{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:40:17Z","timestamp":1791391217589,"version":"4.3.3"},"reference-count":28,"publisher":"BMJ","issue":"6","license":[{"start":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T00:00:00Z","timestamp":1687737600000},"content-version":"unspecified","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,6,14]]},"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Owing to its ease-of-use and excellent diagnostic performance for the assessment of respiratory symptoms, point-of-care lung ultrasound (POC-LUS) has emerged as an attractive skill in resource-low settings, where limited access to specialist care and inconsistent radiology services erode health equity.<\/jats:p>\n                    <jats:p>To narrow down the research to practice gap, this study aims to gain in-depth insights in the perceptions on POC-LUS and computer-assisted POC-LUS for the diagnosis of lower respiratory tract infections (LRTIs) in a low-income and middle-income country (LMIC) of sub-Saharan Africa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and setting<\/jats:title>\n                    <jats:p>Qualitative study using face-to-face semi-structured interviews with three pneumologists and five general physicians in a tertiary centre for pneumology and tuberculosis in Benin, West Africa. The center hosts a prospective cohort study on the diagnostic performance of POC-LUS for LRTI. In this context, all participants started a POC-LUS training programme 6 months before the current study. Transcripts were coded by the interviewer, checked for intercoder reliability by an independent psychologist, compared and thematically summarised according to grounded theory methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Various barriers\u2212 and facilitators+ to POC-LUS implementation were identified related to four principal categories: (1) hospital setting (eg, lack of resources for device renewal or maintenance\u2212, need for POC tests+), (2) physician\u2019s perceptions (eg, lack of opportunity to practice\u2212, willingness to appropriate the technique+), (3) tool characteristics (eg, unclear lifespan\u2212, expedited diagnosis+) and (4) patient\u2019s experience (no analogous image to keep\u2212, reduction in costs+). Furthermore, all interviewees had positive attitudes towards computer-assisted POC-LUS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There is a clear need for POC affordable lung imaging techniques in LMIC and physicians are willing to implement POC-LUS to optimise the diagnostic approach of LRTI with an affordable tool. Successful integration of POC-LUS into clinical routine will require adequate responses to local challenges related to the lack of available maintenance resources and limited opportunity to supervised practice for physicians.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-070765","type":"journal-article","created":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T23:55:46Z","timestamp":1687823746000},"page":"e070765","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Barriers and facilitators to implementation of point-of-care lung ultrasonography in a tertiary centre in Benin: a qualitative study among general physicians and pneumologists"],"prefix":"10.1136","volume":"13","clinical-trial-number":[{"clinical-trial-number":"nct05423847","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5261-0439","authenticated-orcid":false,"given":"Veronique","family":"Suttels","sequence":"first","affiliation":[{"name":"Infectious Diseases, CHUV, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Guedes Da Costa","sequence":"additional","affiliation":[{"name":"Research Center for Psychology of Health, Aging and Sport Examination (PHASE), University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Garcia","sequence":"additional","affiliation":[{"name":"Emergency Department, CHUV, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Brahier","sequence":"additional","affiliation":[{"name":"Infectious Diseases, CHUV, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary-Anne","family":"Hartley","sequence":"additional","affiliation":[{"name":"Digital Global Health Department, University of Lausanne, Lausanne, Switzerland"},{"name":"Intelligent Global Health Research Group, Swiss Institute of Technology (EPFL), Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gildas","family":"Agodokpessi","sequence":"additional","affiliation":[{"name":"National Hospital Center of Pneumology, University of Abomey-Calavi, Cotonou, Benin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prudence","family":"Wachinou","sequence":"additional","affiliation":[{"name":"National Hospital Center of Pneumology, University of Abomey-Calavi, Cotonou, Benin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabienne","family":"Fasseur","sequence":"additional","affiliation":[{"name":"Research Center for Psychology of Health, Aging and Sport Examination (PHASE), University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"No\u00e9mie","family":"Boillat-Blanco","sequence":"additional","affiliation":[{"name":"Infectious Diseases, CHUV, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,6,26]]},"reference":[{"key":"2025120600494095000_13.6.e070765.1","unstructured":"WHO . 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