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尼日利亚小儿外科与其他医学专科之间的合作。

Collaboration between paediatric surgery and other medical specialties in Nigeria.

作者信息

Okoro Philemon E, Ameh Emmanuel A

机构信息

Paediatric Surgery Unit, Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.

出版信息

Afr J Paediatr Surg. 2012 Sep-Dec;9(3):206-9. doi: 10.4103/0189-6725.104721.

Abstract

BACKGROUND

The quality of service and success of patient care and research in most fields of medicine depend on effective collaboration between different specialties. Paediatric surgery is a relatively young specialty in Nigeria and such collaborations are desirable. This survey assesses the nature and extent of collaboration between paediatric surgery and other specialties in Nigeria.

MATERIALS AND METHODS

This is a questionnaire survey carried out in November 2008 among paediatric surgeons and their trainees practising in Nigeria. Questionnaires were distributed and retrieved either by hand or e-mailing. The responses were then collated and analysed using the SPSS 17.0.

RESULTS

Forty-seven respondents were included in the survey. Forty-five (95.7%) respondents thought that there was inadequate collaboration and that there was a need for an increased collaboration between paediatric surgery and other specialties. Anaesthesia, paediatrics and radiology are among the specialties where collaborations were most required but not adequately received. Collaboration had been required from these specialties in areas of patient care, training and research. Reasons for inadequate collaboration included the paucity of avenues for inter-specialty communication and exchange of ideas 33 (70.3%), lack of awareness of the need for collaboration 32 (68.1%), tendency to apportion blames for bad outcome 13 (27.7%), and mutual suspicion 8 (17%).

CONCLUSION

There is presently inadequate collaboration between paediatric surgery and other specialties in Nigeria. There is a need for more inter-specialty support, communication, and exchange of ideas in order to achieve desirable outcomes.

摘要

背景

在大多数医学领域,患者护理和研究的服务质量与成功取决于不同专业之间的有效协作。小儿外科在尼日利亚是一个相对年轻的专业,这种协作是很有必要的。本次调查评估了尼日利亚小儿外科与其他专业之间协作的性质和程度。

材料与方法

这是一项于2008年11月对在尼日利亚执业的小儿外科医生及其受训人员进行的问卷调查。问卷通过手工发放或电子邮件发送并回收。然后使用SPSS 17.0对回复进行整理和分析。

结果

47名受访者参与了此次调查。45名(95.7%)受访者认为协作不足,小儿外科与其他专业之间需要加强协作。麻醉、儿科和放射科是最需要协作但协作不足的专业领域。在患者护理、培训和研究等领域需要这些专业的协作。协作不足的原因包括跨专业沟通和思想交流的途径匮乏33例(70.3%)、缺乏对协作必要性的认识32例(68.1%)、对不良结果倾向于互相指责13例(27.7%)以及相互猜疑8例(17%)。

结论

目前在尼日利亚,小儿外科与其他专业之间的协作不足。为了取得理想的成果,需要更多的跨专业支持、沟通和思想交流。

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