Elements of person-centred diagnostic imaging care in low-and middle-income countries: A systematic review

Journal article

A.N.A. Adjei, A. Donkor, Y.A. Wiafe, I.C. Anyitey-Kokor, E. Hyde and Hyde, E. 2024. Elements of person-centred diagnostic imaging care in low-and middle-income countries: A systematic review. Radiography. 30, pp. 394-407. https://doi.org/10.1016/j.radi.2023.12.016
AuthorsA.N.A. Adjei, A. Donkor, Y.A. Wiafe, I.C. Anyitey-Kokor, E. Hyde and Hyde, E.
Abstract

Introduction
Diagnostic imaging professionals are trained to deliver safe and high-quality person-centred radiographic diagnostic imaging care. The term person-centred care has been described as a confused concept without a unified definition. This systematic review identified the elements that have been used to measure person-centred care in diagnostic imaging in low- and middle-income countries (LMICs).

Methods
A systematic review was conducted and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement. Embase, MEDLINE and Cochrane library were searched. Bias was assessed using the Critical Appraisal Skill Programme and Mixed Method Appraisal Tool. A narrative synthesis guided by the Picker Principles of person-centred care was undertaken.

Results
Of the 4482 articles identified, 26 articles were included. The studies were from 12 LMICs. Synthesis of the literature generated six themes, namely access to high quality and safe diagnostic imaging care, effective communication and shared diagnostic imaging decision making, suitable diagnostic imaging environment for physical comfort, respectful and compassionate diagnostic radiographers, effective coordination of diagnostic imaging care process, and family and friends’ involvement in diagnostic imaging care.

Conclusion
Medical imaging facilities in most LMICs continue to struggle with issues of access, safety, quality, and responsiveness to the needs of patients. The need for innovative person-centred diagnostic imaging care interventions in LMICs has become urgent.

KeywordsPerson-centred care; Diagnostic imaging; Low-and-middle-income countries
Year2024
JournalRadiography
Journal citation30, pp. 394-407
PublisherElsevier
ISSN 1532-2831
Digital Object Identifier (DOI)https://doi.org/10.1016/j.radi.2023.12.016
Web address (URL)https://doi.org/10.1016/j.radi.2023.12.016
Accepted author manuscript
License
File Access Level
Controlled
Output statusPublished
Publication dates03 Jan 2024
Publication process dates
Accepted25 Dec 2023
Deposited12 Feb 2024
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