1Graduate School of Public Health, St. Luke’s International University, Tokyo, Japan
2Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
3Department of Population and Quantitative Health Sciences at the University of Massachusetts Medical School, Worcester, MA, USA
4Center for Population Health Science, Hanoi University of Public Health, Vietnam
5School of Nursing, Duy Tan University, Da Nang, Vietnam
6Department of Health Economics, Hanoi University of Public Health, Hanoi, Vietnam
Copyright © 2020 The Korean Society for Preventive Medicine
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
CONFLICT OF INTEREST
The authors have no conflicts of interest associated with the material presented in this paper.
FUNDING
None.
AUTHOR CONTRIBUTIONS
Conceptualization: HVN. Data curation: HVN, HTT, NTNH, TVN. Formal analysis: HVN, HTT. Funding acquisition: None. Methodology: HVN, NTNH, TVN. Project administration: NTNH. Visualization: HVN, ATMD. Writing – original draft: HVN, HTT, NTNH. Writing – review & editing: HVN, HTT, LQK, TVN, ATMD, MVH.
Characteristics | n (%) |
---|---|
Age (y) | |
<30 | 61 (50.8) |
≥30 | 59 (49.2) |
Sex | |
Female | 94 (78.3) |
Male | 26 (21.7) |
Professional role | |
Clinician1 | 21 (17.5) |
Nurse | 99 (82.5) |
Work position | |
Manager2 | 12 (10.0) |
Healthcare worker | 108 (90.0) |
Clinical ward | |
Obstetrics and gynecology | 48 (40.0) |
Trauma and orthopedics | 28 (23.3) |
General surgery | 26 (21.7) |
Infectious and tropical disease | 18 (15.0) |
Years of experience (y)3 | |
<5 | 47 (39.2) |
5-10 | 50 (41.7) |
10-20 | 13 (10.8) |
>20 | 10 (8.3) |
Frequent access to clinical information (via various sources) | |
No | 28 (23.3) |
Yes | 92 (76.6) |
Main source of access to clinical information | |
Mass media (Internet, medical journals, television, radio) | 10 (8.5) |
Training | 107 (91.5) |
1 Clinicians: physicians from 4 clinical wards.
2 Managers: heads and/or vice heads of the wards who play both doctorial and managerial roles.
3 In Vietnam, as there is no formal document defining the 5-year increments in classifying the experience of health professionals, we used this scale for ranking work seniority based on the social preference.
Variables | n (%) | aOR (95% CI) | ||
---|---|---|---|---|
Appropriate knowledge | ||||
Age (y) | ||||
<30 | 42 (68.9) | 1.00 (reference) | ||
≥30 | 45 (76.3) | 4.42 (1.18, 16.55) | ||
Work position | ||||
Manager | 4 (33.3) | 1.00 (reference) | ||
Healthcare worker | 83 (76.9) | 11.28 (1.99, 63.77) | ||
Frequent access to clinical information | ||||
No | 65 (70.7) | 1.00 (reference) | ||
Yes | 22 (78.6) | 3.92 (1.08, 14.2) | ||
Clinical information sources | ||||
Mass media (Internet, medical journals, television, radio) | 6 (60.0) | 1.00 (reference) | ||
Training | 78 (72.9) | 5.25 (1.01, 27.29) | ||
χ2; p-value of model coefficients | 26.55; p= 0.002 | |||
χ2; p-value (Hosmer- Lemeshow goodness-of-fit test) | 77.10; p= 0.433 | |||
R2 | 0.19 | |||
Positive attitude | ||||
Ward | ||||
Obstetrics and gynecology, trauma and orthopedics, or general surgery1 | 47 (65.3) | 1.00 (reference) | ||
Infectious and tropical disease | 34 (70.8) | 6.53 (1.43, 29.80) | ||
Frequent access to clinical information | ||||
No | 16 (17.9) | 1.00 (reference) | ||
Yes | 23 (82.6) | 20.53 (7.57, 29.32) | ||
Clinical information sources | ||||
Mass media (Internet, medical journals, television, radio) | 3 (30.0) | 1.00 (reference) | ||
Training | 76 (71.0) | 10.48 (1.55, 70.89) | ||
χ2; p-value of model coefficients | 64.30; p <0.001 | |||
χ2; p-value (Hosmer-Lemeshow goodness-of-fit test) | 42.90; p= 0.308 | |||
R2 | 0.43 |