作者: Michael G Kawooya , George Pariyo , Elsie Kiguli Malwadde , Rosemary Byanyima , Harrient Kisembo
关键词: Requisition 、 CLARITY 、 Referral 、 Service utilization 、 Medical imaging 、 Likelihood ratios in diagnostic testing 、 Focus group 、 Qualitative research 、 Medical physics 、 Pediatrics 、 Medicine
摘要: Objectives: Uganda, has limited health resources and improving performance of personnel involved in imaging is necessary for efficiency. The objectives the study were to develop pilot user indices, document non-tangible aspects performance, propose ways performance. Materials Methods: This was a cross-sectional survey employing triangulation methodology, conducted Mulago National Referral Hospital over period 3 years from 2005 2008. qualitative used in-depth interviews, focus group discussions, self-administered questionnaires, explore clinicians' radiologists' performancerelated views. Results: came up with following indices: appropriate service utilization (ASU), appropriateness clinician's nonimaging decisions (ANID), clinical results (CUI). ASU, ANID, CUI were: 94%, 80%, 97%, respectively. requisitioning validity high (positive likelihood ratio 10.6) contrasting poor detecting those patients not needing (negative 0.16). Some requisitions inappropriate some requisition reports lacked detail, clarity, precision. Conclusion: Clinicians perform well at requisition-decisions but there are issues reporting that need be addressed improve