Department of Family and Emergency Medicine
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Browsing Department of Family and Emergency Medicine by browse.metadata.advisor "Allgaier, Rachel"
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- ItemThe assessment of acceptance and identification of barriers to use of electronic medical records by doctors in emergency centres in Cape Town, South Africa(Stellenbosch : Stellenbosch University, 2017-12) Chagani, Mohamedsuhel; Allgaier, Rachel; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care.ENGLISH SUMMARY: Introduction: Millions of people in developing countries face serious health risks. It is believed that incorporating technology into healthcare is one way to overcome some of these challenges faced by developing countries. However, acceptance of electronic medical records (EMRs) into daily practice has been poor despite these potential advantages. In order to realise the potential benefits from EMR technologies, they must be adopted broadly and assimilated deeply across healthcare settings. The study aimed to assess acceptance and barriers to use prior to implementation of EMRs. Methods: The Unified Theory of Acceptance and Use of Technology model was used to assess technology acceptance. A self-administered questionnaire-based survey was sent to emergency centre (EC) doctors working in district hospitals in the Cape Town metropolis. Results: With a 73% (n=105) response rate, participants believed that EMRs would be both useful in their practice and improve their productivity. Almost 50% (n=51) of participants felt that they would find EMRs easy to use and approximately 60% (n=61) felt they would receive management support. However, the participants felt that the necessary resources would not be available for success, specifically a lack of financial investment, training and support as well as poor infrastructure and project management skills. Conclusion: The study overall indicates that the majority of doctors are willing to use EMRs in their daily practice. Barriers to successful implementation were similar to those found in similar studies conducted in other environments, and include financial, technical and change process barriers. There is a need to conduct further studies involving other cadres of staff including ECs where EMRs are already in use.
- ItemDescribing and comparing the availability of acute care resources to treat new onset stroke in different income settings : a self-reported survey of acute care providers at the 2016 international conference on emergency medicine(Stellenbosch : Stellenbosch University, 2019-12) Chunga, Ramadhan Mohamed; Allgaier, Rachel; Hendrikse, Clint; Bruijns, Stevan R.; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine.ENGLISH SUMMARY : Introduction: Stroke affects 15 million people annually and is responsible for 5 million deaths per annum globally. In contrast to the trend in low- and middle-income countries (LMICs), stroke mortality is on the decline in high-income countries (HICs). Even though the availability of resources varies considerably by geographic region and across LMICs and HICs, evidence suggests that material resources in LMICs to implement recommendations from international guidelines are largely unmet. This study describes and compares the availability of resources to treat new-onset stroke in countries based on the World Bank’s gross national incomes, using recommendations of the American Heart Association and the American Stroke Association 2013 update. Methods: A self-reported cross-sectional survey was conducted of delegates that attended the April 2016 International Conference on Emergency Medicine using the web-based e-Survey client, Survey Monkey Inc. The survey assessed both pre-hospital and in-hospital settings and was piloted before implementation. Results: The survey was distributed and opened by 955 delegates and 382 (40%) responded. Respondents from LMICs reported significantly less access to a prehospital service (p<0.001) or a national emergency number (p<0.001). Access to specialist neurology services (p<0.001) and radiology services (p<0.001) were also significantly lower in LMICs. Conclusions: The striking finding from this study was that there was essentially very little difference between the responses between LMIC and HIC respondents with a few notable exceptions. The findings also propose a universal lack of adherence to the 2013 AHA/ASA stroke management guideline by both groups, in contrast to the good reported knowledge thereof. Carefully planned qualitative research is needed to identify the barriers to achieving the 2013 AHA/ASA recommendations.
- ItemDescribing final diagnosis and outcome for patients investigated for suspected acute coronary syndrome at a regional, public South African emergency centre(Stellenbosch : Stellenbosch University, 2018-12) Kabongo, Diulu; Allgaier, Rachel; Bruijns, S.; Kalla, M.ENGLISH SUMMARY : No abstract available.