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Original research article


Assessing the performance of medical personnel involved in the diagnostic imaging processes in mulago hospital, kampala, Uganda

Michael G KawooyaGeorge PariyoElsie Kiguli MalwaddeRosemary ByanyimaHarrient Kisembo
Date of Submission: 12-Oct-2011, Date of Acceptance: 28-Jul-2012, Date of Web Publication: 06-Oct-2012.
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: 10.4103/2156-7514.102060 Facebook Twitter Google Linkedin

ABSTRACT



Objectives: Uganda, has limited health resources and improving performance of personnel involved in imaging is necessary for efficiency. The objectives of the study were to develop and pilot imaging user performance indices, document non-tangible aspects of performance, and propose ways of improving performance.
Materials and Methods: This was a cross-sectional survey employing triangulation methodology, conducted in Mulago National Referral Hospital over a period of 3 years from 2005 to 2008. The qualitative study used in-depth interviews, focus group discussions, and selfadministered questionnaires, to explore clinicians’ and radiologists’ performancerelated views.
Results: The study came up with following indices: appropriate service utilization (ASU), appropriateness of clinician’s nonimaging decisions (ANID), and clinical utilization of imaging results (CUI). The ASU, ANID, and CUI were: 94%, 80%, and 97%, respectively. The clinician’s requisitioning validity was high (positive likelihood ratio of 10.6) contrasting with a poor validity for detecting those patients not needing imaging(negative likelihood ratio of 0.16). Some requisitions were inappropriate and some requisition and reports lacked detail, clarity, and precision.
Conclusion: Clinicians perform well at imaging requisition-decisions but there are issues in imaging requisitioning and reporting that need to be addressed to improve performance.
Keywords: Medical Imaging, Performance, Personnel

Cited in 1 Document

  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

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