The impact of family physician supply on district health system performance, clinical processes and clinical outcomes in the Western Cape Province, South Africa (2011–2014)

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dc.contributor.authorChinhoyi, Rekai L.en_ZA
dc.contributor.authorZunza, Moleenen_ZA
dc.contributor.authorVon Pressentin, Klaus B.en_ZA
dc.date.accessioned2019-09-13T10:56:12Z
dc.date.available2019-09-13T10:56:12Z
dc.date.issued2018-04
dc.descriptionCITATION: Chinhoyi, R., Zunza, M., & Von Pressentin, K. 2018. The impact of family physician supply on district health system performance, clinical processes and clinical outcomes in the Western Cape Province, South Africa (2011–2014). African Journal of Primary Health Care & Family Medicine, 10(1):a1442, doi:10.4102/phcfm.v10i1.1442.en_ZA
dc.descriptionThe original publication is available at https://phcfm.orgen_ZA
dc.description.abstractBackground: A revised family physician (FP) training programme was introduced in South Africa in 2007. A baseline assessment (2011) of the impact of FP supply on district health system performance was performed within the Western Cape Province, South Africa. The impact of an increased FP supply within this province required re-evaluation. Aim: To assess the impact of FP supply on indicators of district health system performance, clinical processes and clinical outcomes in the Western Cape Province. The objectives were to determine the impact of FPs, nurses, medical officers (MOs) and other specialists. Setting: The study sample included all five rural districts and eight urban subdistricts of the Western Cape Province. Methods: A secondary analysis was performed on routinely collected data from the Western Cape Department of Health from 01 March 2011 until 30 April 2014. Results: The FP supply did not significantly impact the indicators analysed. The supply of nurses and MOs had an impact on some of the indicators analysed. Conclusion: This study did not replicate the positive associations between an increase in FP supply and improved health indicators, as described previously for high-income country settings. The impact of FP supply on clinical processes, health system performance and outcome indicators in the Western Cape Province was not statistically significant. Future re-evaluation is recommended to allow for more time and an increase in FP supply.en_ZA
dc.description.urihttps://phcfm.org/index.php/phcfm/article/view/1442
dc.description.versionPublishers versionen_ZA
dc.identifier.citationChinhoyi, R., Zunza, M., & Von Pressentin, K. 2018. The impact of family physician supply on district health system performance, clinical processes and clinical outcomes in the Western Cape Province, South Africa (2011–2014). African Journal of Primary Health Care & Family Medicine, 10(1):a1442, doi:10.4102/phcfm.v10i1.1442.en_ZA
dc.identifier.issn2071-2936 (online)
dc.identifier.issn2071-2928 (print)
dc.identifier.otherdoi:10.4102/phcfm.v10i1.1442
dc.identifier.urihttp://hdl.handle.net/10019.1/106460
dc.language.isoen_ZAen_ZA
dc.publisherAOSISen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectFamily physician training programmeen_ZA
dc.subjectPrimary healthen_ZA
dc.subjectTraining programmeen_ZA
dc.subjectHealth system performanceen_ZA
dc.subjectWestern Cape Province -- South Africaen_ZA
dc.subjectFamily physicianen_ZA
dc.titleThe impact of family physician supply on district health system performance, clinical processes and clinical outcomes in the Western Cape Province, South Africa (2011–2014)en_ZA
dc.typeArticleen_ZA
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