Department of Family and Emergency Medicine
Recent Submissions
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The SARS-CoV-2 pandemic : an urgent need to relook at the training of the African health workforce
(Health & Medical Publishing Group, 2020)As of 11 March 2020, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic had infected over 120 000 people in more than 90 countries, of whom 4 369 had died. [1] As recent modelling analysis highlights, ... -
Primary care management of the coronavirus (COVID-19)
(AOSIS, 2020-03-31)South Africa is in the grip of a novel coronavirus pandemic (COVID-19). Primary care providers are in the frontline. COVID-19 is spread primarily by respiratory droplets contaminating surfaces and hands that then transmit ... -
Strengthening the district health system through family physicians
(Health Systems Trust, 2018)In 2007, family medicine was recognised as a new speciality in South Africa and all eight medical schools began training specialist family physicians. The introduction of this new specialty can be regarded as a generic ... -
How to improve the quality of care for women with postpartum haemorrhage at Onandjokwe Hospital, Namibia : quality improvement study
(BMC (part of Springer Nature), 2019-12-11)Background: Postpartum haemorrhage (PPH) is the leading direct cause of maternal morbidity and mortality worldwide. The sustainable development goals aim to reduce the maternal mortality ratio to 70 per 100,000 live births. ... -
The epidemiology of operations performed by the National Sea Rescue Institute of South Africa over a 5-year period
(Via Medica, 2018)Background: Injuries remain a major contributor of morbidity and mortality worldwide, with drowning accounting for 7% of all injury-related deaths with rates of between 4 and 8 per 100,000. The African region has death ... -
Exploring the beliefs and attitudes of private general practitioners towards national health insurance in Cape Town, South Africa
(AOSIS, 2019)Background: Private general practitioner (GP) participation in the national health insurance (NHI) is necessary to address doctor shortages and achieve universal health coverage. An in-depth understanding of GP’s views on ... -
Exploring resilience in family physicians working in primary health care in the Cape Metropole
(AOSIS, 2019)Background: Despite the high prevalence of burnout among doctors, studies have shown that some doctors who choose to remain in primary healthcare (PHC) survive, even thrive, despite stressful working conditions. The ability ... -
Towards developing a consensus assessment framework for global emergency medicine fellowships
(BMC (part of Springer Nature), 2019-11-11)Background: The number of Global Emergency Medicine (GEM) Fellowship training programs are increasing worldwide. Despite the increasing number of GEM fellowships, there is not an agreed upon approach for assessment of ... -
An analytical study of the distribution of fatal ocean drowning by tidal phase and state in the Western Cape
(Stellenbosch : Stellenbosch University, 2019-12)ENGLISH SUMMARY : Drowning is a serious public health concern that is often overlooked. Understanding risk factors is key to the development of preventative strategies. The aim of this study was therefore to describe the ... -
Demographics and predictors of mortality in children undergoing resuscitation at Khayelitsha Hospital, Western Cape, South Africa
(Health and Medical Publishing Group, 2018)Background. The clinical outcomes of paediatric patients requiring resuscitation depend on physicians with specialised knowledge, equipment and resources owing to their unique anatomy, physiology and pathology. Khayelitsha ... -
Evaluating the performance of South African primary care : a cross-sectional descriptive survey
(MedPharm Publications, 2019)Introduction: In 2018 governments reaffirmed their commitment to implementing primary health care (PHC) in the Astana Declaration. South Africa has introduced a number of health reforms to strengthen PHC and enable universal ... -
The perceptions of general practitioners on National Health Insurance in Chris Hani district, Eastern Cape, South Africa
(MedPharm Publications, 2019)Background: National Health Insurance (NHI) intends to provide universal health coverage to all South Africans, with equity and quality as its tenets. The participation of private general practitioners (GPs) in NHI is ... -
Implementing and evaluating an e-portfolio for postgraduate family medicine training in the Western Cape, South Africa
(AOSIS, 2019)Background: In South Africa it is compulsory to submit a satisfactory portfolio of learning to gain entrance to the national exit examination of the College of Family Physicians and to qualify as a family physician. A ... -
Institutional tuberculosis infection control in a rural sub-district in South Africa : a quality improvement study
(AOSIS, 2019)Background: Tuberculosis (TB) is a major global health challenge, and South Africa is one of the high-burden countries. A national TB infection control (TBIC) guideline has stipulated three areas of infection control at ... -
Family physicians’ experience and understanding of evidence-based practice and guideline implementation in primary care practice, Cape Town, South Africa
(AOSIS, 2019)Background: In primary care, patients present with multimorbidity and a wide spectrum of undifferentiated illnesses, which makes the application of evidence-based practice (EBP) principles more challenging than in other ... -
Describing suspected non ST-elevation acute coronary syndrome using troponin at a regional, public South African emergency centre with the Roche cardiac reader
(South African Heart Association, 2018)Background: There are few data available regarding acute coronary syndrome presenting to emergency centres in sub-Saharan Africa compared to the rest of the world. The aim of this study was to describe the acute coronary ... -
How to improve the quality of care of obese patients with type 2 diabetes mellitus receiving care at a semirural district hospital in Lesotho
(Stellenbosch : Stellenbosch University, 2019-12)ENGLISH SUMMARY : Background: Managing diabetes associated with obesity remains challenging in developing countries including Lesotho. General measures need to be improved and encouraged for prevention countrywide. Aim: ... -
An analysis of Zambia's emergency medicine registrars' experience in South Africa : lessons for the development of emergency medicine care in Zambia
(Stellenbosch : Stellenbosch University, 2019-12)ENGLISH SUMMARY : Background: There is little data regarding experiences of emergency medicine registrars for the development of emergency care in Zambia. This study describes lessons from the Zambia’s emergency medicine ... -
Describing and comparing the availability of acute care resources to treat new onset stroke in different income settings : a self-reported survey of acute care providers at the 2016 international conference on emergency medicine
(Stellenbosch : Stellenbosch University, 2019-12)ENGLISH SUMMARY : Introduction: Stroke affects 15 million people annually and is responsible for 5 million deaths per annum globally. In contrast to the trend in low- and middle-income countries (LMICs), stroke mortality ... -
A cross sectional study of the availability of paediatric emergency equipment in 24 hour cape town emergency medicine centres
(Stellenbosch : Stellenbosch University, 2019-12)ENGLISH SUMMARY : Background: Healthcare facilities are often not equipped to deliver effective paediatric emergency care despite a significant paediatric emergency patient burden. The availability of paediatric emergency ...
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