Family physicians in South Africa strengthen district hospital care

January 09, 2018

In South Africa, district (generalist) hospitals with family physicians have better clinical processes and health system performance, while community health centers with family physicians have lower scores in those domains. In a study across seven South African provinces, district hospitals with family physicians had higher availability of essential services, such as pediatric and emergency care, and better child and neonatal health. In contrast, community health centers with family physicians generally had lower scores for health system performance and clinical care and were associated with significantly lower scores for continuity and coordination of care. These findings differ from a large body of literature which finds that family physicians enhance continuity and coordination. The authors hypothesize that the differences might be due to the areas in which family physicians were deployed (areas of greatest need and workload, which were predisposed to perform more poorly) and/or to differing levels of physician influence (hospital teams were led by doctors, community health center teams were led by nurses). As South Africa moves toward a system of universal health coverage, the authors call for training programs that have sufficient focus on community health settings and further exploration of family physicians' roles in community health centers.
The Influence of Family Physicians Within the South African District Health System
Klaus B. von Pressentin, MMed, FCFP, PhD, et al
Stellenbosch University, Cape Town, South Africa

American Academy of Family Physicians

Related Hospitals Articles from Brightsurf:

'Best' hospitals should be required to deliver tobacco treatment
A UCLA-led report published today in the Journal of the American Medical Association Internal Medicine exposes what the authors call a weakness in the high-profile 'Best Hospitals Honor Roll' published annually by US News and World Report.

Veterans undergoing elective PCI at community hospitals may have increased chance of death compared to those treated at VA hospitals
Veterans who underwent elective percutaneous coronary intervention (PCI) for stable angina at a community facility were at a 33% increased hazard, or chance, of death compared to patients treated within the Veterans Affairs (VA) Healthcare System, according to an analysis of nearly 9,000 veterans published today in the Journal of the American College of Cardiology.

How should hospitals ask patients for donations?
A new study looks for the first time at patients' views of hospital fundraising, including legally allowable practices that encourage physicians to work with their hospital's fundraising professionals.

Proximity of hospitals to mass shootings in US
Nontrauma center hospitals were the nearest hospitals to most of the mass shootings (five or more people injured or killed by a gun) that happened in the US in 2019.

'Five star' hospitals often provide fewer services than other hospitals, new data suggests
If you're looking for a top-notch hospital with a wide range of services, narrowing your list to hospitals with a five-star patient experience rating might lead you astray.

Costs of care similar or lower at teaching hospitals compared to non-teaching hospitals
Total costs of care are similar or somewhat lower among teaching hospitals compared to non-teaching hospitals among Medicare beneficiaries treated for common medical and surgical conditions, according to a new study led by researchers from Harvard T.H.

How common, preventable are sepsis-associated deaths in hospitals?
This study estimates how common sepsis-related deaths are in hospitals and how preventable those deaths might be.

Veterans health administration hospitals outperform non-VHA hospitals in most markets
In a new study, researchers from The Dartmouth Institute for Health Policy and Clinical Practice and the White River Junction VA Medical Center in White River Junction, Vermont, used the most current publicly available data to compare health outcomes for VA and non-VA hospitals within 121 local healthcare markets that included both a VA medical center and a non-VA hospital.

Tele-ERs can help strengthen rural hospitals
A new study from the University of Iowa finds rural hospitals that use tele-medicine to back up their emergency room health care providers save money and find it easier to recruit new physicians.

Hospitals may take too much of the blame for unplanned readmissions
A new study out of Beth Israel Deaconess Medical Center reveals that the preventability of readmissions changes over time: readmissions within the first week after discharge are often preventable by the hospital, whereas readmissions later are often related to patients' difficultly accessing outpatient clinics.

Read More: Hospitals News and Hospitals Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to