The contribution of family physicians to African health systems
Background: Africa is the last region to incorporate family physicians into its health systems. They are still a relatively new concept in many countries, small in numbers and deployed in a variety of ways. There is a need for more evidence on their contribution to African health systems to guide po...
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| Format: | Article |
| Language: | English |
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AOSIS
2022-07-01
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| Series: | African Journal of Primary Health Care & Family Medicine |
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| Online Access: | https://phcfm.org/index.php/phcfm/article/view/3651 |
| _version_ | 1811221413199085568 |
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| author | Robert Mash |
| author_facet | Robert Mash |
| author_sort | Robert Mash |
| collection | DOAJ |
| description | Background: Africa is the last region to incorporate family physicians into its health systems. They are still a relatively new concept in many countries, small in numbers and deployed in a variety of ways. There is a need for more evidence on their contribution to African health systems to guide policymakers.
Aim: The aim of this study was to review the special collection of short reports on the contribution of family physicians to African health systems, published in the African Primary Health Care and Family Medicine Journal in 2021.
Method: Seventeen short reports from eight countries were qualitatively and thematically analysed in ATLAS.ti. Codes, which were derived inductively, were organised into categories according to the World Health Organization’s primary health care monitoring framework.
Results: In the domain of health system determinants, family physicians made little contribution to governance, adjustment to population health needs or financing. They did, however, contribute substantially to the capacity of the health workforce, supply of equipment, functioning of the health information system and use of digital technologies. In the domain of service delivery, they strengthened the model of care and championed systems for improving the quality of care. This translated into improved availability and utilisation of services, core functions of primary care, quality of care and patient safety.
Conclusion: Family physicians described their important contribution to service delivery in district hospitals and primary health care. This should lead to improvements in outcomes and impact for the health system. Their contribution to the concept of resilient facilities and health services needs further exploration. |
| first_indexed | 2024-04-12T07:58:53Z |
| format | Article |
| id | doaj.art-81a6ccdd1d404b9eacadac391665174a |
| institution | Directory Open Access Journal |
| issn | 2071-2928 2071-2936 |
| language | English |
| last_indexed | 2024-04-12T07:58:53Z |
| publishDate | 2022-07-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj.art-81a6ccdd1d404b9eacadac391665174a2022-12-22T03:41:24ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362022-07-01141e1e910.4102/phcfm.v14i1.3651945The contribution of family physicians to African health systemsRobert Mash0Division of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape TownBackground: Africa is the last region to incorporate family physicians into its health systems. They are still a relatively new concept in many countries, small in numbers and deployed in a variety of ways. There is a need for more evidence on their contribution to African health systems to guide policymakers. Aim: The aim of this study was to review the special collection of short reports on the contribution of family physicians to African health systems, published in the African Primary Health Care and Family Medicine Journal in 2021. Method: Seventeen short reports from eight countries were qualitatively and thematically analysed in ATLAS.ti. Codes, which were derived inductively, were organised into categories according to the World Health Organization’s primary health care monitoring framework. Results: In the domain of health system determinants, family physicians made little contribution to governance, adjustment to population health needs or financing. They did, however, contribute substantially to the capacity of the health workforce, supply of equipment, functioning of the health information system and use of digital technologies. In the domain of service delivery, they strengthened the model of care and championed systems for improving the quality of care. This translated into improved availability and utilisation of services, core functions of primary care, quality of care and patient safety. Conclusion: Family physicians described their important contribution to service delivery in district hospitals and primary health care. This should lead to improvements in outcomes and impact for the health system. Their contribution to the concept of resilient facilities and health services needs further exploration.https://phcfm.org/index.php/phcfm/article/view/3651family physiciansafricaservice deliveryhealth workforcequality improvementmodels of careprimary health care |
| spellingShingle | Robert Mash The contribution of family physicians to African health systems African Journal of Primary Health Care & Family Medicine family physicians africa service delivery health workforce quality improvement models of care primary health care |
| title | The contribution of family physicians to African health systems |
| title_full | The contribution of family physicians to African health systems |
| title_fullStr | The contribution of family physicians to African health systems |
| title_full_unstemmed | The contribution of family physicians to African health systems |
| title_short | The contribution of family physicians to African health systems |
| title_sort | contribution of family physicians to african health systems |
| topic | family physicians africa service delivery health workforce quality improvement models of care primary health care |
| url | https://phcfm.org/index.php/phcfm/article/view/3651 |
| work_keys_str_mv | AT robertmash thecontributionoffamilyphysicianstoafricanhealthsystems AT robertmash contributionoffamilyphysicianstoafricanhealthsystems |