Chitha Nombulelo, Ntsele Nkanyiso, Mabunda Sikhumbuzo A, Funani Itumeleng, Swartbooi Buyiswa, Mnyaka Onke, Thabede Jahman, Tshabalala Ruth, Pulido-Estrada Guillermo Alfredo, Nomatshila Sibusiso, Chitha Wezile
Health Systems Enablement and Innovation, University of the Witwatersrand, Johannesburg 2050, South Africa.
Department of Public Health, Walter Sisulu University, Mthatha 5117, South Africa.
Healthcare (Basel). 2023 Dec 19;12(1):8. doi: 10.3390/healthcare12010008.
To provide an understanding of the clinical information sources consulted by teaching or referral hospital-based doctors in four South African provinces.
A quantitative cross-sectional survey design was used. To identify provinces, hospitals, and participants, simple random sampling was adopted. This study targeted a total of 276 doctors from all the four hospitals working across different departments within the hospitals. This study was conducted in four selected South African public referral/teaching hospitals in four different provinces, namely Nelson Mandela Academic Hospital in the Eastern Cape province; Witbank Hospital in Mpumalanga province; Robert Mangaliso Sobukwe Hospital in Northern Cape province and lastly, Pietersburg Hospital in Limpopo province.
Overall, 221 doctors were surveyed. Doctors relied more on colleagues as formal and informal sources of information. They seldomly relied on newspapers, reference, and library books, or used hospital computers to access the internet. They seldomly attended training workshops organised by the district or provincial office. Protocols and clinical guidelines which are kept in the hospitals and easily accessible were often (27.9%) or always (51.1%) used.
Teaching hospitals need to strengthen information resources to ensure that even when colleagues are used as an information source, they are an accessible means to validate the correctness of the information provided.
了解南非四个省份中教学医院或转诊医院医生所查阅的临床信息来源。
采用定量横断面调查设计。采用简单随机抽样来确定省份、医院和参与者。本研究的目标是来自这四家医院不同科室的总共276名医生。该研究在南非四个不同省份的四家选定的公立转诊/教学医院进行,即东开普省的纳尔逊·曼德拉学术医院;姆普马兰加省的威特班克医院;北开普省的罗伯特·曼加利索·索布克韦医院;最后是林波波省的彼得斯堡医院。
总体而言,对221名医生进行了调查。医生更多地依赖同事作为正式和非正式的信息来源。他们很少依赖报纸、参考文献和图书馆书籍,或使用医院电脑上网。他们很少参加由地区或省级办公室组织的培训研讨会。医院保存且易于获取的方案和临床指南经常(27.9%)或总是(51.1%)被使用。
教学医院需要加强信息资源,以确保即使将同事作为信息来源,他们也是验证所提供信息正确性的可获取途径。