ArticleAfrican journal of primary health care & family medicine2022
The contribution of family physicians to African health systems.
Article in African journal of primary health care & family medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Perceived reward adequacy as a key mechanism for retaining medical doctors in health systems: A structural equation modelling study.African journal of primary health care & family medicine · 2026Article
- Family physician deployment in South Africa's district health system: A cross-sectional study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026Article
- Creating the evidence for family medicine advocacy in Africa.African journal of primary health care & family medicine · 2025Article
- Advocacy for family medicine in sub-Saharan Africa.African journal of primary health care & family medicine · 2025Article
- Investment in family medicine to improve health outcomes in sub-Saharan Africa.African journal of primary health care & family medicine · 2025Article
- Understanding implementation research.African journal of primary health care & family medicine · 2025Article
- Family physicians as advocates for primary health care in Botswana.African journal of primary health care & family medicine · 2025Article
- Stepping up in clinical governance: The leadership challenge for new family physicians.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Article
- Lessons learnt from advocating for family medicine in South Africa.African journal of primary health care & family medicine · 2025Article
- Registrars' experience with research in family medicine training programmes in South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Myriad untold stories unfolding daily: South Africa's pursuit of quality primary health care.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Perceptions of specialists in the public sector, on the role and value of family medicine.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022Article
- Celebrating Family Medicine at the National Academy of Medicine.Annals of family medicineArticle
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAfrica is the last region to incorporate family physicians into its health systems. They are still a relatively new concept in many countries, small in numbers and deployed in a variety of ways. There is a need for more evidence on their contribution to African health systems to guide policymakers.
aimThe aim of this study was to review the special collection of short reports on the contribution of family physicians to African health systems, published in the African Primary Health Care and Family Medicine Journal in 2021.
methodSeventeen short reports from eight countries were qualitatively and thematically analysed in ATLAS.ti. Codes, which were derived inductively, were organised into categories according to the World Health Organization's primary health care monitoring framework.
resultsIn the domain of health system determinants, family physicians made little contribution to governance, adjustment to population health needs or financing. They did, however, contribute substantially to the capacity of the health workforce, supply of equipment, functioning of the health information system and use of digital technologies. In the domain of service delivery, they strengthened the model of care and championed systems for improving the quality of care. This translated into improved availability and utilisation of services, core functions of primary care, quality of care and patient safety.
conclusionFamily physicians described their important contribution to service delivery in district hospitals and primary health care. This should lead to improvements in outcomes and impact for the health system. Their contribution to the concept of resilient facilities and health services needs further exploration.
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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.