ArticleBMC health services research2015
The perceptions and perspectives of patients and health care providers on chronic diseases management in rural South Africa: a qualitative study.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
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32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- How is goal setting used in interventions for chronic disease prevention and management in sub-Saharan Africa? A systematic review and narrative synthesis.Global health action · 2026Pooled it
- Prevention of cardiovascular disease among people living with HIV in sub-Saharan Africa.Progress in cardiovascular diseasesPooled it
- Lived experience of people with hypertension in Ethiopia: A phenomenological study, 2025.American heart journal plus : cardiology research and practice · 2026Article
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- Community ownership of biopsychosocial model of care: a qualitative study in the Katana health district, Democratic Republic of Congo.Global health action · 2025Article
- Barriers and facilitators of primary care management of type II diabetes mellitus in the West African sub-region: A scoping review.PLOS global public health · 2025Article
- Barriers to effective management of type 2 diabetes mellitus in primary healthcare facilities.Journal of public health in Africa · 2025Article
- Quality of care provided to patients with type 2 diabetes mellitus in Tshwane, South Africa.African journal of primary health care & family medicine · 2024Article
- Role and knowledge of nurses in the management of non-communicable diseases in Africa: A scoping review.PloS one · 2024Article
- Characteristics and efficacy of physical activity interventions to improve cardiometabolic and psychosocial outcomes in people living with HIV in sub-Saharan Africa: a protocol for a systematic review.Systematic reviews · 2023Article
- Chronic diseases of lifestyle curriculum: Students' perceptions in primary health care settings.African journal of primary health care & family medicine · 2023Article
- Facilitators and barriers to community engagement in the Global Polio Eradication Initiative-A mixed methods study.PLOS global public health · 2023Article
- Factors associated with adherence to guideline-recommended cardiovascular disease prevention among HIV clinicians.Translational behavioral medicine · 2022Article
- Patient attitude and determinants toward chronic diseases control: A cross-sectional survey in rural China.Frontiers in public health · 2022Article
- Undiagnosed Hypertension in a Workplace: The Case of a Logistics Company in Gauteng, South Africa.Healthcare (Basel, Switzerland) · 2021Article
- The comorbidity of HIV, hypertension and diabetes: a qualitative study exploring the challenges faced by healthcare providers and patients in selected urban and rural health facilities where the ICDM model is implemented in South Africa.BMC health services research · 2021Article
- Nurses' Experiences in Managing Cardiovascular Disease in Selected Rural and Peri-Urban Clinics in Limpopo Province, South Africa.International journal of environmental research and public health · 2021Article
- Mapping the experiences of people with achalasia from initial symptoms to long-term management.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Can patients make heads or tails of enhanced primary health care (EnPHC)? Experience through their own journey.BMC family practice · 2020Article
- Assessing quality of life using WHOQOL-BREF: A cross-sectional insight among patients on warfarin in Malaysia.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2020Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreventive health care represents the future for health care delivery in South Africa to improve management of chronic diseases as this has been implemented for some time in several countries to tackle the increasing burden of chronic diseases. Individual person's health is unique, as they move in and out of chronic and acute health care phases, there is need to integrate chronic and acute care constructs to improve continuity of care and maximize health and improve wellbeing. The aim of this study was to determine the perceptions and perspectives of chronic patients' and nurses regarding chronic disease management in terms of barriers, facilitators and their experiences.
methodsTo meet our aim we used qualitative methods involving the collection of information by means of focus group discussions in Dikgale Health and Demographic Surveillance System (HDSS). All data was recorded, transcribed verbatim and analysed using data-driven thematic analysis.
resultsOur study showed that chronic disease patients have a first contact with health care professionals at the primary health care level in the study area. The main barriers mentioned by both the health care workers and chronic disease patients are lack of knowledge on chronic diseases, shortage of medication and shortage of nurses in the clinics which causes patients to wait for a long periods in a clinic. Health care workers are poorly trained on the management of chronic diseases. Lack of supervision by the district and provincial health managers together with poor dissemination of guidelines has been found to be a contributing factor to lack of knowledge in nurses among the clinics within the study area. Both patients and nurses mentioned the need to involve community health workers and traditional healers and integrate their services in order to early detect and manage chronic diseases in the community.
conclusionsNurses and chronic disease patients mentioned similar barriers to chronic disease management. Concerted action is needed to strengthen the delivery of medications at the clinics, improve the chronic disease knowledge for both nurses and patients by conducting in-service trainings or workshops, increase the involvement of community health workers and establish a link (through formal referral system) with traditional healers.
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