How well do public sector primary care providers function as medical generalists in Cape Town: a descriptive survey

BMC Family Practice
Renaldo Christoffels, Bob Mash

Abstract

Effective primary health care requires a workforce of competent medical generalists. In South Africa nurses are the main primary care providers, supported by doctors. Medical generalists should practice person-centred care for patients of all ages, with a wide variety of undifferentiated conditions and should support continuity and co-ordination of care. The aim of this study was to assess the ability of primary care providers to function as medical generalists in the Tygerberg sub-district of the Cape Town Metropole. A randomly selected adult consultation was audio-recorded from each primary care provider in the sub-district. A validated local assessment tool based on the Calgary-Cambridge guide was used to score 16 skills from each consultation. Consultations were also coded for reasons for encounter, diagnoses and complexity. The coders inter- and intra-rater reliability was evaluated. Analysis described the consultation skills and compared doctors with nurses. 45 practitioners participated (response rate 85%) with 20 nurses and 25 doctors. Nurses were older and more experienced than the doctors. Doctors saw more complicated patients. Good inter- and intra-rater reliability was shown for the coder with an intra-class correla...Continue Reading

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Citations

Jun 7, 2019·African Journal of Primary Health Care & Family Medicine·Robert Mash
Nov 13, 2020·South African Family Practice : Official Journal of the South African Academy of Family Practice/Primary Care·Gulnaz Mohamoud, Robert Mash

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Excel
Statistical Package for Social Sciences

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