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The integration of mental health care act in primary care: an audit of the use of mental health care act forms for patients´ admission and the effect of continuing medical education on health professionals´ performance of usage, based on Letsholathebe II Memorial Hospital´s experience, in Maun, Botswana

The Pan African medical journal, 2021, Vol.40, p.49-49 [Peer Reviewed Journal]

Copyright: Deogratias Ongona Mbuka et al. ;Copyright: Deogratias Ongona Mbuka et al. 2021. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Deogratias Ongona Mbuka et al. 2021 ;EISSN: 1937-8688 ;DOI: 10.11604/pamj.2021.40.49.26114 ;PMID: 34795829

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Title:
The integration of mental health care act in primary care: an audit of the use of mental health care act forms for patients´ admission and the effect of continuing medical education on health professionals´ performance of usage, based on Letsholathebe II Memorial Hospital´s experience, in Maun, Botswana
Author: Mbuka, Deogratias Ongona ; Tshitenge, Stephane ; Ogunjumo, Adekunle John
Subjects: Adolescent ; Adult ; Archives & records ; Botswana ; Education, Continuing - methods ; Female ; Forms as Topic ; Health Personnel - education ; Health Personnel - standards ; Hospitals ; Hospitals - standards ; Humans ; Male ; Medical Audit ; Medical education ; Medical personnel ; Medical research ; Mental disorders ; Mental Disorders - therapy ; Mental health ; Mental health care ; Nurses ; Patient Admission - legislation & jurisprudence ; Patient Admission - standards ; Patients ; Physicians ; Primary care ; Primary Health Care - legislation & jurisprudence ; Primary Health Care - methods ; Seminars ; Young Adult
Is Part Of: The Pan African medical journal, 2021, Vol.40, p.49-49
Description: despite the adoption of mental disorders act in 1972, the use of required mental health care act (MHCA) forms during admission of patients with mental illnesses remained below the legal expectation in the Maun District Hospital. This study audited Letsholathebe II Memorial Hospital (LIIMH) professionals´ usage of MHCA forms. this was a quasi-experimental study that audited files of patients admitted with mental illnesses, before, three and six months after a continuing medical education (CME). Cochran Q, McNemar symmetry Chi-square were used for comparison of performance. of the 239 eligible files, we accessed 235 (98.3%). About two in ten (n=36/235, 15.3%) MHCA forms were not used in combination with required forms. The quasi-majority of MHCA forms set used, aligned with involuntary admission (n=134/137, 97.8%). Required admission MHCA forms significantly increased from nil before continuing medical education (CME-0), to 64.6% (n=51/79) at CME-3 and 77% (n=59/77) at CME-6 (p<0.001). However, there was no statistical difference between the last two periods (64.6% vs 77%, p=0.164). Voluntary admission remained below 13% (n=10/79). Only six types of MHCA forms were used during this study. there was no adequate use of required MHCA forms at LIIMH before CME. Thereafter, the proportion of adequate use increased from period CME-0 to the periods CME-3 and CME-6. However, there was no difference in proportion between the last two periods. We recommend an effective and regular CME twice a year for health professionals on selected MHCA forms.
Publisher: Uganda: African Field Epidemiology Network
Language: English
Identifier: EISSN: 1937-8688
DOI: 10.11604/pamj.2021.40.49.26114
PMID: 34795829
Source: Directory of Open Access Scholarly Resources (ROAD)
Geneva Foundation Free Medical Journals at publisher websites
African Journals Online (Open Access)
MEDLINE
PubMed Central
Directory of Open Access Journals
ProQuest Central

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