Research Articles (Family Medicine and Primary Care)


Recent Submissions

  • Decentralised training for medical students : a scoping review 

    De Villiers, Marietjie; Van Schalkwyk, Susan; Blitz, Julia; Couper, Ian; Moodley, Kalavani; Talib, Zohray; Young, Taryn (BioMed Central, 2017-11-09)
    Background: Increasingly, medical students are trained at sites away from the tertiary academic health centre. A growing body of literature identifies the benefits of decentralised clinical training for students, the ...

  • A reflection on the practical implementation of the clinical governance framework in the Cape Winelands District of the Western Cape 

    Gunst, Colette; Mash, Robert J.; Phillips, Lizette Cathleen (Taylor & Francis, 2016)
    ENGLISH SUMMARY : Primary health care is seen as the ‘linchpin of effective health care delivery’ by the Western Cape Government Health services and improving the quality of primary care, through clinical governance, is a ...

  • The case for behavioural change counselling for the prevention of NCDs and improvement of self-management of chronic conditions 

    Murphya, K. M.; Mash, R.; Malan, Z. (Taylor & Francis, 2016)
    Brief behaviour change counselling (BBCC) that is integrated into routine health care has been shown to be effective in helping patients modify risk behaviours for non-communicable disease (NCD), improve self-management ...

  • Examining the effects of a mindfulnessbased distance learning professional training module on personal and professional functioning : a qualitative study 

    Whitesman, Simon; Mash, Robert (BioMed Central, 2016)
    Background: Training people to deliver mindfulness-based interventions (MBI) is becoming an important activity as mindfulness has been shown to have clinical benefits across a variety of conditions. Training courses must ...

  • The healthy primary school of the future : study protocol of a quasi-experimental study 

    Willeboordse, M.; Jansen, M. W.; Van Den Heijkan, S. N.; Simons, A.; Winkens, B.; De Groot, R. H. M.; Bartelink, N.; Kremers, S. P.; Van Assema, P.; Savelberg, H. H.; De Neubourg, E.; Borghans, L.; Schils, T.; Coppens, K. M.; Dietvorst, R.; Ten Hoopen, R.; Coomans, F.; Klosse, S.; Conjaerts, M. H. J.; Oosterhoff, M.; Joore, M. A.; Ferreira, I.; Muris, P.; Bosma, H.; Toppenberg, H. L.; Van Schayck, C. P. (BioMed Central, 2016)
    Background: Unhealthy lifestyles in early childhood are a major global health challenge. These lifestyles often persist from generation to generation and contribute to a vicious cycle of health-related and social ...

  • How to create more supportive supervision for primary healthcare: lessons from Ngamiland district of Botswana : co-operative inquiry group 

    Nkomazana, Oathokwa; Mash, Robert; Wojczewski, Silvia; Kutalek, Ruth; Phaladze, Nthabiseng (Taylor & Francis Open, 2016)
    Background : Supportive supervision is a way to foster performance, productivity, motivation, and retention of health workforce. Nevertheless there is a dearth of evidence of the impact and acceptability of supportive ...

  • The contribution of family medicine to African health systems 

    Mash, Robert (AOSIS Publishing, 2016)
    ENGLISH SUMMARY : No abstract available.

  • Community oriented primary care 

    Govender, Srini (AOSIS Publishing, 2016)
    ENGLISH SUMMARY : This review looks at two closely related books by the same author on community-oriented primary care (COPC). The review features two books by Tessa S. Marcus that are titled: "Community oriented primary ...

  • Whole person medicine: psychosocial issues in primary care 

    Mash, Robert (AOSIS Publishing, 2016)
    ENGLISH SUMMARY : No abstract available.

  • Improving diabetic foot screening at a primary care clinic : a quality improvement project 

    Allen, Michelle L.; Van Der Does, Albertine M. B.; Gunst, Colette (AOSIS Publishing, 2016)
    ENGLISH SUMMARY : Background: Foot screening is an important part of diabetic care as it prevents significant morbidity, loss of function and mortality from diabetic foot complications. However, foot screening is often ...

  • How to change organisational culture : action research in a South African public sector primary care facility 

    Mash, Robert; De Sa, Angela; Christodoulou, Maria (AOSIS Publishing, 2016)
    ENGLISH SUMMARY : Background: Organisational culture is a key factor in both patient and staff experience of the healthcare services. Patient satisfaction, staff engagement and performance are related to this experience. ...

  • Proceedings of the 13th annual conference of INEBRIA 

    Watson, Rod; Morris, James; Isitt, John; Barrio, Pablo; Ortega, Lluisa; Gual, Antoni; Conner, Kenneth; Stecker, Tracy; Maisto, Stephen; Paroz, Sophie; Graap, Caroline; Grazioli, Veronique S.; Daeppen, Jean-Bernard; Collins, Susan E.; Bertholet, Nicolas; McNeely, Jennifer; Kushnir, Vlad; Cunningham, John A.; Crombie, Iain K.; Cunningham, Kathryn B.; Irvine, Linda; Williams, Brian; Sniehotta, Falko F.; Norrie, John; Melson, Ambrose; Jones, Claire; Briggs, Andrew; Rice, Peter; Achison, Marcus; McKenzie, Andrew; Dimova, Elena; Slane, Peter W.; Grazioli, Véronique S.; Collins, Susan E.; Paroz, Sophie; Graap, Caroline; Daeppen, Jean-Bernard; Baggio, Stephanie; Dupuis, Marc; Studer, Joseph; Gmel, Gerhard; Magill, Molly; Grazioli, Veronique S.; Tait, Robert J.; Teoh, Lucinda; Kelty, Erin; Geelhoed, Elizabeth; Mountain, David; Hulse, Gary K.; Renko, Elina; Mitchell, Shannon G.; Lounsbury, David; Li, Zhi; Schwartz, Robert P.; Gryczynski, Jan; Kirk, Arethusa S.; Oros, Marla; Hosler, Colleen; Dusek, Kristi; Brown, Barry S.; Finnell, Deborah S.; Holloway, Aisha; Wu, Li-Tzy; Subramaniam, Geetha; Sharma, Gaurav; Wallhed Finn, Sara; Andreasson, Sven; Dvorak, Robert D.; Kramer, Matthew P.; Stevenson, Brittany L.; Sargent, Emily M.; Kilwein, Tess M.; Harris, Sion K.; Sherritt, Lon; Copelas, Sarah; Knight, John R.; Mdege, Noreen D.; McCambridge, Jim; Bischof, Gallus; Bischof, Anja; Freyer-Adam, Jennis; Rumpf, Hans-Juergen; Fitzgerald, Niamh; Scholin, Lisa; Toner, Paul; Böhnke, Jan R.; Veach, Laura J.; Currin, Olivia; Dongre, Leigh Z.; Miller, Preston R.; White, Elizabeth; Williams, Emily C.; Lapham, Gwen T.; Bobb, Jennifer J.; Rubinsky, Anna D.; Catz, Sheryl L.; Shortreed, Susan; Bensley, Kara M.; Bradley, Katharine A.; Milward, Joanna; Deluca, Paolo; Khadjesari, Zarnie; Watson, Rod; Fincham-Campbell, Stephanie; Drummond, Colin; Angus, Kathryn; Bauld, Linda; Baumann, Sophie; Haberecht, Katja; Schnuerer, Inga; Meyer, Christian; Rumpf, Hans-Jürgen; John, Ulrich; Gaertner, Beate; Barrault-Couchouron, Marion; Béracochea, Marion; Allafort, Vincent; Barthelemy, Valerie; Bonnefoi, Herve; Bussieres, Emmanuel; Garguil, Veronique; Auriacombe, Marc; Saint-Jacques, Marianne; Dorval, Michel; M’Bailara, Katia; Segura-Garcia, Lidia; Ibanez-Martinez, Nuria; Mendive-Arbeloa, Juan M.; Anoro-Perminger, Manel; Diaz-Gallego, Pako; Pinar-Mateos, M. Angeles; Colom-Farran, Joan; Deligianni, Marianthi; Yersin, Bertrand; Adam, Angeline; Weisner, Constance; Chi, Felicia; Lu, Wendy; Sterling, Stacy; Kraemer, Kevin L.; McGinnis, Kathleen A.; Fiellin, David A.; Skanderson, Melissa; Gordon, Adam J.; Robbins, Jonathan; Zickmund, Susan; Korthuis, P. T.; Edelman, E. J.; Hansen, Nathan B.; Cutter, Christopher J.; Dziura, James; Fiellin, Lynn E.; O’Connor, Patrick G.; Maisto, Stephen A.; Bedimo, Roger; Gilbert, Cynthia; Marconi, Vincent C.; Rimland, David; Rodriguez-Barradas, Maria; Simberkoff, Michael; Justice, Amy C.; Bryant, Kendall J.; Berman, Anne H.; Shorter, Gillian W.; Bray, Jeremy W.; Barbosa, Carolina; Johansson, Magnus; Hester, Reid; Campbell, William; Souza Formigoni, Maria L. O.; Andrade, Andre L. M.; Sartes, Laisa M. A.; Sundström, Christopher; Eék, Niels; Kraepelien, Martin; Kaldo, Viktor; Fahlke, Claudia; Hernandez, Lynn; Becker, Sara J.; Jones, Richard N.; Graves, Hannah R.; Spirito, Anthony; Diestelkamp, Silke; Wartberg, Lutz; Arnaud, Nicolas; Thomasius, Rainer; Gaume, Jacques; Grazioli, Veronique; Fortini, Cristiana; Malan, Zelra; Mash, Bob; Everett-Murphy, Katherine; Grazioli, Veronique S.; Studer, Joseph; Mohler-Kuo, M.; Bertholet, Nicolas; Gmel, Gerhard; Doi, Lawrence; Cheyne, Helen; Jepson, Ruth; Luna, Vanesa; Echeverria, Leticia; Morales, Silvia; Barroso, Teresa; Abreu, Angela; Aguiar, Cosma; Stewart, Duncan; Abreu, Angela; Brites, Riany M.; Jomar, Rafael; Marinho, Gerson; Parreira, Pedro; Seale, J. P.; Johnson, J. A.; Henry, Dena; Chalmers, Sharon; Payne, Freida; Tuck, Linda; Morris, Akula; Goncalves, Catia; Besser, Bettina; Casajuana, Cristina; Lopez-Pelayo, Hugo; Balcells, Maria M.; Teixido, Lidia; Miquel, Laia; Colom, Joan; Hepner, Kimberly A.; Hoggatt, Katherine. J.; Bogart, Andy; Paddock, Susan. M.; Hardoon, Sarah L.; Petersen, Irene; Hamilton, Fiona L.; Nazareth, Irwin; White, Ian R.; Marston, Louise; Wallace, Paul; Godfrey, Christine; Murray, Elizabeth; Sovinova, Hana; Csemy, Ladislav (Biomed Central, 2016-09)
    ENGLISH SUMMARY : Meeting abstracts.

  • An assessment of the HIV/TB knowledge and skills of home-based carers working in the North West province in South Africa : a cross-sectional study 

    Engelbrecht, Justin G.; Letsoalo, Mabjala R.; Chirowodza, Admire C. (BioMed Central, 2017-04-19)
    Background Home-based carers (HBCs) play a critical role in ensuring the success of the primary health care re-engineering strategy in South Africa. Their role includes ensuring improved access to and delivery of primary ...

  • The roles and training of primary care doctors : China, India, Brazil and South Africa 

    Mash, Robert; Almeida, Magda; Wong, William C. W.; Kumar, Raman; Von Pressentin, Klaus B. (BioMed Central, 2015-12-04)
    ENGLISH SUMMARY : China, India, Brazil and South Africa contain 40% of the global population and are key emerging economies. All these countries have a policy commitment to universal health coverage with an emphasis on ...

  • Examining the effects of a mindfulness-based distance learning professional training module on personal and professional functioning : a qualitative study 

    Whitesman, Simon; Mash, Robert (BioMed Central, 2016-11-09)
    ENGLISH SUMMARY : Background: Training people to deliver mindfulness-based interventions (MBI) is becoming an important activity as mindfulness has been shown to have clinical benefits across a variety of conditions. ...

  • Results of a cluster randomised controlled trial to reduce risky use of alcohol, alcohol-related HIV risks and improve help-seeking behaviour among safety and security employees in the Western Cape, South Africa 

    Burnhams, Nadine Harker; London, Leslie; Laubscher, Ria; Nel, Elmarie; Parry, Charles (BioMed Central, 2015-05)
    Objective: To test the effectiveness of a programme aimed at reducing the risky use of alcohol and alcohol-related HIV risk and increase help-seeking behaviour among a sample of municipal employees in the Western ...

  • An evaluation of factors underlying suicide attempts in patients presenting at George Hospital emergency centre 

    Raubenheimer, Lourine; Jenkins, L. S. (Taylor & Francis, 2015-02)
    Background: Roughly 130 patients are seen daily in the emergency centre (EC) at George Provincial Hospital (GPH), of whom one or two will have attempted suicide. GPH serves the population of Eden and Central Karoo Districts. ...

  • Factors influencing female doctors career decisions at Tshwane District Hospital, Pretoria 

    Kruger, Annelet; Bezuidenhout, Christie (Taylor & Francis, 2015-11)
    Introduction: Most doctors at Tshwane District Hospital in Pretoria are women who experience difficulty combining a career with family responsibilities because of lack of flexitime or part-time posts. They are also frustrated ...

  • Perspectives of undergraduate module convenors at a South African academic institution on medical student training in evidence-based health care : a qualitative study 

    Young, Taryn; Rohwer, Anke; Volmink, Jimmy; Clarke, Mike (Taylor & Francis, 2015-09)
    Background: The increasing disease burden in Africa requires medical graduates to have problem-solving abilities. Interviews were conducted to assess module convenors’ perspectives on evidence-based health care (EBHC) ...

  • Preventing venous thromboembolism at a district hospital : a quality improvement study 

    Beutel, Bernhard G.; Jenkins, Louis S. (Taylor & Francis, 2015-02)
    Background: Pulmonary embolism (PE) is the most common preventable cause of hospital deaths, and almost all hospitalised patients have at least one risk factor for venous thromboembolism (VTE). Despite the availability of ...

  • Reasons for diabetes patients attending Bishop Lavis Community Health Centre being non-adherent to diabetes care 

    Booysen, Bernice L.; Schlemmer, Arina C. (Taylor & Francis, 2015-03)
    Background: Non-adherence to diabetes care is a concern at Bishop Lavis Community Health Centre (BLCHC) as it results in many diabetes complications that could have been avoided. The aim was to explore the reasons for ...

  • A systematic review of factors that affect uptake of community-based health insurance in low-income and middle income countries 

    Adebayo, Esther F.; Uthman, Olalekan A.; Wiysonge, Charles S.; Stern, Erin A.; Lamont, Kim T.; Ataguba, John E. (BioMed Central, 2015-12)
    Background: Low-income and middle-income countries (LMICs) have difficulties achieving universal financial protection, which is primordial for universal health coverage. A promising avenue to provide universal ...

  • The self-reported learning needs of primary care doctors in South Africa : a descriptive survey 

    Malan, Z.; Cooke, R.; Mash, Robert James (Taylor & Francis, 2015)
    Background: Strengthening primary health care in South Africa is a prerequisite for the successful introduction of National Health Insurance. Primary care doctors from both the public and private sectors are an essential ...

  • Qualitative evaluation of primary care providers experiences of a training programme to offer brief behaviour change counselling on risk factors for non-communicable diseases in South Africa 

    Malan, Zelra; Mash, Robert; Everett-Murphy, Katherine (BioMed Central, 2015-08)
    Background: The global epidemic of non-communicable disease (NCDs) has been linked with four modifiable risky lifestyle behaviours, namely smoking, unhealthy diet, physical inactivity and alcohol abuse. Primary care ...

  • Examining the effects of a mindfulness-based professional training module on mindfulness, perceived stress, self-compassion and self-determination 

    Whitesman, S.; Mash, R. (Health & Medical Publishing Group, 2015-11)
    Background. Mindfulness-based interventions (MBIs) have been shown to be effective in a wide range of health-related problems. Teaching and research with regard to MBIs have largely been conducted in the USA and Europe. ...

  • A situational analysis of training for behaviour change counselling for primary care providers, South Africa 

    Malan, Zelra; Mash, Bob; Everett-Murphy, Katherine (AOSIS Publishing, 2015-03)
    Background: Non-communicable diseases and associated risk factors (smoking, alcohol abuse, physical inactivity and unhealthy diet) are a major contributor to primary care morbidity and the burden of disease. The need for ...

  • Auditing chronic disease care : does it make a difference? 

    Essel, Vivien; Van Vuuren, Unita; De Sa, Angela; Govender, Srini; Murie, Katie; Schlemmer, Arina; Gunst, Colette; Namane, Mosedi; Boulle, Andrew; De Vries, Elma (AOSIS Publishing, 2015-06)
    Background: An integrated audit tool was developed for five chronic diseases, namely diabetes, hypertension, asthma, chronic obstructive pulmonary disease and epilepsy. Annual audits have been done in the Western Cape Metro ...

  • Causes of mortality and associated modifiable health care factors for children (< 5-years) admitted at Onandjokwe Hospital, Namibia 

    Mdala, Johnface F.; Mash, Robert (AOSIS Publishing, 2015-06)
    Introduction: Many countries, especially those from sub-Saharan Africa, are unlikely to reach the Millennium Development Goal for under-5 mortality reduction by 2015. This study aimed to identify the causes of mortality ...

  • Cervical cancer screening : safety, acceptability, and feasibility of a single-visit approach in Bulawayo, Zimbabwe 

    Fallala, Muriel S.; Mash, Robert (AOSIS Publishing, 2015-05)
    Background: Cervical cancer is the commonest cancer amongst African women, and yet preventative services are often inadequate. Aim: The purpose of the study was to assess the safety, acceptability and feasibility of ...

  • Erectile function in circumcised and uncircumcised men in Lusaka, Zambia : a cross-sectional study 

    Chinkoyo, Evans; Pather, Michael (AOSIS Publishing, 2015-06)
    Background: Evidence from three randomised control trials in South Africa, Uganda and Kenya showing that male circumcision can reduce heterosexual transmission of human immunodeficiency virus (HIV) infection from infected ...

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