Development of a family physician impact assessment tool in the district health system of the Western Cape Province, South Africa

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dc.contributor.authorPasio, Kevin S.en_ZA
dc.contributor.authorMash, Roberten_ZA
dc.contributor.authorNaledi, Traceyen_ZA
dc.date.accessioned2015-01-23T06:07:30Z
dc.date.available2015-01-23T06:07:30Z
dc.date.issued2014-12
dc.date.updated2014-12-23T16:04:06Z
dc.descriptionCITATION: Pasio, K.S., Mash, R. & Naledi, T. 2014. Development of a family physician impact assessment tool in the district health system of the Western Cape Province, South Africa. BMC Family Practice, 15:204, doi:org/10.1186/s12875-014-0204-7.en_ZA
dc.descriptionThe original publication is available at http://www.biomedcentral.com/1471-2296/15/204en_ZA
dc.description.abstractBackground: Policy makers in Africa are ambivalent about the need for family physicians to strengthen district health services. Evidence on the impact of family physicians is therefore needed. The aim was to develop a tool to evaluate the impact of family physicians on district health services according to the six expected roles that have been defined nationally. Methods Mixed methods were used to develop, validate, pilot and test the reliability of the tool in the Western Cape Province, South Africa. An expert panel validated the content and construction of the tool. The tool was piloted by 94 respondents who evaluated eight family physicians. Cronbach alpha scores were calculated to test the reliability of the tool. The impact of these family physicians in the pilot study was also analysed. Results A draft tool was successfully developed, validated, and proved reliable (Cronbach alpha >0.8). The overall scores (scale of 1–4) were: Care provider = 3.5, Consultant = 3.4, Leader and champion of clinical governance = 3.4, Capacity builder = 3.3, Clinical trainer and supervisor = 3.2 and Champion of community-orientated primary care (COPC) = 3.1. The impact on COPC was significantly less than the impact of other roles (p < 0.05). Conclusion The Family Physician Impact Evaluation Tool can be used to measure the impact of family physicians in South Africa. The pilot study shows that the family physicians are having most impact in terms of clinical care and clinical governance, and a lesser impact in terms of clinical training, capacity-building and especially COPC.en_ZA
dc.description.versionPublishers' Version
dc.format.extent9 pages : illustrations
dc.identifier.citationPasio, K.S., Mash, R. & Naledi, T. 2014. Development of a family physician impact assessment tool in the district health system of the Western Cape Province, South Africa. BMC Family Practice, 15:204, doi:org/10.1186/s12875-014-0204-7.en_ZA
dc.identifier.issn1471-2296 (online)en_ZA
dc.identifier.otherdoi:org/10.1186/s12875-014-0204-7en_ZA
dc.identifier.urihttp://hdl.handle.net/10019.1/96161
dc.language.isoen_ZAen_ZA
dc.publisherBioMed Centralen_ZA
dc.rights.holderKevin S Pasio et al.; licensee BioMed Central Ltd.en_ZA
dc.subjectDistrict health services -- South Africa -- Western Capeen_ZA
dc.subjectFamily medicine -- South Africa -- Western Capeen_ZA
dc.subjectPhysicians -- South Africa -- Western Capeen_ZA
dc.subjectPrimary care (Medicine) -- South Africa -- Western Capeen_ZA
dc.titleDevelopment of a family physician impact assessment tool in the district health system of the Western Cape Province, South Africaen_ZA
dc.typeArticleen_ZA
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