Improved awareness of Pap smear may not affect its use in Nigeria: a case study of female medical practitioners in Enugu, southeastern Nigeria

Author(s):  
Cyril C. Dim ◽  
Esther Ekwe ◽  
Theresa Madubuko ◽  
Ngozi R. Dim ◽  
Hyginus U. Ezegwui
2020 ◽  
pp. 370-394
Author(s):  
Say Yen Teoh ◽  
Shun Cai

Despite many attempts to introduce computerization in the healthcare industry, the majority of the current healthcare information systems still fail to meet the rising expectations of patients for service. This study aims to understand how agility and innovation capabilities can be strategically nurtured, developed, and managed to upgrade the quality of healthcare services. Based on a case study, a process model is developed to explain that an agile innovation strategy is a complex helix process involving a firm's sensitivity and responsiveness to integrating and reconfiguring its resources to cope with innovative change. Three key managerial contributions for IT and medical practitioners are presented.


Sexual Health ◽  
2006 ◽  
Vol 3 (4) ◽  
pp. 241 ◽  
Author(s):  
Jane S. Hocking ◽  
Megan S. C. Lim ◽  
Janaki Vidanapathirana ◽  
Tim R. H. Read ◽  
Margaret Hellard

Background: To assess the current chlamydia testing practices of Victorian general practitioners (GPs). Methods: GPs were randomly selected from the Australasian Medical Publishing Company’s national database of medical practitioners and mailed a letter of invitation asking them to complete a postal survey. Up to three postal reminders were sent to non-responders. Results: Of 421 eligible GPs, 252 (60%) returned a completed survey; 22.9% (95% CI: 17.8%, 28.6%) reported testing at least some asymptomatic patients for chlamydia each week and 26.8% (95% CI: 21.4%, 32.7%) reported that they presumptively treated patients for chlamydia without testing them at least half the time. The majority knew the appropriate specimens for diagnosing chlamydia, but 6–8% thought blood and 6% indicated that the Pap smear could be used to reliably diagnose chlamydia infection. Conclusions: These findings have implications for the future chlamydia screening pilot program in Australia and indicate that a comprehensive education program will be necessary to inform GPs and equip them with the skills to appropriately test for chlamydia in their practice.


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