What factors influence the production of orthopaedic research in East Africa? A qualitative analysis of interviews

Clinical Orthopaedics and Related Research
Iain S ElliottR Richard Coughlin

Abstract

Research addressing the burden of musculoskeletal disease in low- and middle-income countries does not reflect the magnitude of the epidemic in these countries as only 9% of the world's biomedical resources are devoted to addressing problems that affect the health of 90% of the world's population. Little is known regarding the barriers to and drivers of orthopaedic surgery research in such resource-poor settings, the knowledge of which would help direct specific interventions for increasing research capacity and help surgeons from high-income countries support the efforts of our colleagues in low- and middle-income countries. We sought to identify through surveying academic orthopaedic surgeons in East Africa: (1) barriers impeding research, (2) factors that support or drive research, and (3) factors that were identified by some surgeons as barriers and others as drivers (what we term barrier-driver overlap) as they considered the production of clinical research in resource-poor environments. Semistructured interviews were conducted with 21 orthopaedic surgeon faculty members at four academic medical centers in Ethiopia, Kenya, Tanzania, and Uganda. Qualitative content analysis of the interviews was conducted using methods base...Continue Reading

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Feb 7, 2018·World Journal of Surgery·Geoffrey A AndersonDavid Chang
Sep 25, 2018·Journal of Orthopaedic Trauma·Sravya ChallaTheodore Miclau
Jul 15, 2018·Perspectives on Medical Education·Bilal Abou El Ela BourquinPeter J Hutchinson
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Feb 7, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Philip M FrazerSimon R Platt
Mar 11, 2021·Pediatric Surgery International·Vivian W L TsangGeoffrey K Blair

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