Prof C C Rout

onke mampondonke Nqala


Synopsis of the research proposal

Evaluation of telephonic consultation between rural and urban based doctors following two week anesthetics training in Port Elizabeth

Type of study : observational survey through questionnaire and demographic information from the Database

Design : retrospective study using both qualitative and quantitative methods       

Aims/objectives of the study :To determine user perception of the quality of service of the telephonic support system for rural doctors in Port Elizabeth

Hypothesis : a telephonic support system following a short anaesthetic training course for rural doctors in Port Elizabeth is of value to the doctors

Background of the project : In PE there is a rural  obstetric anesthesia “in reach” program in which  two doctors from surrounding rural areas come for training in obstetric anesthesia in the context of rural practice. In the two weeks of the course, they also have resuscitation training . The program has been running since 2009. It aims to support rural doctors with skills general knowledge and competence in the management of common obstetric anesthesia procedures; resuscitation and pain management. Ultimately this should increase the standard of care at district hospital and decrease the requirement for referral to regional level. The initiative hopefully will reduce patient load in urban hospital and morbidity and mortality related to lengthy transportation times of potential unstable patients.

In order to provide continuing support, after completion of course the medical officer return to their base hospitals armed with contact details of senior urban based anaesthetist for any future enquiries. Any enquiries in relation to patient care that are received by senior urban based anesthetics which are recorded and stored electronically.

This study assesses the value of this telephonic support system through the eyes of both the rural based doctors and the advising urban based doctors. The survey will be done in two phases. First rural and urban doctors will be introduced to the project and its intended aims and objectives via emails . They will then be asked to consent and participate in the survey and to be confirmed by a phone call subsequent to them having read the email. Two questionnaires with questions designed for either rural or urban doctors will be used to assess this support system in terms of quality, accessibility, availability, effectiveness, attitudes and beliefs and limitations.