Identifying Barriers and Facilitators to the Improvement of Healthcare Delivery and Ethics in Two Cameroonian Neurosurgical Centers.

Cameroon barriers ethics facilitators health outcomes neurosurgery

Journal

Frontiers in surgery
ISSN: 2296-875X
Titre abrégé: Front Surg
Pays: Switzerland
ID NLM: 101645127

Informations de publication

Date de publication:
2021
Historique:
received: 30 04 2021
accepted: 31 12 2021
entrez: 4 3 2022
pubmed: 5 3 2022
medline: 5 3 2022
Statut: epublish

Résumé

Low-and middle-income countries (LMICs) are disproportionately affected by neurosurgical burden of disease. This health inequity causes constraints in decision-making. Neurosurgical ethics helps us to assess the moral acceptability and effectiveness of clinical decisions. We aimed to assess ethical neurosurgical care and its effect on patient satisfaction in Cameroon. Two questionnaires hosted on Google Forms were administered among inpatients and staff at two Cameroonian neurosurgery centers. The questionnaires covered the factors influencing health outcomes and ethics. Data were collected from November 11, 2020, to March 11, 2021 and analyzed with SPSS v 26 to generate non-parametric tests with a threshold of significance at 0.05. Seventy patients and twenty healthcare providers responded to the survey. Most patients faced financial hardship (57.1%; 95% CI = 45.7-68.6%), and felt that this affected the care they received ( Multiple challenges to neurosurgical ethical care were seen in our study. Multimodal interventions based on the four ethical principles discussed are necessary to improve ethical neurosurgical decision-making in this low resource setting.

Sections du résumé

BACKGROUND BACKGROUND
Low-and middle-income countries (LMICs) are disproportionately affected by neurosurgical burden of disease. This health inequity causes constraints in decision-making. Neurosurgical ethics helps us to assess the moral acceptability and effectiveness of clinical decisions. We aimed to assess ethical neurosurgical care and its effect on patient satisfaction in Cameroon.
METHODS METHODS
Two questionnaires hosted on Google Forms were administered among inpatients and staff at two Cameroonian neurosurgery centers. The questionnaires covered the factors influencing health outcomes and ethics. Data were collected from November 11, 2020, to March 11, 2021 and analyzed with SPSS v 26 to generate non-parametric tests with a threshold of significance at 0.05.
RESULTS RESULTS
Seventy patients and twenty healthcare providers responded to the survey. Most patients faced financial hardship (57.1%; 95% CI = 45.7-68.6%), and felt that this affected the care they received (
CONCLUSION CONCLUSIONS
Multiple challenges to neurosurgical ethical care were seen in our study. Multimodal interventions based on the four ethical principles discussed are necessary to improve ethical neurosurgical decision-making in this low resource setting.

Identifiants

pubmed: 35242801
doi: 10.3389/fsurg.2021.703867
pmc: PMC8887806
doi:

Types de publication

Journal Article

Langues

eng

Pagination

703867

Informations de copyright

Copyright © 2022 Ankeambom, Motah, Ewane, Shlobin, Mbangtang, Dada, Kabulo, Tetinou, Endalle, Kanmounye, Jokonya and Esene.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Tutuwan J Ankeambom (TJ)

Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Department, Association of Future African Neurosurgeons, Yaounde, Cameroon.
Neurosurgery Unit, Surgery Department, Douala General Hospital, Douala, Cameroon.

Mathieu Motah (M)

Neurosurgery Unit, Surgery Department, Douala General Hospital, Douala, Cameroon.

Mfouapon Ewane (M)

Neurosurgery Unit, Surgery Department, Laquintinie Hospital, Douala, Cameroon.

Nathan A Shlobin (NA)

Department, Association of Future African Neurosurgeons, Yaounde, Cameroon.

Celestin Bilong Mbangtang (CB)

Department, Association of Future African Neurosurgeons, Yaounde, Cameroon.
Faculty of Medicine and Biomedical Sciences, Yaounde, Cameroon.

Olaoluwa Ezekiel Dada (OE)

Department, Association of Future African Neurosurgeons, Yaounde, Cameroon.
College of Medicine, University of Ibadan, Ibadan, Nigeria.

Kantenga Dieu Merci Kabulo (KDM)

Department, Association of Future African Neurosurgeons, Yaounde, Cameroon.
Neurosurgery Unit, Surgery Department, Jason Sendwe General Provincial Hospital, Lubumbashi, Democratic Republic of Congo.

Francklin Tetinou (F)

Department, Association of Future African Neurosurgeons, Yaounde, Cameroon.

Geneviève Endalle (G)

Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Department, Association of Future African Neurosurgeons, Yaounde, Cameroon.

Ulrick Sidney Kanmounye (US)

Department, Association of Future African Neurosurgeons, Yaounde, Cameroon.

Luxwell Jokonya (L)

College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.

Ignatius N Esene (IN)

Neurosurgery Division, Faculty of Health Sciences, University of Bamenda, Bambili, Cameroon.

Classifications MeSH