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A comparison of the referral rates of trainees and trainers in an academic teaching practice
Item type: Journal Article • Journal: South African Family Practice • Authors: RF Ingle --- Department of Family Medicine, JB Levin --- Medical Research Council of South Africa,Objective: To compare the referral rates of trainee and trainer family physicians. -
Why doctors do not answer referral letters
Item type: Journal Article • Journal: South African Family Practice • Authors: S Smith --- Department of Family Medicine, G Khutoane --- Department of Nursing,Background: Healthcare workers at primary healthcare (PHC) clinics are frustrated by the fact that they do not receive replies to their referral letters to doctors. Referral letters act as permission slips to allow patients easy access to treatment by specialists... -
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... -
Uptake of genetic counselling services by patients with cystic fibrosis and their families
Item type: Journal Article • Journal: South African Family Practice • Authors: S Macaulay --- Division of Human Genetics, N Gregersen --- Division of Human Genetics, A Krause --- Division of Human Genetics,Background: Although cystic fibrosis (CF) is a common genetic condition, genetic counselling services appear to be underutilised by affected families. The aim of this study was to determine the uptake of genetic counselling and mutation testing for CF by relatives... -
A blank page: feedback from first referral hospitals to primary health care clinics
Item type: Journal Article • Journal: South African Family Practice • Authors: TL Legodi --- School of Health Systems and Public Health, South Africa JE Wolvaardt --- School of Health Systems and Public Health, South AfricaBackground: Primary care practitioners depend on the feedback from hospitals in order to care for returning patients effectively. Lack of such feedback from the hospitals leads to frustration, poor efficiency and care that it is not cost effective. This study... -
Profile of patients and referrals at a midwife obstetric unit in Tshwane North subdistrict, Gauteng province
Item type: Journal Article • Journal: Southern African Journal of Infectious Diseases • Authors: V. Horner --- South African Medical Research Council, T J Mashamba --- Obstetrics and Gynaecology Department,Midwife obstetric units (MOUs) are primary health level facilities at which antenatal care and delivery for low-risk patients are performed. They are important facilities because they are at the interface of the health system in South Africa and the population... -
Reasons for and perceptions of patients with minor ailments bypassing local primary health care facilities
Item type: Journal Article • Journal: South African Family Practice • Authors: CA Visser --- Department of Family Medicine, South Africa GJO Marincowitz --- Department of Family Medicine, South Africa I Govender --- Department of Family Medicine, South Africa GAO Ogunbanjo --- Department of Family Medicine, South AfricaIntroduction: Despite having access to several clinics and health centres in their local communities, numerous patients opt to go directly to hospitals for non-emergencies and minor ailments. Reasons for this include their perceptions of the quality of primary health care... -
Prevalence and determinants of self-directed referrals amongst patients at hospitals in eThekwini District, KwaZulu-Natal 2015
Item type: Journal Article • Journal: South African Family Practice • Authors: A Rajman --- Discipline of Public Health Medicine, South Africa OH Mahomed --- Discipline of Public Health Medicine, South AfricaBackground: Non-compliance with designated referral pathways has ramifications such as increased patient waiting time, overburdening of higher levels of care and increasing healthcare costs on patients and the healthcare system. The purpose of this study was to assess the determinants... -
Factors associated with clinical outcomes among neonates admitted with acute bilirubin and hypoxic-ischaemic encephalopathies at a tertiary hospital in south-west Nigeria
Item type: Journal Article • Journal: South African Family Practice • Authors: Olusoga Babatunde Ogunfowora --- Department of Paediatrics, Nigeria Tinuade Adetutu Ogunlesi --- Department of Paediatrics, Nigeria Victor Ayodeji Ayeni --- Department of Paediatrics, NigeriaBackground: Babies who are delivered outside hospital are most at risk of serious illnesses such as perinatal asphyxia and severe hyperbilirubinaemia. These conditions are major contributors to neonatal mortalities in resource-poor settings. -
Mid-upper arm circumference (MUAC) as a feasible tool in detecting adult malnutrition
Item type: Journal Article • Journal: South African Journal of Clinical Nutrition • Authors: E Van Tonder --- Department of Dietetics, South Africa L Mace --- Dietetics Department, Department of Health, South Africa L Steenkamp --- Dietetics Department, Department of Health, South Africa R Tydeman-Edwards --- Dietetics Department, Department of Health, Port Elizabeth Provincial Hospital, South Africa K Gerber --- Nursing Department, South Africa D Friskin --- Department of Statistics, South AfricaObjectives: This study aimed to expand on the limited South African malnutrition prevalence data and investigate the feasibility of mid-upper-arm circumference (MUAC) as a malnutrition screening tool. -
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... -
Appropriateness of diabetic down-referral letters to primary healthcare clinics in the uMgungundlovu district municipality of KwaZulu-Natal
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: NG McGrath --- , South Africa S Pillay --- , South Africa -
Podiatric intervention to salvage diabetic lower limbs: a case report
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: ME Moothee --- University of Johannesburg, South Africa T Mokoena --- Charlotte Maxeke Johannesburg Academic Hospital, South AfricaIn South Africa (SA), podiatrists play an important role in the multidisciplinary team in diabetic limb salvage. Preventive ulcer development strategies offered by a podiatrist include regular monitoring, routine care of calluses, and offloading. Furthermore, podiatric intervention includes prophylactic and...