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The perceived impact of family physicians on the district health system in South Africa : a cross-sectional survey

dc.contributor.authorVon Pressentin, Klaus B.en_ZA
dc.contributor.authorMash, Robert J.en_ZA
dc.contributor.authorBaldwin-Ragaven, Laurelen_ZA
dc.contributor.authorBotha, Roelf Petrus Gerhardusen_ZA
dc.contributor.authorGovender, Indiranen_ZA
dc.contributor.authorSteinberg, Wilhelm Johannesen_ZA
dc.contributor.authorEsterhuizen, Tonya M.en_ZA
dc.date.accessioned2018-02-12T05:28:44Z
dc.date.available2018-02-12T05:28:44Z
dc.date.issued2018-02-05
dc.identifier.citationVon Pressentin, K. B., et al. 2018. The perceived impact of family physicians on the district health system in South Africa : a cross-sectional survey. BMC Family Practice, 19:24, doi:10.1186/s12875-018-0710-0
dc.identifier.issn1471-2296 (online)
dc.identifier.otherdoi:10.1186/s12875-018-0710-0
dc.identifier.urihttp://hdl.handle.net/10019.1/103108
dc.descriptionCITATION: Von Pressentin, K. B., et al. 2018. The perceived impact of family physicians on the district health system in South Africa : a cross-sectional survey. BMC Family Practice, 19:24, doi:10.1186/s12875-018-0710-0.
dc.descriptionThe original publication is available at https://bmcfampract.biomedcentral.com
dc.description.abstractBackground: Evidence from first world contexts support the notion that strong primary health care teams contain family physicians (FPs). African leaders are looking for evidence from their own context. The roles and scope of practice of FPs are also contextually defined. The South African family medicine discipline has agreed on six roles. These roles were incorporated into a family physician impact assessment tool, previously validated in the Western Cape Province. Methods: A cross-sectional study design was used to assess the perceived impact of family physicians across seven South African provinces. All FPs working in the district health system (DHS) of these seven provinces were invited to participate. Sixteen respondents (including the FP) per enrolled FP were asked to complete the validated 360-degree assessment tool. Results: A total number of 52 FPs enrolled for the survey (a response rate of 56.5%) with a total number of 542 respondents. The mean number of respondents per FP was 10.4 (SD = 3.9). The perceived impact made by FPs was high for five of the six roles. Co-workers rated their FP’s impact across all six roles as higher, compared to the other doctors at the same facility. The perceived beneficial impact was experienced equally across the whole study setting, with no significant differences when comparing location (rural vs. metropolitan), facility type or training model (graduation before and ≥ 2011). Conclusions: The findings support the need to increase the deployment of family physicians in the DHS and to increase the number being trained as per the national position paper.en
dc.description.urihttps://bmcfampract.biomedcentral.com/articles/10.1186/s12875-018-0710-0
dc.format.extent10 pages ; illustrations
dc.language.isoen_ZAen_ZA
dc.publisherBioMed Central
dc.subjectPhysicians (General practice) -- South Africa
dc.subjectPublic hospitals -- Medical staff -- South Africaen_ZA
dc.subjectFamily medicine -- South Africa
dc.titleThe perceived impact of family physicians on the district health system in South Africa : a cross-sectional surveyen_ZA
dc.typeArticleen_ZA
dc.date.updated2018-02-11T04:36:05Z
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyright


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