Cargando…

Task shifting for point of care ultrasound in primary healthcare in low- and middle-income countries-a systematic review

Low-and middle-income countries (LMIC) are faced with healthcare challenges including lack of specialized healthcare workforce and limited diagnostic infrastructure. Task shifting for point-of-care ultrasound (POCUS) can overcome both shortcomings. This review aimed at identifying benefits and chall...

Descripción completa

Detalles Bibliográficos
Autores principales: Abrokwa, Seth Kofi, Ruby, Lisa C., Heuvelings, Charlotte C., Bélard, Sabine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8904233/
https://www.ncbi.nlm.nih.gov/pubmed/35284806
http://dx.doi.org/10.1016/j.eclinm.2022.101333
_version_ 1784664911664644096
author Abrokwa, Seth Kofi
Ruby, Lisa C.
Heuvelings, Charlotte C.
Bélard, Sabine
author_facet Abrokwa, Seth Kofi
Ruby, Lisa C.
Heuvelings, Charlotte C.
Bélard, Sabine
author_sort Abrokwa, Seth Kofi
collection PubMed
description Low-and middle-income countries (LMIC) are faced with healthcare challenges including lack of specialized healthcare workforce and limited diagnostic infrastructure. Task shifting for point-of-care ultrasound (POCUS) can overcome both shortcomings. This review aimed at identifying benefits and challenges of task shifting for POCUS in primary healthcare settings in LMIC. Medline and Embase were searched up to November 22nd, 2021. Publications reporting original data on POCUS performed by local ultrasound naïve healthcare providers in any medical field at primary healthcare were included. Data were analyzed descriptively. PROSPERO registration number CRD42021223302. Overall, 36 publications were included, most (n = 35) were prospective observational studies. Medical fields of POCUS application included obstetrics, gynecology, emergency medicine, infectious diseases, and cardiac, abdominal, and pulmonary conditions. POCUS was performed by midwives, nurses, clinical officers, physicians, technicians, and community health workers following varying periods of short-term training and using different ultrasound devices. Benefits of POCUS were yields of diagnostic images with adequate interpretation impacting patient management and outcome. High cost of face-to-face training, poor internet connectivity hindering telemedicine components, and unstable electrici'ty were among reported drawbacks for successful implementation of task shifting POCUS. At the primary care level in resource-limited settings task shifting for POCUS has the potential to expand diagnostic imaging capacity and impact patient management leading to meaningful health outcomes.
format Online
Article
Text
id pubmed-8904233
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-89042332022-03-10 Task shifting for point of care ultrasound in primary healthcare in low- and middle-income countries-a systematic review Abrokwa, Seth Kofi Ruby, Lisa C. Heuvelings, Charlotte C. Bélard, Sabine EClinicalMedicine Review Low-and middle-income countries (LMIC) are faced with healthcare challenges including lack of specialized healthcare workforce and limited diagnostic infrastructure. Task shifting for point-of-care ultrasound (POCUS) can overcome both shortcomings. This review aimed at identifying benefits and challenges of task shifting for POCUS in primary healthcare settings in LMIC. Medline and Embase were searched up to November 22nd, 2021. Publications reporting original data on POCUS performed by local ultrasound naïve healthcare providers in any medical field at primary healthcare were included. Data were analyzed descriptively. PROSPERO registration number CRD42021223302. Overall, 36 publications were included, most (n = 35) were prospective observational studies. Medical fields of POCUS application included obstetrics, gynecology, emergency medicine, infectious diseases, and cardiac, abdominal, and pulmonary conditions. POCUS was performed by midwives, nurses, clinical officers, physicians, technicians, and community health workers following varying periods of short-term training and using different ultrasound devices. Benefits of POCUS were yields of diagnostic images with adequate interpretation impacting patient management and outcome. High cost of face-to-face training, poor internet connectivity hindering telemedicine components, and unstable electrici'ty were among reported drawbacks for successful implementation of task shifting POCUS. At the primary care level in resource-limited settings task shifting for POCUS has the potential to expand diagnostic imaging capacity and impact patient management leading to meaningful health outcomes. Elsevier 2022-03-06 /pmc/articles/PMC8904233/ /pubmed/35284806 http://dx.doi.org/10.1016/j.eclinm.2022.101333 Text en © 2022 Published by Elsevier Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Review
Abrokwa, Seth Kofi
Ruby, Lisa C.
Heuvelings, Charlotte C.
Bélard, Sabine
Task shifting for point of care ultrasound in primary healthcare in low- and middle-income countries-a systematic review
title Task shifting for point of care ultrasound in primary healthcare in low- and middle-income countries-a systematic review
title_full Task shifting for point of care ultrasound in primary healthcare in low- and middle-income countries-a systematic review
title_fullStr Task shifting for point of care ultrasound in primary healthcare in low- and middle-income countries-a systematic review
title_full_unstemmed Task shifting for point of care ultrasound in primary healthcare in low- and middle-income countries-a systematic review
title_short Task shifting for point of care ultrasound in primary healthcare in low- and middle-income countries-a systematic review
title_sort task shifting for point of care ultrasound in primary healthcare in low- and middle-income countries-a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8904233/
https://www.ncbi.nlm.nih.gov/pubmed/35284806
http://dx.doi.org/10.1016/j.eclinm.2022.101333
work_keys_str_mv AT abrokwasethkofi taskshiftingforpointofcareultrasoundinprimaryhealthcareinlowandmiddleincomecountriesasystematicreview
AT rubylisac taskshiftingforpointofcareultrasoundinprimaryhealthcareinlowandmiddleincomecountriesasystematicreview
AT heuvelingscharlottec taskshiftingforpointofcareultrasoundinprimaryhealthcareinlowandmiddleincomecountriesasystematicreview
AT belardsabine taskshiftingforpointofcareultrasoundinprimaryhealthcareinlowandmiddleincomecountriesasystematicreview