With the advent of the COVID-19 pandemic, healthcare systems and their provision of care has globally been challenged, including the delivery of Oral healthcare. In Ghana, it has become imperative that healthcare delivery including the practice of Dentistry and its sub-specialties be re-oriented in our peculiar setting to ensure minimal risk of spread of the infection. This article discusses the impact of COVID-19 on the practice of Dentistry in the country.
The functional priority of Health Information Exchanges (HIEs) is to ensure a timely transference of health data. Because of the frequency at which health records are transferred and the variety of health data HIEs receive, there are major challenges in efficiently accomplishing this. Cloud technology has become a generally accepted solution to remediate data transference issues but for HIEs, there are usually no clear paths to adoption. Enterprise Architecture (EA) is a tool that can ensure the smooth adoption and implementation of technologies. This paper is an extension of a proposal originally presented in the 14 th International Conference on Ubiquitous Information Management and Communication (IMCOM). In that article, an enterprise architecture that supports an HIE migration to a cloud architecture was proposed. This paper presents an EA migration plan and proposes an institutionalization framework, highlighting how the proposed EA can be applied to an HIE. A validation framework is provided as a means of testing the implementation of the HIE migration EA.
Introduction:
Due to the COVID-19 pandemic, all Ghanaian tertiary institutions were closed down and resorted to online teaching. This posed a challenge for dental education due to requirements of clinical tutoring and patient handling. This study explored the experiences of dental students with the change in teaching methods during the pandemic with the aim of assessing their effectiveness and explore measures for their improvement.
Materials and Methods:
This was an online survey involving undergraduate dental students in the two dental schools in Ghana. An e-questionnaire was sent out to all the students, exploring their knowledge of and response to the pandemic and assessing the impact of measures implemented during the pandemic to assist them complete their education.
Results:
Two hundred out of 412 students participated in the study giving a response rate of 48.5%; however, completed responses were available for 195 students, 123 (63.1%) from the University of Ghana Dental School and 72 (36.9%) from the Kwame Nkrumah University School of Medicine and Dentistry. There were 106 (54.4%) females;108 participants (54.4%) were pre-clinical students. One hundred and sixty-four (84%) respondents believed dental professionals had a higher risk of contagion because of proximity to patients during treatment and 115(59.0%) reported being fearful of performing clinical procedures. The students demonstrated adequate knowledge of the disease and a positive attitude towards the required changes instituted because of the pandemic. They however, highlighted technical obstacles and distraction as some of their challenges. The quality of internet was acceptable, but the volume of data was inadequate to meet their needs. Also, though both Universities had their own recommended learning management systems, Zoom was the preferred online learning platform.
Conclusions:
Generally, the students demonstrated a positive attitude towards the required changes. A blended educational approach may continue to be ideal for dental education as we adapt to this pandemic. Innovative ways may need to be sought to improve the online experience and the University approved online learning management systems enhanced to make them more user friendly.
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