Evidence map›Paper›PMID 32242431›Full record

ArticleAfrican journal of primary health care & family medicine2020

Peer-learning reviews to improve Gauteng community-oriented primary care: Findings from AitaHealth™-enabled ward-based outreach teams.

Tessa S Marcus, Elizabeth Reji, Sanele Ngcobo

Abstract read
In one paragraph

Article in African journal of primary health care & family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
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  4. Implementing active surveillance for tuberculosis: The experiences of healthcare workers at four sites in two provinces in South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022
    Article
  5. Review
  6. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Tessa S MarcusDepartment of Family Medicine, School of Medicine, Faculty of Health Sciences, University of Pretoria, City of Tshwane. tessa.marcus@up.ac.za.
Elizabeth Reji
Sanele Ngcobo

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2016 the Gauteng Department of Health engaged University of Pretoria Family Medicine to provide` education, training and information and communication technology support for the phased scale-up of ward-based outreach teams (WBOTs) through community-oriented primary care (ICT-enabled COPC). As in all service delivery, quality assurance is essential. In contemporary best practice, it brings together peer-to-peer learning and quality improvement (QI) in what is termed here as peer-learning reviews (PLRs).

aimTo assess implementation fidelity and assure the quality of community-based healthcare services.

settingThis study was conducted in two districts of Gauteng province, South Africa.

methodsA 3-day PLR of paired WBOTs was conducted by multi-disciplinary teams of academics, partners and site-selected healthcare practitioners. Guided by a benchmark survey distilled from the seven COPC practice elements, they conducted individual interviews, accompanied WBOT members in field and facilitated solution-focused peer exchange workshops with all participants.

resultsAt all sites there was clear evidence of achievements and practical challenges with respect to mapping; support, networks and partnerships; infrastructure and functional equipment; work integrated learning; data and service activities; and performance status and management. Methodologically, PLRs supported inclusive, context-specific learning for all along the healthcare service pathway. They generated action plans derived from shared understanding and joint decision-making.

conclusionThe PLRs and the implementation results demonstrate the importance of structuring learning into service and research. Both helped develop participants' abilities to understand what they do, do their work, grow their sense of self-worth and improve their relationship with others.

Indexed as

Quality ImprovementCommunity Health ServicesCommunity Health WorkersHumansPeer GroupPrimary Health CareSouth AfricaCommunity healthcareICT-enabled community-oriented primary carePeer learningPrimary health re-engineeringQuality improvement

Identifiers

PMID32242431
PMCPMC7136793

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.