To describe the spectrum of procedures performed by general medical officers in South African rural hospitals, and the attitudinal issues associated with these tasks.
A descriptive study combining quantitative and qualitative methods, a quantitative audit of operating theatre records of 15 rural hospitals in KwaZulu-Natal and 4 rural hospitals in Northern Province, and a qualitative analysis of 8 focus group discussions in which rural hospital doctors discussed their procedural work.
Quantitative results included patient age, type of anaesthetic, type of procedure, and whether a separate anaesthetist was present or not for each recorded procedure performed in the operating theatre.
Qualitative resuits comprised major and minor themes that arose from the focus group discussions.
Quantitative results revealed a high proportion of obstetric and general surgical procedures, often performed by a single doctor acting as anaesthetist as well as surgeon.
The range of surgical procedures undertaken varied widely between hospitals.
Anaesthetic usage patterns revealed extensive use of ketamine and spinal anaesthetics, with relatively more general anaesthetics being administered in the Northern Province. (...)
Mots-clés Pascal : Analyse, Hôpital, Enregistrement, Analyse qualitative, Analyse quantitative, Activité professionnelle, Anesthésie, Chirurgie, Homme, République Sud Africaine, Afrique
Mots-clés Pascal anglais : Analysis, Hospital, Recording, Qualitative analysis, Quantitative analysis, Professional activity, Anesthesia, Surgery, Human, South Africa(Republic), Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0425218
Code Inist : 002B30A04B. Création : 22/03/2000.