resource-limited settings, including the developing world; however, there remains a lack of sonography education and ultrasound-trained physician support in developing countries. To further investigate this potential knowledge gap, our primary objective was to assess perceived barriers to ultrasound use in resource-limited settings by surveying care providers who practice in low- and middle-income settings.

Methods: A 25-question online survey was made available to health care providers who work with an ultrasound machine in low- and middle-income countries (LMICs), including doctors, nurses, technicians, and clinical officers. This was a convenience sample obtained from list-serves of ultrasound and radiologic societies. The survey was analyzed, and descriptive results were obtained.

Results: One hundred and thirty-eight respondents representing 44 LMICs including countries from the continents of Africa, South America, and Asia completed the survey, with a response rate of 9.6 %. Ninety-one percent of the respondents were doctors, and 9 % were nurses or other providers. Applications for ultrasound were diverse, including obstetrics (75 %), DVT evaluation (51 %), abscess evaluation (54 %), cardiac evaluation (64 %), inferior vena cava (IVC) assessment (49 %), Focused Assessment Sonography for Trauma (FAST) exam (64 %), biliary tree assessment (54 %), and other applications. The respondents identified the following barriers to use of ultrasound: lack of training (60 %), lack of equipment (45 %), ultrasound machine malfunction (37 %), and lack of ultrasound maintenance capability (47 %). Seventy-four percent of the respondents wished to have further training in ultrasound, and 82 % were open to receiving distance learning or telesonography training. Subjects used communication tools including Skype, Dropbox, emailed photos, and picture archiving and communication system (PACS) as ways to communicate and receive feedback on ultrasound images.

Conclusions: Health care providers in the developing world identify lack of training as a primary barrier to regular use of ultrasound in their practice. While equipment requirements including maintenance and cost of machines are also important factors, future research is warranted on best practices for training methods, including telesonography and distance learning to enhance ultrasound use in low-resource settings.

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Critical Ultrasound Journal
Critical Ultrasound Journal RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
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