ArticleAfrican journal of primary health care & family medicine2016
Western Cape Primary Care Assessment Tool (PCAT) study: Measuring primary care organisation and performance in the Western Cape Province, South Africa (2013).
Article in African journal of primary health care & family medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Article
- Pathways for enhancing service capability of primary healthcare institutions: a dynamic qualitative comparative analysis.Frontiers in public health · 2026Article
- How to measure the core functions of primary care in low-income and middle-income country settings.BMJ global health · 2025Review
- Comprehensiveness in Primary Care: A Scoping Review.The Milbank quarterly · 2025Article
- User Satisfaction with Primary Health Care Rehabilitation Services in a South African Metropolitan District.Journal of patient experience · 2024Article
- Adaptation and validation of the Ugandan Primary Care Assessment Tool.African journal of primary health care & family medicine · 2023Article
- Transforming the invisible into the visible: disparities in the access to health in LGBT+ older people.Clinics (Sao Paulo, Brazil) · 2023Article
- Clinical skills of general practitioners in Nairobi, Kenya: a cross-sectional study.BJGP open · 2022Article
- Communication skills of general practitioners in Nairobi, Kenya: a descriptive observational study.BJGP open · 2022Article
- The quality of primary care performance in private sector facilities in Nairobi, Kenya: a cross-sectional descriptive survey.BMC primary care · 2022Article
- Factors associated with self-rated health in primary care in the South-Western health zone of Malawi.BMC primary care · 2022Article
- Investigating the effect of the Vula Mobile app on coordination of care and capacity building in district health services, Cape Town: Convergent mixed methods study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021Article
- "We have either obsolete knowledge, obsolete equipment or obsolete skills": policy-makers and clinical managers' views on maternal health delivery in rural Nigeria.Family medicine and community health · 2021Article
- Family and community guidance in adolescence: assessment in the family health strategy.Revista latino-americana de enfermagem · 2021Article
- Evaluation of the quality of service delivery in private sector, primary care clinics in Kenya: A descriptive patient survey.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2020Article
- Comparison of Patients' Perceived Quality of Primary Care Between Urban and Rural Community Health Centers in Guangdong, China.International journal of environmental research and public health · 2020Article
- Measuring the quality of primary care in national health surveys: Lessons from Brazil.African journal of primary health care & family medicine · 2020Article
- Primary care quality in Vietnam: Perceptions and opinions of primary care physicians in commune health centers - a mixed-methods study.PloS one · 2020Article
- Performance of primary care in different healthcare facilities: a cross-sectional study of patients' experiences in Southern Malawi.BMJ open · 2019Article
- Development and validation of the Vietnamese Primary Care Assessment Tool - provider version.Primary health care research & development · 2019Article
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Authors and funding
6 authors.
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Abstract
backgroundMajor health sector reform and the need for baseline measures of performance to determine impact.
aimBaseline audit of primary healthcare (PHC) performance.
settingCape Town and Cape Winelands (rural) PHC facilities (PCFs) in Western Cape Province, South Africa.
methodThe South African cross-culturally validated ZA PCAT to audit PHC performance on 11 subdomains associated with improved health and reduced costs. Adult PCF users systematically sampled. All full-time doctors and nurse practitioners in PCFs sampled and all PCF managers in sub-districts sampled invited into the study.
resultsData from 1432 users, 100 clinicians and 64 managers from 13 PCFs in 10 sub-districts analysed (figures show stakeholder percentages scoring subdomain performance 'acceptable to good'). 11.5% users scored access 'acceptable to good'; community orientation and comprehensive services provided 20.8% and 39.9%, respectively. Total PHC score for users 50.2%; for managers and practitioners 82.8% and 88.0%, respectively. Among practitioners access was lowest (33.3%); PHC team (98.0%) and comprehensive services available (100.0%) highest. Among managers, access (13.5%) and family centredness (45.6%) are lowest; PHC team (85.9%) and comprehensive services available (90.6%) highest. Managers scored access, family centredness and cultural competence significantly lower than practitioners. Users scored comprehensive services available, comprehensive services provided and community orientation significantly lower than practitioners and managers.
conclusionGaps between users' experience and providers' assessments of PHC performance are identified. Features that need strengthening and alignment with best practice, provincial and national, and health policies are highlighted with implications for practitioner and manager training, health policy, and research.
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