Evidence map›Paper›PMID 32605915›Full record

ArticleBJGP open2020

Older persons' experience with health care at two primary level clinics in Cape Town, South Africa: a qualitative assessment.

Tsepo Motsohi, Mosedi Namane, Augustine Chidi Anele, Mumtaz Abbas, Sebastiana Zimba Kalula

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PubMed Full text at PMC Publisher
In one paragraph

Article in BJGP open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Ageism and Health System Responsiveness to Older People: An Agenda for Action and Research.International journal of health policy and management · 2026
    Article
  3. The Experience of Accessing Primary Healthcare Centres in a Lebanese Community: Perspectives of Older People, Family Members and Service Providers.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  4. Article
  5. Ageism directed to older adults in health services: A scoping review.Revista latino-americana de enfermagem · 2023
    Article
  6. Article
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

5 authors.

Tsepo MotsohiDivision of Family Medicine and Palliative Care, School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Mosedi NamaneDivision of Family Medicine and Palliative Care, School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Augustine Chidi AneleDivision of Family Medicine and Palliative Care, School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Mumtaz AbbasDivision of Family Medicine and Palliative Care, School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Sebastiana Zimba KalulaThe Albertina and Walter Sisulu Institute of Ageing in Africa, Division of Geriatric Medicine, Department of Medicine, University of Cape Town, Cape Town, South Africa sebastiana.kalula@uct.ac.za.ORCID http://orcid.org/0000-0002-5371-0204

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEfficient methods of assessing older persons' healthcare needs are required in busy public sector primary healthcare clinics in South Africa. These clinics are the main points of entry into the healthcare system. This study was part of a larger study to test the local applicability and adaptability of the World Health Organization's (WHO) Age Friendly Primary Care Toolkit for assessing and managing chronic diseases and common geriatric syndromes.

aimTo assess how older persons experience healthcare delivery at two primary healthcare clinics, and identify perceived gaps in health care to older people. DESIGN &

settingA qualitative study at two primary healthcare sites in the suburbs of Cape Town, South Africa.

methodFocus group discussions (two at each facility) using an interview guide.

resultsAnalysed data were categorised into five themes: 'despite the challenges, there is overall good care'; 'communication gaps and the frustration of feeling unheard'; 'the health service is experienced as being unreliable, stretched, and is difficult to access'; 'there is a perception of pervasive structural ageism in the clinics'; and 'there is a perception that the quality of care received is related to the profession of the healthcare provider'.

conclusionChallenges of access and care for older clients at primary care clinics are linked to their age-specific holistic needs, which are not fully met by the current age-friendly arrangements. Measures should be taken at the clinics to complement the perceived good clinical care received, by improving access to care, making care appropriate to the need, reducing waiting times, and creating opportunities for older persons to feel respected and heard.

Indexed as

AgedGeneral practiceHealth services accessibilityPrimary health careQualitative researchQuality of health careSouth Africa

Identifiers

PMID32605915
PMCPMC7465590

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.