Deploying unqualified personnel in health records practice: Role substitution or quackery? Implications for health services delivery in Nigeria

Adeleke, Ibrahim Taiwo; Suleiman-Abdul, Qudrotullaah Bolanle; Aliyu, Amina; Ishaq, Ismaeel A; Adio, Razzaq A

doi:10.1177/1833358318800459

Cited by 9 publications

(9 citation statements)

References 15 publications

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“…Though there are other factors responsible for variations in the level of education attained, health status along with socio-demographic factors play an important role as an unhealthy individual, a poor person and an old individual cannot attain the highest level of education which hinders productivity and economic growth in Nigeria. These findings corroborate discoveries of Adeleke et al (2019), and Brydges & Mkandawire (2018). Moreover, Adeleke, Suleiman-Abdul, Aliyu, Ishaq & Adio (2019) observed that collaborative works of health professionals might involve delegation and substitution of poorly qualified personnel which is a peculiar problem among less developed countries (LDCs).…”

Section: Discussionsupporting

confidence: 88%

Educational Attainment and Health Outcomes in Nigeria: A Survey from NDHS (2008 & 2013)

Oluwabukola¹,

Oluranti²

2019

theijhss

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1. Introduction No specific definition of education is generally accepted due to globally different perspectives. Education is a deliberate endeavor to enable people to defend their lifestyle and culture, increase long term ability to survive and sustain development from generation to generation (National education system law no. 2, 1989. The National Education Law no. 20 of 2003 defines education as an intentional attempt to establish an atmosphere to learn as well as its procedure such that learners thoroughly improve the irreligious, spiritual, self-discipline, personage, intelligence and skills potentials in society. Therefore, education helps us reconcile our great intentions with reality by thinking clearly and accurately in achieving our goals such that mistakes that would cost not only us but the world at large are avoided. The teaching methods in schools these days encourage cramming and a wrong teacher-student relationship exists where the students are scared of the teacher and the teachers want back exactly what was taught in examinations (Schools of Conscience, 2014). According to Parankimalil (2012), education is a lifelong process and is needed in every aspect of life as it is a process that involves learning from infancy to maturity. Education is a dynamic and systematic process which involves systematic institutions and regulations. It is the development of individual and the society for balanced economic growth. It is also the modification of behaviour and past experiences. Education has a purpose and direction and involves training of desirable activities and skill that are socially constructive. Education is a bipolar process, that is, education is a conscious and deliberate process which involves personal acting on another to modify the development of the other person. Finally, education is a three-dimensional process consisting of the teacher, the child and the society. On the other hand, the definition of health in 1948 by World Health Organization (WHO) was as a state of absolute physical, mental and social wellness rather than just mere lack of ailment or sickness. However, an article in the Lancet critiques WHO's definition of health that it is not relevant in this era of knowledge and advanced science and technology (The Lancet, 2009). Nordqvist (2015) classified health into two: physical and mental health. In his article, physical health refers to a healthy body requiring adequate exercise, rest and nutrition. Physical health is further divided into two by some people: structural and chemical health. Structural health refers to the bones, organs, muscles, height, weight, and so on while chemical health refers to the tissues and chemicals in the body. Mental health, on the other hand refers to emotional and cognitive wellbeing which generally refers to the absence of mental illness. However, health is also applied in nonmedical contexts, e.g. a healthy economy simply means a sustained and growing economy (Nordqvist, 2015). The Mickinley Health Center (2013) defined wellness as a conditio...

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Section: Discussionsupporting

confidence: 88%

Educational Attainment and Health Outcomes in Nigeria: A Survey from NDHS (2008 & 2013)

Oluwabukola¹,

Oluranti²

2019

theijhss

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“…Role substitution and ‘de‐professionalisation’ is leading to the HIM profession being invisible (HIMAA, 2016). The potential impacts of role substitution include the mismanagement of health information systems, data errors, and privacy and confidentiality implications (Adeleke et al, 2019). These issues can lead to incomplete, inaccessible or incorrect information, thus impacting the clinician's decision making for patient care and ultimately, patient safety.…”

Section: Discussionmentioning

confidence: 99%

“…Unqualified staff may not be aware of legislative and ethical requirements to protect health information to ensure privacy and confidentiality. Using unqualified staff to perform HIM professionals’ functions is a risk to patient safety (Adeleke et al, 2019). It is imperative that this profession endures and does not follow the same fate as Health Librarians with mixed opinions of the value they provide, from being seen as a financial burden (White, 2014) to an essential service to support clinical decision making (Taylor & Stephenson, 2018).…”

Section: Discussionmentioning

confidence: 99%

The impact of health information management professionals on patient safety: A systematic review

Kemp

Butler-Henderson

Allen

et al. 2021

Health Info Libraries J

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Background The importance of high‐quality health information for patient safety has been established in the literature, yet the impact of the professionals who are the custodians of health information is absent. Objectives This article presents the results of a systematic literature review examining the impact of the Health Information Management (HIM) profession on patient safety. Methods A PRISMA approach was adopted for the review of selected databases and specific journals. Titles identified as relating to HIM and patient quality were screened using Covidence ® by title and abstract, followed by full text. The quality of selected articles was assessed and thematically analysed. Results Analysis of the 8 included articles found that the key themes from the non‐empirical research were data quality, information governance, corporate governance, skills and knowledge required for HIM professionals. Discussion Most publications focussed on HIM professional involvement in maintaining standards for data quality and health records, but not the professional qualifications themselves. Conclusions There are links between patient safety and health records, and between health records and HIM professional work. More empirical research is needed to demonstrate how qualified HIM professionals contribute to patient safety.

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“…2016) and equally high numbers are observed in other developing countries (Adeleke et al . 2019, Chandra and Bhattacharya 2019, Ecks and Basu 2009, Morgan et al . 2016, Naidu et al .…”

Section: The Context Of Practitioner Choices In Bholi Indiamentioning

confidence: 99%

“…In India and other developing countries, the space between affordable but unreliable public health system, and the more expensive formal private sector is occupied by IHPs (also called quacks, non-degree allopathic providers, unqualified private healthcare providers). Over 56 per cent of active healthcare workers in rural India are without formal qualifications or training (Rao et al 2016) and equally high numbers are observed in other developing countries (Adeleke et al 2019, Chandra and Bhattacharya 2019, Ecks and Basu 2009, Morgan et al 2016, Naidu et al 2003, Rao and Peters 2015, Rao et al 2016, Wahed et al 2010. These practitioners lack formal training and qualifications, tend to collect payments directly from users in cash or kind, and work outside the influence of regulatory bodies (Sudhinaraset et al 2013).…”

Section: The Context Of Practitioner Choices In Bholi Indiamentioning

confidence: 99%

Risk, trust and patients’ strategic choices of healthcare practitioners

Chauhan

Campbell

2020

Sociology Health & Illness

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Research on patients’ choice of healthcare practitioners has focussed on countries with regulated and controlled healthcare markets. In contrast, low‐ and middle‐income countries have a pluralistic landscape where untrained, unqualified and unlicensed informal healthcare providers (IHPs) provide significant share of services. Using qualitative data from 58 interviews in an Indian village, this paper explores how patients choose between IHPs and qualified practitioners in the public and formal private sectors. The study found that patients’ choices were structurally constrained by accessibility and affordability of care and choosing a practitioner from any sector presented some risk. Negotiation and engagement with risks depended on perceived severity of the health condition and trust in practitioners. Patients had low institutional trust in public and formal private sectors, whereas IHPs operated outside any institutional framework. Consequently, people relied on relational or competence‐derived interpersonal trust. Care was sought from formal private practitioners for severe issues due to high‐competence‐based interpersonal trust in them, whereas for other issues IHPs were preferred due to high relationship‐based interpersonal trust. The research shows that patients develop a strategic approach to practitioner choice by using trust to negotiate risks, and crucially, in low‐ and middle‐income countries IHPs bridge a gap by providing accessible and affordable care imbued with relational–interpersonal trust.

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Deploying unqualified personnel in health records practice: Role substitution or quackery? Implications for health services delivery in Nigeria

Cited by 9 publications

References 15 publications

Educational Attainment and Health Outcomes in Nigeria: A Survey from NDHS (2008 & 2013)

Educational Attainment and Health Outcomes in Nigeria: A Survey from NDHS (2008 & 2013)

The impact of health information management professionals on patient safety: A systematic review

Risk, trust and patients’ strategic choices of healthcare practitioners

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