Evaluation of the progress and challenges facing the Ponseti method program in Vietnam
Vincent Wu1, Michelle Nguyen, Huynh Manh Nhi
1Department of Orthopedic Surgery and Rehabilitation, Carver College of Medicine, University of Iowa, USA.
The Iowa Orthopaedic Journal
|April 12, 2013
Summary
The Ponseti method for clubfoot treatment has expanded in Vietnam, facing challenges in communication and resources. A virtual forum improved medical education and satisfaction for practitioners and patients.
Area of Science:
- Orthopedics
- Public Health
- Medical Education
Background:
- The Ponseti method for clubfoot treatment was introduced in Vietnam in 2003, with subsequent programs established by various organizations.
- This study evaluates the impact, progress, and challenges of the Ponseti program for practitioners and families in Vietnam.
- The effectiveness of a web-conferencing platform (Ponseti Virtual Forum) for ongoing medical education was also assessed.
Purpose of the Study:
- To evaluate the impact, progress, and challenges of the Ponseti method in Vietnam.
- To assess the utility of the Ponseti Virtual Forum for continued medical education.
- To identify factors influencing the successful implementation of the Ponseti method.
Main Methods:
- Utilized questionnaires for face-to-face practitioner interviews, focus groups, and parental interviews.
- Conducted site clinic observations to identify practitioner challenges.
- Introduced and evaluated web-conferencing (Ponseti Virtual Forum) in Ho Chi Minh City and Da Nang City.
Main Results:
- Over 1,252 infants were treated with the Ponseti method between 2003 and 2010, showing program growth.
- Key challenges identified include communication, networking, transportation, and financial constraints for practitioners and parents.
- The Ponseti Virtual Forum facilitated medical knowledge dissemination, enhancing physician and patient satisfaction and fostering shared medical insights.
Conclusions:
- Progress and challenges in Vietnam's Ponseti program align with international findings.
- Improving communication, networking, and collaboration with the Ministry of Health can enhance the Ponseti method's facilitation.
- The Ponseti Virtual Forum shows potential as a model for guiding current and future clubfoot treatment programs globally.
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