Enabling factors for specialist outreach in western KwaZulu-Natal

African Journal of Primary Health Care & Family Medicine
Robert Ian CaldwellColleen Aldous

Abstract

There exists a major disparity in access to specialist care between patients in urban and rural areas. Specialists are a scarce resource and are concentrated in urban areas. Specialist outreach attempts to fill the gap in service provision for patients situated remotely. While there is international evidence that multifaceted specialist outreach has achieved varying levels of success, factors that influence the effectiveness of outreach have not yet been fully elucidated in South Africa. This study attempts to uncover some of the factors that enable good multifaceted specialist outreach. The study was conducted in hospitals in western KwaZulu-Natal province. This health area is served by a tertiary hospital and 20 peripheral hospitals; three of these are regional level and the majority are district level hospitals. Specialist outreach emanates from the tertiary hospital. Specialists providing outreach services from the tertiary hospital and medical officers at seven receiving hospitals were interviewed to explore perceptions regarding factors that might enable successful specialist outreach. Framework analysis on the transcribed interviews was carried out using NVivo version 11. A major positive finding concerns the relationshi...Continue Reading

References

Feb 27, 1971·Lancet·J T Hart
Sep 23, 1998·Journal of Telemedicine and Telecare·G C DoolittleE Carlson
Oct 30, 2004·Journal of Health Services Research & Policy·Russell Gruen, Ross Bailie
Feb 16, 2005·International Journal of Circumpolar Health·Michael Jong, Majed Kraishi
Apr 5, 2005·The Australian Journal of Rural Health·Aristomenis K ExadaktylosPhilip Erasmus
Aug 13, 2005·Journal of Interprofessional Care·Danielle D'AmourMarie-Dominique Beaulieu
Jan 20, 2007·International Journal of Technology Assessment in Health Care·Robin DowieRodney C G Franklin
Mar 12, 2013·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·R Nathan, P Rautenbach
Sep 21, 2013·BMC Medical Research Methodology·Nicola K GaleSabi Redwood
Jan 7, 2014·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·Damian Luiz Clarke, Colleen Aldous
Aug 12, 2014·Bulletin of the World Health Organization·Belinda G O'SullivanMatthew R McGrail
Aug 6, 2015·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·Robert Ian CaldwellColleen Aldous
Sep 21, 2015·Australian Health Review : a Publication of the Australian Hospital Association·Belinda G O'SullivanJohannes Stoelwinder
Feb 27, 2016·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·Robert Ian CaldwellColleen Aldous
May 6, 2016·The Journal of Bone and Joint Surgery. American Volume·Thomas S GrucaGregory C Nelson

❮ Previous
Next ❯

Software Mentioned

NVivo

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
Robert Ian CaldwellColleen Aldous
Journal of Acquired Immune Deficiency Syndromes : JAIDS
Richard J LessellsMarie-Louise Newell
South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
K N VallabhjeeK Naidoo
© 2022 Meta ULC. All rights reserved