The bird’s-eye perspective: how do district health managers experience the impact of family physicians within the South African district health system? A qualitative study

Published in: South African Family Practice
Volume 60, issue 1, 2018 , pages: 13–20
DOI: 10.1080/20786190.2017.1348047
Author(s): KB Von PressentinDivision of Family Medicine and Primary Care, South Africa, RJ MashDivision of Family Medicine and Primary Care, South Africa, L Baldwin-RagavenDepartment of Family Medicine, School of Clinical Medicine, South Africa, RPG BothaDepartment of Family Medicine, South Africa, I GovenderDepartment of Family Medicine, South Africa, WJ SteinbergDepartment of Family Medicine, South Africa


Background: Health policy-makers in Africa are looking for local solutions to strengthen primary care teams. A South African national position paper (2015) described six aspirational roles of family physicians (FPs) working within the district health system. However, the actual contributions of FPs are unclear at present, and evidence is required as to how this cadre may be able to strengthen health systems.

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