Volume 5, Issue 5, September 2020, Page: 144-149
Utilisation of Laboratory Test Results for Patient Management by Clinicians at Two Large Referral Hospitals in Zambia
Sabe Mwape, Department of Public Health, University of Lusaka, Lusaka, Zambia; Laboratory Department, Catholic Relief Services, Lusaka, Zambia
Victor Daka, School of Medicine, Copperbelt University, Ndola, Zambia
Scott Kaba Matafwali, School of Medicine, Copperbelt University, Ndola, Zambia
Kapambwe Mwape, School of Medicine, Copperbelt University, Ndola, Zambia
Jay Sikalima, Department of Biomedical Sciences, Tropical Diseases Research Centre, Ndola, Zambia
Pipina Anna Vlahakis, School of Medicine, Copperbelt University, Ndola, Zambia
Memory Chirambo Kalolekesha, School of Medicine, Copperbelt University, Ndola, Zambia
Namaunga Kasumu Chisompola, School of Medicine, Copperbelt University, Ndola, Zambia
Victor Chalwe, Department of Public Health, University of Lusaka, Lusaka, Zambia; National Health Research Authority, Lusaka, Zambia
Received: Sep. 19, 2020;       Accepted: Oct. 5, 2020;       Published: Oct. 14, 2020
DOI: 10.11648/j.ajlm.20200505.13      View  9      Downloads  7
Abstract
Background: Medical laboratory diagnosis is a critical component of patient management in the healthcare setup. Despite the availability of laboratory tests, clinicians may not utilise them to make clinical decisions. We investigated utilsation of laboratory tests for patient management among clinicians at Ndola Teaching Hospital (NTH) and Arthur Davison Children’s Hospital (ADCH), two large referral hospitals in the Copperbelt Province, Ndola, Zambia. Method: We conducted a descriptive cross-sectional study among clinicians. The study deployed self-administered questionnaires to evaluate clinicians’ utilisation, querying and confidence in laboratory results. Additional data on demographics and possible laboratory improvements were also obtained. Data were entered in Microsoft excel and exported to SPSS version 16 for statistical analysis. Results: Of the 80 clinicians interviewed, 96.2% (77) reported using laboratory tests and their results in patient management. 77.5% (62) of the clinicians indicated they always used laboratory results to influence their patient management decisions. Of the selected laboratory tests, clinicians were more confident in using haemoglobin test results (91.2%). There was no statistically significant association between the clinicians’ gender or qualification and use of test results in patient management. Conclusion: Our findings show that despite the majority querying laboratory results, most of the clinicians use laboratory results for patient management. There is need for interactions between the laboratory and clinical area to assure clinician’s confidence in laboratory results.
Keywords
Papadakis M, McPhee S, Rabow M. Current Medical Diagnosis and Treatment 2020 | AccessMedicine | McGraw-Hill Medical (Internet). 2020 (cited 2020 Jun 11). Available from: https://accessmedicine.mhmedical.com/book.aspx?bookID=2683%%%%%Hajjaj FM, Salek MS, Basra MKA, Finlay AY. Non-clinical influences on clinical decision-making: A major challenge to evidence-based practice. Vol. 103, Journal of the Royal Society of Medicine. Royal Society of Medicine Press; 2010. p. 178–87.%%%%%Wians FH. Clinical
To cite this article
Sabe Mwape, Victor Daka, Scott Kaba Matafwali, Kapambwe Mwape, Jay Sikalima, Pipina Anna Vlahakis, Memory Chirambo Kalolekesha, Namaunga Kasumu Chisompola, Victor Chalwe, Utilisation of Laboratory Test Results for Patient Management by Clinicians at Two Large Referral Hospitals in Zambia, American Journal of Laboratory Medicine. Vol. 5, No. 5, 2020, pp. 144-149. doi: 10.11648/j.ajlm.20200505.13
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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