scholarly journals Leadership and governance: learning outcomes and competencies required of the family physician in the district health system

2016 ◽  
Vol 58 (6) ◽  
pp. 232-235 ◽  
Author(s):  
R Mash* ◽  
J Blitz ◽  
Z Malan ◽  
K Von Pressentin
Keyword(s):  
Health System ◽  
Learning Outcomes ◽  
Family Physician ◽  
District Health ◽  
District Health System ◽  
The Family

scholarly journals Assessing the implementation of the family care team in the district health system of health region 2, Thailand

2018 ◽  
Vol 6 (1) ◽  
pp. 39-50
Author(s):  
Nithra Kitreerawutiwong ◽  
Sunsanee Mekrungrengwong ◽  
Artitaya Wongwonsin ◽  
Chakkraphan Phetphum
Keyword(s):  
Health System ◽  
Family Care ◽  
Care Team ◽  
District Health ◽  
District Health System ◽  
Health Region ◽  
The Family

scholarly journals The impact of family physician supply on district health system performance, clinical processes and clinical outcomes in the Western Cape Province, South Africa (2011–2014)

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Rekai L. Chinhoyi ◽  
Moleen Zunza ◽  
Klaus B. Von Pressentin
Keyword(s):  
South Africa ◽  
Health System ◽  
Family Physician ◽  
System Performance ◽  
Health System Performance ◽  
Western Cape ◽  
Western Cape Province ◽  
District Health ◽  
District Health System ◽  
The Impact

Background: A revised family physician (FP) training programme was introduced in South Africa in 2007. A baseline assessment (2011) of the impact of FP supply on district health system performance was performed within the Western Cape Province, South Africa. The impact of an increased FP supply within this province required re-evaluation.Aim: To assess the impact of FP supply on indicators of district health system performance, clinical processes and clinical outcomes in the Western Cape Province. The objectives were to determine the impact of FPs, nurses, medical officers (MOs) and other specialists.Setting: The study sample included all five rural districts and eight urban subdistricts of the Western Cape Province.Methods: A secondary analysis was performed on routinely collected data from the Western Cape Department of Health from 01 March 2011 until 30 April 2014.Results: The FP supply did not significantly impact the indicators analysed. The supply of nurses and MOs had an impact on some of the indicators analysed.Conclusion: This study did not replicate the positive associations between an increase in FP supply and improved health indicators, as described previously for high-income country settings. The impact of FP supply on clinical processes, health system performance and outcome indicators in the Western Cape Province was not statistically significant. Future re-evaluation is recommended to allow for more time and an increase in FP supply.

scholarly journals How far does family physician supply correlate with district health system performance?

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Robin E. Dyers ◽  
Robert Mash ◽  
Tracey Naledi
Keyword(s):  
Health System ◽  
Family Physician ◽  
System Performance ◽  
Family Physicians ◽  
Health System Performance ◽  
Western Cape ◽  
Physician Supply ◽  
District Health ◽  
District Health System ◽  
The Impact

Background: Since 2011, a new cadre of family physicians, with 4 years of postgraduate training, was deployed in the district health services of the Western Cape, and tasked witha considerable range of duties aimed at a general improvement in care and health outcomes. There is a need to evaluate the contribution of these family physicians to the district health system.Aim: To develop a methodology for describing the correlation between family physician supply and district health system performance, clinical processes and outcomes, and to measure this correlation at baseline.Method: A cross-sectional study was undertaken that analysed data at an ecological level for the period of 01 April 2011 to 31 March 2012. This was a pilot project analysing data from the first year of a 4-year project. The correlations between family physician supply and 18 health system indicators were assessed within a logic model. The supplies of other categories of staff were also measured.Results: Although most of the correlations with family physicians were positive, the study was unable to demonstrate any strong or statistically significant correlations at baseline. There were significant correlations with other categories of staff.Conclusions: This study developed a methodology for monitoring the relationship between family physician supply using routinely collected indicators of health system performance, clinical processes and outcomes over time. Additional research will also be needed to investigate the impact of family physicians and triangulate findings as this methodology has many limitations and potential confounding factors.

scholarly journals A job analysis of selected health workers in a district health system in KwaZulu Natal - Part two: Job analysis of nurses in primary health care settings

Curationis ◽  
2003 ◽  
Vol 26 (3) ◽  
Author(s):  
S Mbambo
Keyword(s):  
Health System ◽  
Current Practice ◽  
Health Workers ◽  
Job Analysis ◽  
District Health ◽  
District Health System ◽  
Primary Health ◽  
Kwazulu Natal ◽  
Descriptive Survey ◽  
Primary Health Care Settings

The aim of this descriptive survey was to do a job analysis of different categories of nurses in a District Health System in order to clarify job expectations, describe current practice of nurses in hospitals and clinics and to make recommendations about skills mix in district services. This article deals with the clinics only.

The district health system

2018 ◽  
pp. 81-98
Author(s):  
Geoff Meads ◽  
Michiyo Iwami ◽  
Yvonne Carter
Keyword(s):  
Health System ◽  
District Health ◽  
District Health System

scholarly journals A job analysis of selected health workers in a district health system in KwaZulu Natal - Part one: Job analysis of nurses in hospital settings

Curationis ◽  
2003 ◽  
Vol 26 (3) ◽  
Author(s):  
L.R. Uys
Keyword(s):  
Health System ◽  
Current Practice ◽  
Health Workers ◽  
Job Analysis ◽  
District Health ◽  
District Health System ◽  
Job Expectations ◽  
Kwazulu Natal ◽  
Descriptive Survey

The aim of this descriptive survey was to do a job analysis of different categories of nurses in a District Health System in order to clarify job expectations, describe current practice of nurses in hospitals and clinics and to make recommendations about skills mix in district services.

scholarly journals Study on Epidemiology of Chronic Obstructive Pulmonary Disease (COPD) at Western Regional Hospital, Pokhara

2017 ◽  
Vol 9 (2) ◽  
pp. 65-69
Author(s):  
Vivek Ghosh ◽  
S Lamichhane ◽  
SB Thakuri ◽  
KCS Khadka ◽  
SS Teli ◽  
...  
Keyword(s):  
Health System ◽  
Regional Hospital ◽  
Chronic Obstructive ◽  
System Management ◽  
District Health ◽  
Obstructive Pulmonary Disease ◽  
District Health System ◽  
Medical College ◽  
Third Phase ◽  
Western Regional

According to the curriculum of Bachelor of Medicine and Bachelor of Surgery (MBBS) program of the Tribhuvan University (TU), Institute of Medicine (IOM), the Department of Community Medicine of Gandaki Medical College (GMC) has been conducting the District Health System Management (DHSM) study for the students of MBBS, third phase (4th year). This program provides us an opportunity for clinical and community orientation to develop skills to become a competent medical professional to work at different levels of hospitals and district health system. This course enables us to assess resource potentials and constraints, prioritize the health problems and set strategies for solving them. It also enables us to be able to work in promotive, preventive, curative and rehabilitative health services as part of district health team. The program begins with theory classes on management and orientation classes at the college and placement of the students in three different places with rotation along with field supervisions in between. Here we are presenting our investigations on epidemiology of chronic obstructive pulmonary disease made at Western Regional Hospital during our District Health System Management (DHSM) study in third phase (Fourth year).Journal of Gandaki Medical College Volume, 09, Number 2, July December  2016, Page: 65-69 

Coronary Care by Nurses in the PreHospital Phase

1985 ◽  
Vol 1 (S1) ◽  
pp. 147-148
Author(s):  
Henry N. Hart
Keyword(s):  
The Netherlands ◽  
Family Physician ◽  
Emergency Services ◽  
Private Firms ◽  
Health Departments ◽  
District Health ◽  
Patient Transport ◽  
The Family ◽  
Central District ◽  
Coronary Care

The Netherlands, due to its density of population (415 residents per square kilometer) has ambulance services organized under municipal and district health departments (emergency services) or private services (routine transportation). The law requires that each patient be reached by an ambulance within 15 minutes everywhere in the country.Emergency services are generally performed by the health departments, whereas more routine patient transport is carried out by private firms. In the Netherlands, it is usual that emergency complaints are first directed to the family physician who makes further decisions concerning the use of ambulance services. All ambulance services are coordinated from central district ambulance posts.

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