Academic Journal
Physicians’ perception of task sharing with non-physician health care workers in the management of uncomplicated hypertension in Nigeria: A mixed method study
| العنوان: | Physicians’ perception of task sharing with non-physician health care workers in the management of uncomplicated hypertension in Nigeria: A mixed method study |
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| المؤلفون: | Adejumo, Oluseyi Ademola, Ogundele, Olorunfemi Akinbode, Mamven, Manmak, Otubogun, Folajimi Morenikeji, Junaid, Oladimeji Adedeji, Okoye, Ogochukwu Chinedum, Oyedepo, Dapo Sunday, Osunbor, Osariemen Augustine, Ngoka, Stanley Chidozie, Enikuomehin, Adenike Christianah, Okonkwo, Kenechukwu Chukwuemeka, Akinbodewa, Akinwumi Ayodeji, Lawal, Olutoyin Morenike, Yusuf, Shamsuddeen, Okaka, Enajite Ibiene, Odu, Joseph, Agogo, Emmanuel, Osi, Kufor, Nwude, Ifeanyi, Odili, Augustine Nonso |
| المساهمون: | Gile, Philipos Petros, Nigerian Hypertension Society |
| المصدر: | PLOS ONE ; volume 18, issue 9, page e0291541 ; ISSN 1932-6203 |
| بيانات النشر: | Public Library of Science (PLoS) |
| سنة النشر: | 2023 |
| المجموعة: | PLOS Publications (via CrossRef) |
| الوصف: | Introduction Task sharing and task shifting (TSTS) in the management of hypertension is an important strategy to reduce the burden of hypertension in low-and middle-income countries like Nigeria where there is shortage of physicians below the World Health Organization’s recommendations on doctor-patient ratio. The cooperation of physicians is critical to the success of this strategy. We assessed physicians’ perception of TSTS with non-physician health workers in the management of hypertension and sought recommendations to facilitate the implementation of TSTS. Materials and methods This was an explanatory sequential mixed method study. TSTS perception was assessed quantitatively using a 12-item questionnaire with each item assigned a score on a 5-point Likert scale. The maximum obtainable score was 60 points and those with ≥42 points were classified as having a good perception of TSTS. Twenty physicians were subsequently interviewed for in-depth exploration of their perception of TSTS. Results A total of 1250 physicians participated in the quantitative aspect of the study. Among the participants, 56.6% had good perception of TSTS in the management of hypertension while about two-thirds (67.5%) agreed that TSTS program in the management of hypertension could be successfully implemented in Nigeria. Male gender (p = 0.019) and working in clinical settings (p = 0.039) were associated with good perception. Twenty physicians participated in the qualitative part of the study. Qualitative analysis showed that TSTS will improve overall care and outcomes of patients with hypertension, reduce physicians’ workload, improve their productivity, but may encourage inter-professional rivalry. Wide consultation with stakeholders, adequate monitoring and evaluation will facilitate successful implementation of TSTS in Nigeria. Conclusion This study showed that more than half of the physicians have good perception of TSTS in hypertension management while about two-thirds agreed that it could be successfully implemented in Nigeria. ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1371/journal.pone.0291541 |
| الاتاحة: | http://dx.doi.org/10.1371/journal.pone.0291541 https://dx.plos.org/10.1371/journal.pone.0291541 |
| Rights: | http://creativecommons.org/licenses/by/4.0/ |
| رقم الانضمام: | edsbas.AFDC8442 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1371/journal.pone.0291541 |
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