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Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers

Research Problem: The South African health system faces numerous challenges associated with its status as a middle-income developing nation. Wasteful expenditure and poor clinical outcomes arise from inefficient inter-organizational communication of patient information and the lack of a centralized...

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Main Author: Parak, Yusuf
Other Authors: Bonnici, François
Format: Thesis
Language:English
Published: Research of GSB 2018
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access_status_str Open Access
author Parak, Yusuf
author2 Bonnici, François
author_browse Bonnici, François
Parak, Yusuf
author_facet Bonnici, François
Parak, Yusuf
author_sort Parak, Yusuf
collection Thesis
description Research Problem: The South African health system faces numerous challenges associated with its status as a middle-income developing nation. Wasteful expenditure and poor clinical outcomes arise from inefficient inter-organizational communication of patient information and the lack of a centralized health database. Research question: How does the experience of chronic disease patients with their health information inform the development of future health records in low income population groups? Proposition: Exploration of patient and health care workers experiences of medical records can inform their future development to enhance continuity of care. Objectives, methodology, procedures and outcome: Identification of an appropriate format, technological basis and functional design of a prototype medical record system by means of a phenomenological study conducted through in-depth interviews of patients and doctors in order to improve clinical care. Left and right hermeneutics were used to analyse the data and develop themes. Findings: Health records play a critical role in the clinics workflow processes, document the patients' management and clinical progress. They are an important intermediary in the relationship between the patient and the facility. Inefficiencies in the paper-based system lead to ineffective consultations, loss of continuity of care and discord between practitioners and patients. Improvement of the records format is required to provide ubiquitous access to health and improve patient health literacy.
format Thesis
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:49:09.382Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2018
publishDateRange 2018
publishDateSort 2018
publisher Research of GSB
publisherStr Research of GSB
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/27333 Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers Parak, Yusuf Bonnici, François Inclusive Innovation Medical Record Keeping Health Systems Research Problem: The South African health system faces numerous challenges associated with its status as a middle-income developing nation. Wasteful expenditure and poor clinical outcomes arise from inefficient inter-organizational communication of patient information and the lack of a centralized health database. Research question: How does the experience of chronic disease patients with their health information inform the development of future health records in low income population groups? Proposition: Exploration of patient and health care workers experiences of medical records can inform their future development to enhance continuity of care. Objectives, methodology, procedures and outcome: Identification of an appropriate format, technological basis and functional design of a prototype medical record system by means of a phenomenological study conducted through in-depth interviews of patients and doctors in order to improve clinical care. Left and right hermeneutics were used to analyse the data and develop themes. Findings: Health records play a critical role in the clinics workflow processes, document the patients' management and clinical progress. They are an important intermediary in the relationship between the patient and the facility. Inefficiencies in the paper-based system lead to ineffective consultations, loss of continuity of care and discord between practitioners and patients. Improvement of the records format is required to provide ubiquitous access to health and improve patient health literacy. 2018-02-06T14:15:05Z 2018-02-06T14:15:05Z 2017 Master Thesis Masters MPhil http://hdl.handle.net/11427/27333 eng application/pdf Research of GSB Faculty of Commerce University of Cape Town
spellingShingle Inclusive Innovation
Medical Record Keeping
Health Systems
Parak, Yusuf
Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers
thesis_degree_str Master's
title Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers
title_full Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers
title_fullStr Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers
title_full_unstemmed Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers
title_short Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers
title_sort positive health the passport approach to improving continuity of care for low income south african chronic disease sufferers
topic Inclusive Innovation
Medical Record Keeping
Health Systems
url http://hdl.handle.net/11427/27333
work_keys_str_mv AT parakyusuf positivehealththepassportapproachtoimprovingcontinuityofcareforlowincomesouthafricanchronicdiseasesufferers