ArticleAfrican journal of primary health care & family medicine2018
The impact of family physician supply on district health system performance, clinical processes and clinical outcomes in the Western Cape Province, South Africa (2011-2014).
Article in African journal of primary health care & family medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Creating the evidence for family medicine advocacy in Africa.African journal of primary health care & family medicine · 2025Article
- Article
- Factors affecting family medicine programmes in Sub-Saharan Africa: a narrative review of recent literature.Ghana medical journal · 2022Review
- The effects of family physician-contracted service on health-related quality of life and equity in health in China.International journal for equity in health · 2021Article
- Article
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3 authors.
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Abstract
backgroundA revised family physician (FP) training programme was introduced in South Africa in 2007. A baseline assessment (2011) of the impact of FP supply on district health system performance was performed within the Western Cape Province, South Africa. The impact of an increased FP supply within this province required re-evaluation.
aimTo assess the impact of FP supply on indicators of district health system performance, clinical processes and clinical outcomes in the Western Cape Province. The objectives were to determine the impact of FPs, nurses, medical officers (MOs) and other specialists.
settingThe study sample included all five rural districts and eight urban subdistricts of the Western Cape Province.
methodsA secondary analysis was performed on routinely collected data from the Western Cape Department of Health from 01 March 2011 until 30 April 2014.
resultsThe FP supply did not significantly impact the indicators analysed. The supply of nurses and MOs had an impact on some of the indicators analysed.
conclusionThis study did not replicate the positive associations between an increase in FP supply and improved health indicators, as described previously for high-income country settings. The impact of FP supply on clinical processes, health system performance and outcome indicators in the Western Cape Province was not statistically significant. Future re-evaluation is recommended to allow for more time and an increase in FP supply.
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