The contribution of family physicians to surgical capacity at district hospitals in South Africa

The World Health Organization states that essential, cost-effective surgical care should be delivered at district hospitals. In South Africa significant skills gap exist at district hospitals, particularly in the area of surgery and anaesthesia. These small to moderate sized hospitals are too small...

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Autores principales:	Hans Hendriks, Adeloye Adeniji, Louis Jenkins, Robert J. Mash
Formato:	article
Lenguaje:	EN FR
Publicado:	AOSIS 2021
Materias:	district hospital district health services district health system family physician surgical capacity surgery Medicine R Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/459bf9492f2c4b5f9fe544ff5363a232
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spelling	oai:doaj.org-article:459bf9492f2c4b5f9fe544ff5363a2322021-11-24T07:43:58ZThe contribution of family physicians to surgical capacity at district hospitals in South Africa2071-29282071-293610.4102/phcfm.v13i1.3193https://doaj.org/article/459bf9492f2c4b5f9fe544ff5363a2322021-10-01T00:00:00Zhttps://phcfm.org/index.php/phcfm/article/view/3193https://doaj.org/toc/2071-2928https://doaj.org/toc/2071-2936The World Health Organization states that essential, cost-effective surgical care should be delivered at district hospitals. In South Africa significant skills gap exist at district hospitals, particularly in the area of surgery and anaesthesia. These small to moderate sized hospitals are too small to support a range of full time specialists even if they could be recruited and were cost-effective. Family physicians (FPs) are trained in the clinical skills required for district hospitals and primary health care. Clinical associates have also been introduced to perform procedures at district hospitals. This report illustrates the contribution of a FP to surgical care at Zithulele Hospital in the Eastern Cape. Family physicians not only bring the necessary clinical skills set but also increase the confidence and capacity of the whole team. Outreach and support by surgeons, as well as continuing professional development, are important. Surgical and anaesthetic skills must be developed together. Family physicians also bring leadership and clinical governance skills that ensure the inputs to support surgery, such as equipment and information systems are available. The contribution of FPs to surgery and district hospitals is overlooked in both policy and practice. Human resources for health policy should recognise their contribution and increase the numbers available and FP posts at district hospitals. There is also a need to update the package of emergency and essential surgical procedures in policy.Hans HendriksAdeloye AdenijiLouis JenkinsRobert J. MashAOSISarticledistrict hospitaldistrict health servicesdistrict health systemfamily physiciansurgical capacitysurgeryMedicineRPublic aspects of medicineRA1-1270ENFRAfrican Journal of Primary Health Care & Family Medicine, Vol 13, Iss 1, Pp e1-e3 (2021)
institution	DOAJ
collection	DOAJ
language	EN FR
topic	district hospital district health services district health system family physician surgical capacity surgery Medicine R Public aspects of medicine RA1-1270
spellingShingle	district hospital district health services district health system family physician surgical capacity surgery Medicine R Public aspects of medicine RA1-1270 Hans Hendriks Adeloye Adeniji Louis Jenkins Robert J. Mash The contribution of family physicians to surgical capacity at district hospitals in South Africa
description	The World Health Organization states that essential, cost-effective surgical care should be delivered at district hospitals. In South Africa significant skills gap exist at district hospitals, particularly in the area of surgery and anaesthesia. These small to moderate sized hospitals are too small to support a range of full time specialists even if they could be recruited and were cost-effective. Family physicians (FPs) are trained in the clinical skills required for district hospitals and primary health care. Clinical associates have also been introduced to perform procedures at district hospitals. This report illustrates the contribution of a FP to surgical care at Zithulele Hospital in the Eastern Cape. Family physicians not only bring the necessary clinical skills set but also increase the confidence and capacity of the whole team. Outreach and support by surgeons, as well as continuing professional development, are important. Surgical and anaesthetic skills must be developed together. Family physicians also bring leadership and clinical governance skills that ensure the inputs to support surgery, such as equipment and information systems are available. The contribution of FPs to surgery and district hospitals is overlooked in both policy and practice. Human resources for health policy should recognise their contribution and increase the numbers available and FP posts at district hospitals. There is also a need to update the package of emergency and essential surgical procedures in policy.
format	article
author	Hans Hendriks Adeloye Adeniji Louis Jenkins Robert J. Mash
author_facet	Hans Hendriks Adeloye Adeniji Louis Jenkins Robert J. Mash
author_sort	Hans Hendriks
title	The contribution of family physicians to surgical capacity at district hospitals in South Africa
title_short	The contribution of family physicians to surgical capacity at district hospitals in South Africa
title_full	The contribution of family physicians to surgical capacity at district hospitals in South Africa
title_fullStr	The contribution of family physicians to surgical capacity at district hospitals in South Africa
title_full_unstemmed	The contribution of family physicians to surgical capacity at district hospitals in South Africa
title_sort	contribution of family physicians to surgical capacity at district hospitals in south africa
publisher	AOSIS
publishDate	2021
url	https://doaj.org/article/459bf9492f2c4b5f9fe544ff5363a232
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The contribution of family physicians to surgical capacity at district hospitals in South Africa

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