ReviewCurationis2019
Challenges of quality improvement in the healthcare of South Africa post-apartheid: A critical review.
Review in Curationis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 224 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
224 citing papers in PubMed.
- Interventions currently implemented among orphans in South-Africa: a scoping review.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2026Article
- 'Cost, man. Good quality stuff can get pricey', men's choices regarding HIV services in South Africa.African journal of primary health care & family medicine · 2026Article
- Quality improvement in emergency units in low resource settings: a qualitative assessment for understanding challenges and delivering solutions.BMJ open quality · 2026Article
- Lived experiences in rare genetic diseases: a narrative synthesis of 317 qualitative studies (2004-2024).European journal of human genetics : EJHG · 2026Review
- Acceptability of Hypertension Quality Indicators in Primary Care in South Africa: Exploratory Implementation Research.Healthcare (Basel, Switzerland) · 2026Article
- Exploring the professional quality of life of South African audiologists.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2026Article
- Evaluating data quality at a primary healthcare rehabilitation centre in a low-resource context.BMC primary care · 2026Article
- Complexity of Adherence Challenges: Understanding Syndemic Factors Affecting HIV Treatment Adherence During Treatment Initiation in Cape Town, South Africa.AIDS and behavior · 2026Article
- App-based primary care in South Africa: A conceptual pathway from telemedicine service acceptance to patients' continuance intentions.African journal of primary health care & family medicine · 2026Article
- Chronic pain is associated with disability: results from a large, population-based survey in South Africa.Pain reports · 2026Article
- Patient Perceptions of Delays in Audiology Services in Johannesburg: A Secondary Analysis of Waiting Times and Alternative Service Models.Journal of evaluation in clinical practice · 2026Article
- Workplace Adversity Among Critical Care Nurses: Associations With Key Organisational Factors.Nursing in critical care · 2026Article
- Developing the Creative Abilities of Children with Learning Differences in Rural, Low-Resource Settings in Africa: A Case Series Study.Brain and behavior · 2026Article
- Factors affecting reporting of patient safety incidents in the Eastern Cape primary health care.African journal of primary health care & family medicine · 2026Article
- Challenges and potential opportunities for improving One Health surveillance in low-resource settings: Insights from rabies surveillance in Malawi.One health outlook · 2026Article
- Feasibility and effectiveness of an interprofessional educational program on perinatal mental health: perspectives of health students in two African countries.BMC medical education · 2026Article
- Empowering Men's Health: Strategies to Enhance Health-Seeking Behaviour in Rural Limpopo, South Africa.Health services insights · 2026Article
- Measuring organisational readiness for health system change in South Africa using the European Foundation for Quality Management Excellence Model (EFQM).PLOS global public health · 2026Article
- Article
- "Reimaging a triage system with midwives, for midwives": exploring preferences for a midwife-Led triage system in South Africa through a user-centered approach.Frontiers in digital health · 2026Article
164 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is overwhelming evidence that the quality of health care in South Africa has been compromised by various challenges that impact negatively on healthcare quality. Improvement in quality care means fewer errors, reduced delays in care delivery, improvement in efficiency, increased market share and lower cost. Decline in quality health care has caused the public to lose trust in the healthcare system in South Africa.
objectivesThe purpose of this study was to identify challenges that are being incurred in practice that compromise quality in the healthcare sector, including strategies employed by government to improve the quality of health delivery.
methodLiterature search included the following computer-assisted databases and bibliographies: Medline (Medical Literature Online), EBSCOhost, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Google, Google Scholar and ScienceDirect. Furthermore, websites were used to source policy documents of organisations such as the National Department of Health in South Africa and the World Health Organization.
resultsSeventy-four articles were selected from 1366 retrieved. These articles quantify problems facing quality care delivery and strategies used to improve the healthcare system in South Africa.
conclusionThe findings revealed that there were many quality improvement programmes that had been initiated, adapted, modified and then tested but did not produce the required level of quality service delivery as desired. As a result, the Government of South Africa has a challenge to ensure that implementation of National Core Standards will deliver the desired health outcomes, because achieving a lasting quality improvement system in health care seems to be an arduous challenge.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.