ArticleBMC family practice2014
Development of a family physician impact assessment tool in the district health system of the Western Cape Province, South Africa.
Article in BMC family practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Creating the evidence for family medicine advocacy in Africa.African journal of primary health care & family medicine · 2025Article
- Stakeholders' views on the utility and employment strategies of clinical associates.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022Article
- [Les médecins prestataires à la première ligne des soins dans la ville de Kisangani en République Démocratique du Congo : vers une typologie].African journal of primary health care & family medicine · 2021Article
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- Development of competency model for family physicians against the background of 'internet plus healthcare' in China: a mixed methods study.Human resources for health · 2020Article
- The attitude and perceptions of doctors at Letaba Hospital towards family medicine: A qualitative study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2020Article
- A scoping review on family medicine in sub-Saharan Africa: practice, positioning and impact in African health care systems.Human resources for health · 2020Article
- Training of workplace-based clinical trainers in family medicine, South Africa: Before-and-after evaluation.African journal of primary health care & family medicine · 2018Article
- The perceived impact of family physicians on the district health system in South Africa: a cross-sectional survey.BMC family practice · 2018Article
- How far does family physician supply correlate with district health system performance?African journal of primary health care & family medicine · 2015Article
- Primarycare teams and recent experiments towards population coverage in India.Journal of family medicine and primary careArticle
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPolicy 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.
methodsMixed 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.
resultsA 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).
conclusionThe 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.
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