The contribution of family physicians in coordinating care and improving access at district hospitals: The False Bay experience, South Africa

This short report describes three family physicians (FP)-led clinical governance interventions to strengthen the care access and coordination in an urban district hospital in Cape Town, South Africa. The actual experiences and their effects on health services are captured here. The report also descr...

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Autores principales:	Liezel Rossouw, Hoosain Lalkhen, Kaashiefah Adamson, Klaus B. von Pressentin
Formato:	article
Lenguaje:	EN FR
Publicado:	AOSIS 2021
Materias:	family physicians leadership clinical governance district health system care coordination access to care teamwork south africa Medicine R Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/540a07c7cd7648f5a2f0735747ce1fd9
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spelling	oai:doaj.org-article:540a07c7cd7648f5a2f0735747ce1fd92021-11-24T07:43:58ZThe contribution of family physicians in coordinating care and improving access at district hospitals: The False Bay experience, South Africa2071-29282071-293610.4102/phcfm.v13i1.3226https://doaj.org/article/540a07c7cd7648f5a2f0735747ce1fd92021-11-01T00:00:00Zhttps://phcfm.org/index.php/phcfm/article/view/3226https://doaj.org/toc/2071-2928https://doaj.org/toc/2071-2936This short report describes three family physicians (FP)-led clinical governance interventions to strengthen the care access and coordination in an urban district hospital in Cape Town, South Africa. The actual experiences and their effects on health services are captured here. The report also describes a range of interventions from enhanced access to timely computer tomographic scans to determine definitive care, to creating a local referral forum between levels of care, which resulted in a renewed appreciation for the scope of services and illness burden managed by the district health system and to the establishment of an onsite echocardiology service at the local district hospital to enhance the identified burden of disease of the local community. Each of these interventions were planned and implemented based on local data in partnership with the team members at the different levels of care. By applying an inclusive and distributed leadership style as informed by care access to scarce resources was better coordinated for the local communities served. The importance of the building trusting relationships between FPs and referral hospital colleagues cannot be overemphasised. Family physicians should be integrated and collaborated in the clinical governance platforms across levels of care. The FP’s roles as primary care consultant and clinical governance leader are pivotal in enhancing service delivery efficiency and in providing quality healthcare.Liezel RossouwHoosain LalkhenKaashiefah AdamsonKlaus B. von PressentinAOSISarticlefamily physiciansleadershipclinical governancedistrict health systemcare coordinationaccess to careteamworksouth africaMedicineRPublic aspects of medicineRA1-1270ENFRAfrican Journal of Primary Health Care & Family Medicine, Vol 13, Iss 1, Pp e1-e4 (2021)
institution	DOAJ
collection	DOAJ
language	EN FR
topic	family physicians leadership clinical governance district health system care coordination access to care teamwork south africa Medicine R Public aspects of medicine RA1-1270
spellingShingle	family physicians leadership clinical governance district health system care coordination access to care teamwork south africa Medicine R Public aspects of medicine RA1-1270 Liezel Rossouw Hoosain Lalkhen Kaashiefah Adamson Klaus B. von Pressentin The contribution of family physicians in coordinating care and improving access at district hospitals: The False Bay experience, South Africa
description	This short report describes three family physicians (FP)-led clinical governance interventions to strengthen the care access and coordination in an urban district hospital in Cape Town, South Africa. The actual experiences and their effects on health services are captured here. The report also describes a range of interventions from enhanced access to timely computer tomographic scans to determine definitive care, to creating a local referral forum between levels of care, which resulted in a renewed appreciation for the scope of services and illness burden managed by the district health system and to the establishment of an onsite echocardiology service at the local district hospital to enhance the identified burden of disease of the local community. Each of these interventions were planned and implemented based on local data in partnership with the team members at the different levels of care. By applying an inclusive and distributed leadership style as informed by care access to scarce resources was better coordinated for the local communities served. The importance of the building trusting relationships between FPs and referral hospital colleagues cannot be overemphasised. Family physicians should be integrated and collaborated in the clinical governance platforms across levels of care. The FP’s roles as primary care consultant and clinical governance leader are pivotal in enhancing service delivery efficiency and in providing quality healthcare.
format	article
author	Liezel Rossouw Hoosain Lalkhen Kaashiefah Adamson Klaus B. von Pressentin
author_facet	Liezel Rossouw Hoosain Lalkhen Kaashiefah Adamson Klaus B. von Pressentin
author_sort	Liezel Rossouw
title	The contribution of family physicians in coordinating care and improving access at district hospitals: The False Bay experience, South Africa
title_short	The contribution of family physicians in coordinating care and improving access at district hospitals: The False Bay experience, South Africa
title_full	The contribution of family physicians in coordinating care and improving access at district hospitals: The False Bay experience, South Africa
title_fullStr	The contribution of family physicians in coordinating care and improving access at district hospitals: The False Bay experience, South Africa
title_full_unstemmed	The contribution of family physicians in coordinating care and improving access at district hospitals: The False Bay experience, South Africa
title_sort	contribution of family physicians in coordinating care and improving access at district hospitals: the false bay experience, south africa
publisher	AOSIS
publishDate	2021
url	https://doaj.org/article/540a07c7cd7648f5a2f0735747ce1fd9
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The contribution of family physicians in coordinating care and improving access at district hospitals: The False Bay experience, South Africa

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