Evaluation of the progress and challenges facing the Ponseti method program in Vietnam

Vincent Wu; Michelle Nguyen; Huynh Manh Nhi; Do Van Thanh; Florin Oprescu; Thomas Cook; Jose A Morcuende

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Evaluation of the progress and challenges facing the Ponseti method program in Vietnam

Journal article

Open access

Peer reviewed

Evaluation of the progress and challenges facing the Ponseti method program in Vietnam

Vincent Wu, Michelle Nguyen, Huynh Manh Nhi, Do Van Thanh, Florin Oprescu, Thomas Cook and Jose A Morcuende

The Iowa orthopaedic journal, Vol.32, pp.125-134

2012

PMCID: PMC3565393

PMID: 23576933

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3565393/View

Published (Version of record) Open Access

Abstract

In 2003, an ICRC-SFD Ponseti program was introduced in southern Vietnam. Additional programs were introduced by the Prosthetics Outreach Foundation and independently by physicians trained at our center. The purpose of this study was to evaluate the impact, progress and challenges facing Ponseti practitioners and patients' family members in Vietnam. In addition, web-conferencing (Ponseti Virtual Forum) for continued medical education in the method was also assessed. Multiple questionnaires were developed to conduct face-to-face practitioner interviews, focus group interviews, and parental interviews. Observation was done at multiple site clinics to determine or confirm additional challenges faced by practitioners. Web conferencing was introduced to sites in Ho Chi Minh City and Da Nang City. The number of clubfoot patients treated with the Ponseti method has increased over time with approximately 1,252 infants treated between 2003 and 2010. Specific challenges were identified relating to communication, networking, distance and transportation, and finances for both practitioners and parents. The PVF was not only found to facilitate rapid, relevant dissemination of medical knowledge--thus increasing physician and patient satisfaction--but it may also be found to act as an interface in which medical culture, insight, and compassion are shared benefiting all virtual forum participants. The identified progress and challenges mirrored that of similar studies done in other countries with several factors affecting progress. Focusing on improving communication channels and networking while working with the ministry of health may improve the facilitation of the Ponseti method in Vietnam. Further implementation and evaluation of the PVF may act as a guide for current and future programs in Vietnam or other countries.

Culture

Attitude of Health Personnel

Clinical Competence

Humans

Vietnam - epidemiology

Clubfoot - epidemiology

Braces

Clubfoot - economics

Orthopedic Procedures - economics

Clubfoot - therapy

Orthopedic Procedures - statistics & numerical data

Patient Compliance

Casts, Surgical

Details

Title: Subtitle: Evaluation of the progress and challenges facing the Ponseti method program in Vietnam
Creators: Vincent Wu - Department of Orthopedic Surgery and Rehabilitation, Carver College of Medicine, University of Iowa, USA
Michelle Nguyen
Huynh Manh Nhi
Do Van Thanh
Florin Oprescu
Thomas Cook
Jose A Morcuende
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.32, pp.125-134
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 23576933
PMCID: PMC3565393
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 2012
Academic Unit: Occupational and Environmental Health; International Programs; Stead Family Department of Pediatrics; Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science
Record Identifier: 9984040211702771

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