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The opinion of patients at a local South Africa teaching hospital on physician-industry relations
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: R Wise --- University of KwaZulu-Natal, RN Rodseth --- University of KwaZulu-Natal,Objectives: This study aimed to determine how South African patients at a regional state hospital perceived the practice of physicians accepting gifts from the pharmaceutical industry. The physician-patient relationship is built on trust, with an understanding that the physician will... -
Implementation Plan for a Midlevel Medical Worker for South Africa. A discussion paper
Item type: Journal Article • Journal: South African Family Practice • Authors: JFM Hugo --- Department of Family Medicine and Primary Health Care, -
The Flemish model of training and supervision
Item type: Journal Article • Journal: South African Family Practice • Authors: HH Conradie --- University of Stellenbosch, SAH Moosa --- University of Witwatersrand, G Morris --- Nelson Mandela Medical School, C Van Deventer --- University of Witwatersrand, M Van Rooyen --- University of Pretoria, S Smith --- University of Pretoria, A Derese --- Centre for Education Development, Department of Family Medicine and Primary Health Care, Faculty of Medicine and Health Sciences, J De Maeseneer --- Head of Department of Family Medicine and Primary Health Care, -
Burning Out and In again
Item type: Journal Article • Journal: South African Family Practice • Authors: CG Ellis --- Family Physician, Hayfields Medical Centre,This paper is the third in a series on burnout. It is partly taken from notes collected from facilitating workshops on burnout in doctors. It is written as a polemic to challenge the received wisdom on this complex subject. The... -
Family medicine, primary health care and HIV medicine—a ‘new’ clinical speciality and its role in the South African HIV pandemic
Item type: Journal Article • Journal: South African Family Practice • Authors: DT Hagemeister --- Drakenstein subdistrict, Western Cape and Division for Family Medicine and Primary Care,Context: Because of the extent of the HIV pandemic, but also due to some specific historical conditions, HIV medicine has evolved as a field of its own in South African medicine. With the massive scale of the roll-out of antiretroviral... -
The role of doctors in provision of support for primary health care clinics in KwaZulu-Natal, South Africa
Item type: Journal Article • Journal: South African Family Practice • Authors: PH Nkosi --- Centre for Rural Health, CM Horwood --- Centre for Rural Health, K Vermaak --- Centre for Rural Health, C Cosser --- Centre for Rural Health, JL Haskins --- Centre for Rural Health,Background: Most primary health care (PHC) services in South Africa are provided by registered nurses working in clinics. Workload and scope of practice of these nurses have increased in recent years, exacerbated by widespread staff shortages. However, PHC nurses often... -
Factors and outcomes in primary care physician retention in rural areas
Item type: Journal Article • Journal: South African Family Practice • Authors: M Glasser --- National Center for Rural Health Professions, United States of America M MacDowell --- National Center for Rural Health Professions, United States of America M Hunsaker --- National Center for Rural Health Professions, United States of America B Salafsky --- National Center for Rural Health Professions, United States of America K Nielsen --- National Center for Rural Health Professions, United States of America K Peters --- National Center for Rural Health Professions, United States of America M Meurer --- National Center for Rural Health Professions, United States of AmericaBackground: This paper examines factors influencing physicians' decisions to practise in rural communities as well as the results of a programme focused on rural recruitment and retention. -
Prevalence and determinants of burnout syndrome among primary healthcare physicians in Qatar
Item type: Journal Article • Journal: South African Family Practice • Authors: L Abdulla --- Primary Health Care, Qatar DM Al-Qahtani --- Primary Health Care, Qatar MG Al-Kuwari --- Primary Health Care, QatarBackground: General practitioners (GPs) in particular are prone to developing burnout syndrome, as they are frequently overloaded with the demands of caring for sick patients. This study was conducted to estimate the prevalence of burnout syndrome among primary healthcare physicians... -
Reflections on the development of family medicine in the Western Cape: a 15-year review
Item type: Journal Article • Journal: South African Family Practice • Authors: B Mash --- Family Medicine and Primary Care, Stellenbosch University,This article reviews how the model of family medicine has developed over the last 15 years in the Western Cape. It is based on a series of in-depth interviews with key role players. This period coincides with the immediate post-apartheid... -
Using fourth-year medical students' reflections to propose strategies for primary care physicians, who host students in their practices, to optimise learning opportunities
Item type: Journal Article • Journal: South African Family Practice • Authors: M Van Rooyen --- Department of Family Medicine,Setting and subjects: Fourth-year medical students at the University of Pretoria are required to work with a primary healthcare practitioner for two weeks. After the preceptorship, reflective photo-story reports on the students' experiences and personal and academic growth are submitted. -
The prevalence of burnout and depression in medical doctors working in the Cape Town Metropolitan Municipality community healthcare clinics and district hospitals of the Provincial Government of the Western Cape: a cross-sectional study
Item type: Journal Article • Journal: South African Family Practice • Authors: L Rossouw --- Family Physician, Division Family Medicine and Primary Care, S Seedat --- Department of Psychiatry, RA Emsley --- Department of Psychiatry, S Suliman --- Division Family Medicine and Primary Care, D Hagemeister --- Division Family Medicine and Primary Care,Aim: This study investigated burnout and depression in medical doctors in the context of work-related conditions and the role of resilience as a modifiable factor. -
Is there a place for voluntary active euthanasia in modern-day medicine?
Item type: Journal Article • Journal: South African Family Practice • Authors: GA Ogunbanjo --- Department of Family Medicine and Primary Health Care, Faculty of Health Sciences, D Knapp van Bogaert --- Steve Biko Centre for Bioethics, Faculty of Health Sciences,This article discusses various ethical and legal concepts regarding euthanasia and includes notions such as physician-assisted suicide, assisted suicide, voluntary active euthanasia, killing versus letting die, indirect euthanasia and terminal sedation. Is there a difference if death is foreseen, but... -
A focus group study on primary health care in Johannesburg Health District: “We are just pushing numbers”
Item type: Journal Article • Journal: South African Family Practice • Authors: S Moosa --- Department of Family Medicine, A Gibbs --- Department of Family Medicine,Objectives: South Africa is striving towards a strong primary healthcare system. Since 2007, departments of family medicine have been established in Gauteng to improve quality of care through improved access to doctors, the coordination of health services and better referrals... -
Strengthening primary health care through primary care doctors: the design of a new national Postgraduate Diploma in Family Medicine
Item type: Journal Article • Journal: South African Family Practice • Authors: R Mash --- Division of Family Medicine and Primary Care, Republic of South Africa Z Malan --- Division of Family Medicine and Primary Care, Republic of South Africa K von Pressentin --- Division of Family Medicine and Primary Care, Republic of South Africa J Blitz --- Division of Family Medicine and Primary Care, Republic of South AfricaStrengthening primary health care is a national priority in South Africa, in order to improve quality of care and health outcomes, reduce inequity and to pave the way for National Health Insurance. The World Health Organization and World Health Assembly... -
The role of the district family physician
Item type: Journal Article • Journal: South African Family Practice • Authors: CH Vaughan-Williams --- Family Medicine, South AfricaDistrict clinical specialist teams were formed in 2012. One member of the team is the family physician. The role of the district family physician is discussed and the case made for focusing on the organisational health of the medical teams... -
Specialist physician-led public sector health services in rural KwaZulu-Natal: positive signs
Item type: Journal Article • Journal: South African Family Practice • Authors: Poobalan Naidoo --- Boehringer-Ingelheim, South Africa Diana Pillay --- Department of Internal Medicine, South Africa Selvarajah Saman --- Department of Internal Medicine, South AfricaMedical practice in public sector rural areas in South Africa has many challenges. This paper demonstrates the benefits of having specialist led medical services in rural medical facilities. -
Leadership and governance: learning outcomes and competencies required of the family physician in the district health system
Item type: Journal Article • Journal: South African Family Practice • Authors: R Mash* --- Division of Family Medicine and Primary Care, South Africa J Blitz --- Division of Family Medicine and Primary Care, South Africa Z Malan --- Division of Family Medicine and Primary Care, South Africa K Von Pressentin --- Division of Family Medicine and Primary Care, South AfricaThe South African National Development Plan expects the family physician to be a leader of clinical governance within the district health services. The family physician must also help to strengthen the services through leadership in all his/her other roles as... -
A reflection on the practical implementation of the clinical governance framework in the Cape Winelands District of the Western Cape
Item type: Journal Article • Journal: South African Family Practice • Authors: Colette Gunst --- , South Africa Robert J Mash --- Department of Family Medicine and Primary Care, South Africa Lizette Cathleen Phillips --- , South AfricaPrimary 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 key aspect of realising this vision. This article... -
Family medicine in South Africa: exploring future scenarios
Item type: Journal Article • Journal: South African Family Practice • Authors: R Mash --- Division of Family Medicine and Primary Care, South Africa K Von Pressentin --- Division of Family Medicine and Primary Care, South AfricaThis paper reports on a workshop held at the 19th National Family Practitioners Conference in August 2016. The aim of the workshop was to describe possible future scenarios for the discipline of family medicine in South Africa and identify possible... -
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
Item type: Journal Article • Journal: South African Family Practice • Authors: KB Von Pressentin --- Division of Family Medicine and Primary Care, South Africa RJ Mash --- Division of Family Medicine and Primary Care, South Africa L Baldwin-Ragaven --- Department of Family Medicine, School of Clinical Medicine, South Africa RPG Botha --- Department of Family Medicine, South Africa I Govender --- Department of Family Medicine, South Africa WJ Steinberg --- Department of Family Medicine, South AfricaBackground: 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... -
Quality of primary care physicians’ communication of diabetes self-management during medical encounters with persons with diabetes mellitus in a resource-poor country
Item type: Journal Article • Journal: South African Family Practice • Authors: OS Ojo --- Family Medicine Department, Nigeria SO Malomo --- Family Medicine Department, Nigeria AO Egunjobi --- Family Medicine Department, Nigeria AOA Jimoh --- Family Medicine Department, Nigeria MO Olowere --- Family Medicine Department, NigeriaBackground: Most of the Nigerian studies on the determinants of diabetes self-management have focused on patient-related factors. There is no previous local study that examined the quality of diabetes self-management education provided by primary care physicians to people with diabetes... -
The potential impact of dietary supplement adulteration on patient assessment and treatment from a healthcare provider’s perspective
Item type: Journal Article • Journal: South African Family Practice • Authors: Gary Gabriels --- Department of Pharmacy and Pharmacology, Faculty of Health Sciences, South Africa Mohamed Irhuma --- Department of Pharmacy and Pharmacology, Faculty of Health Sciences, South AfricaDietary supplements have been manufactured and supplied to the market with the objective of enhancing the overall health of the general population and optimising the performance of athletes. The perceived intention of dietary supplementation is to increase the nutritional content... -
The quality of feedback from outpatient departments at referral hospitals to the primary care providers in the Western Cape: a descriptive survey
Item type: Journal Article • Journal: South African Family Practice • Authors: Robert Mash --- Division of Family Medicine and Primary Care, South Africa Herma Steyn --- Department of Health, South Africa Muideen Bello --- Division of Family Medicine and Primary Care, South Africa Klaus von Pressentin --- Division of Family Medicine and Primary Care, South Africa Liezel Rossouw --- Department of Health, South Africa Gavin Hendricks --- Division of Family Medicine and Primary Care, South Africa Germarie Fouche --- Department of Health, South Africa Dusica Stapar --- Division of Family Medicine and Primary Care, South AfricaBackground: Coordinating care for patients is a key characteristic of effective primary care. Family physicians in the Western Cape formed a research network to enable them to perform practical research on key questions from clinical practice. The initial question selected... -
Antimicrobial stewardship in rural districts of South Africa: growing a positive culture
Item type: Journal Article • Journal: South African Family Practice • Authors: Klaus B von Pressentin --- Mossel Bay Sub-district, Garden Route District, South Africa Hendré Swanepoel --- Van Rensburg Lancet, South Africa Jessica JS Opie --- Division of Haematology, National Health Laboratory Service, South Africa Louis S Jenkins --- Division of Family Medicine and Primary Care, South AfricaBackground: The success of medical specialist-led antimicrobial stewardship activities in urban tertiary health care settings has been well documented. The issue of antimicrobial resistance remains an ongoing concern. This has particular relevance in primary health care communities treated from sub-district...