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Original research article


Assessing the Diagnostic Imaging needs for Five Selected Hospitals in Uganda

Michael G KawooyaGeorge PariyoElsie K MalwaddeRosemary ByanyimaHarrient Kisembo
Department of Radiology and Imaging, Ernest Cook Ultrasound Research and Education Institute (ECUREI), Department of Health Policy Planning, School of Public Health, Department of Radiology, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda
Date of Submission: 11-Oct-2011, Date of Acceptance: 17-Oct-2011, Date of Web Publication: 19-Nov-2011.
Corresponding Author:
Corresponding Author

Michael G Kawooya

ECUREI, C/O Mengo Hospital, Albert Cook Road, Albert Cook Building, P.O. BOX 7161 Kampala, Uganda.
E-mail: kawooyagm@yahoo.co.uk

Corresponding Author:
Corresponding Author

Michael G Kawooya

ECUREI, C/O Mengo Hospital, Albert Cook Road, Albert Cook Building, P.O. BOX 7161 Kampala, Uganda.
E-mail: kawooyagm@yahoo.co.uk

DOI: 10.4103/2156-7514.90035 Facebook Twitter Google Linkedin

ABSTRACT



Introduction: Uganda has limited health resources. It is important to measure the need for imaging in order to set policy and plan for imaging services. Objectives: The first specific objective was to develop and apply four imaging needs indices on a case study basis, in five selected Ugandan hospitals. The indices were: Imaging Load (IL), Imaging Burden (IB), Type Specific Imaging Burden (TSIB), and Disease Specific Imaging Burden (DSIB). The second objective was to explore the perceptions of the patient, referring clinician, and radiologist regarding the values, meaning, and objective of imaging in patient care.
Materials and Methods: This was a cross-sectional survey employing triangulation methodology, conducted in 5 Ugandan hospitals over a period of 3 years during 2005 - 2008. The subjects were divided into four clusters: Obstetrics and gynecology (obs/ gynae), surgery, internal medicine, and pediatrics. For the quantitative component of the study, data from case notes was used to calculate the indices. The qualitative component explored the non-measurable aspects of imaging needs from the clinician’s, radiologist’s, and patient’s perspective.
Results: A total of 1961 patient case notes were studied. The IB was 460 per 1000 hospital patients per year. The highest TSIB was for ultrasound at 232 per 1000 hospital patients per year, followed by 191 patients for general X-ray. The majority of the patients interviewed had special desires, expectations, and misconceptions.
Conclusions: There is a high IB of 460 per thousand patient populations per year, mainly due to ultrasound. The majority of the patients have perceptions, misconceptions, beliefs, and values which influence the need for imaging. There is a need to address the medical and non-tangible imaging needs of the patient and to counteract imaging-related misconceptions and over-expectations. Public awareness of the value, capabilities, limitations, and adverse effects of various imaging modalities need to be addressed to ensure that the patients make informed imaging choices and readily avail themselves of interventions in situations when imaging is crucial, for example in suspected high-risk pregnancy.
Keywords: Assessing, Imaging-Needs, Uganda

Cited in 2 Documents

  1. Juliana Bueno and Spencer Gay (2016) Support to Radiology Residency Programs in Developing Countries: Our Experience in Uganda With the Mbarara University of Science and Technology. Journal of the American College of Radiology 13(9):1121. doi: 10.1016/j.jacr.2016.04.001
  2. Michael G. Kawooya, Azza Hammou, Hassen A. Gharbi and Lawrence Lau (2014) Radiological Safety and Quality. (Chapter 20):339. doi: 10.1007/978-94-007-7256-4_20

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