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Assessment of the impact of family physicians in the district health system of the Western Cape, South Africa

Thesis (MFamMed)--Stellenbosch University, 2015.

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Main Author: Ferreira, Germarie
Other Authors: Mash, Bob
Format: Thesis
Language:en_ZA
Published: Stellenbosch : University of Stellenbosch 2016
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access_status_str Open Access
author Ferreira, Germarie
author2 Mash, Bob
author_browse Ferreira, Germarie
Mash, Bob
author_facet Mash, Bob
Ferreira, Germarie
author_sort Ferreira, Germarie
collection Thesis
dc_rights_str_mv University of Stellenbosch
description Thesis (MFamMed)--Stellenbosch University, 2015.
format Thesis
id oai:scholar.sun.ac.za:10019.1/99325
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:45:13.990Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2016
publishDateRange 2016
publishDateSort 2016
publisher Stellenbosch : University of Stellenbosch
publisherStr Stellenbosch : University of Stellenbosch
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/99325 Assessment of the impact of family physicians in the district health system of the Western Cape, South Africa Ferreira, Germarie Mash, Bob University of Stellenbosch. Faculty of Health Sciences. Dept. of Interdisciplinary Health Sciences. Government physicians Primary health care Health system reform -- South Africa Thesis (MFamMed)--Stellenbosch University, 2015. The main aim was to explore the perceptions of rural district and metropolitan sub-structure managers on the impact of family physicians on the district health services. There were three main objectives: •To explore the perceived effect of Family Physicians on the health system performance (e.g. access to care, continuity of care, comprehensiveness of care, co-ordination of care)(27) •To explore the perceived effect of the Family Physicians on clinical processes (e.g. quality of care for HIV/AIDS, TB, maternal and child healthcare, non-communicable diseases, trauma) •To explore the perceived effect of Family Physicians on health outcomes (e.g. facility level mortality) Conclusion It was perceived that family physicians were fulfilling the role of competent clinician, consultant and leader of clinical governance well. Their role as a champion of community orientated primary care and as a clinical teacher was much less developed. They seemed to have a positive impact on the clinical processes for non-communicable chronic diseases, HIV and TB, mental health, eye care, child health and obstetrics. A few concerns were expressed about their skills in anaesthetics and surgery at rural hospitals. Access, co-ordination, comprehensiveness and efficiency of the health system were positively impacted. It was anticipated that in the long run health outcomes will be positively impacted. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar 2016-08-08T11:46:37Z 2016-08-08T11:46:37Z 2015-12 Thesis http://hdl.handle.net/10019.1/99325 en_ZA University of Stellenbosch 22 pages : maps application/pdf Stellenbosch : University of Stellenbosch
spellingShingle Government physicians
Primary health care
Health system reform -- South Africa
Ferreira, Germarie
Assessment of the impact of family physicians in the district health system of the Western Cape, South Africa
title Assessment of the impact of family physicians in the district health system of the Western Cape, South Africa
title_full Assessment of the impact of family physicians in the district health system of the Western Cape, South Africa
title_fullStr Assessment of the impact of family physicians in the district health system of the Western Cape, South Africa
title_full_unstemmed Assessment of the impact of family physicians in the district health system of the Western Cape, South Africa
title_short Assessment of the impact of family physicians in the district health system of the Western Cape, South Africa
title_sort assessment of the impact of family physicians in the district health system of the western cape south africa
topic Government physicians
Primary health care
Health system reform -- South Africa
url http://hdl.handle.net/10019.1/99325
work_keys_str_mv AT ferreiragermarie assessmentoftheimpactoffamilyphysiciansinthedistricthealthsystemofthewesterncapesouthafrica