Internal medicine outreach in area 2 of KwaZulu-Natal with the Red Cross Air Mercy Service: 2007-mid-2013

This study updates the Outreach Programme for Internal Medicine in Area 2 of KwaZulu-Natal (KZN) over the past six-and-a-half years. Methods: AMS, via a formal agreement with the KZN Department of Health (DOH) for 16 years, has provided a safe, reliable, independent transport system, by air and by r...

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Main Author: R.I. Caldwell*
Format: Article
Language:English
Published: Elsevier 2013-12-01
Series:African Journal of Emergency Medicine
Online Access:http://www.sciencedirect.com/science/article/pii/S2211419X13001298
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author R.I. Caldwell*
author_facet R.I. Caldwell*
author_sort R.I. Caldwell*
collection DOAJ
description This study updates the Outreach Programme for Internal Medicine in Area 2 of KwaZulu-Natal (KZN) over the past six-and-a-half years. Methods: AMS, via a formal agreement with the KZN Department of Health (DOH) for 16 years, has provided a safe, reliable, independent transport system, by air and by road. The DOH has provided posts in the major disciplines for the co-ordination of Area 2 outreach. The aim is that each district hospital should receive a visit from a specialist in each major discipline on a monthly basis. Internal Medicine is fortunate to have a fulltime coordinator with the retention of the retired coordinator on a sessional basis. A typical visit comprises a teaching session, a ward-round, and an outpatient session. Protocols and referral criteria are discussed, and the medical manager may be consulted regarding needs and problems. Results: 90% of the 20 district hospitals in Area 2 of KZN have received regular visits. The sessional outreach physician visits seven hospitals per month, and has now made 432 visits, 172 of them by air and 260 by road. The current coordinator and other specialists have achieved a further 167 visits, giving a tally of 599. A total of 3509 medical personnel have been involved, and 5525 patients have been seen. An additional achievement has been regular visits by Neurology, Nephrology, Cardiology and Endocrinology to Madadeni Hospital, furthering the plan of subspecialty outreach to regional hospitals and general specialty outreach to district hospitals. Conclusion: This Outreach Programme functions on a comprehensive footing, thanks to the AMS and the KZN DOH. Other health areas could be encouraged to follow this example.
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spelling doaj.art-f8b553d1aeec484f8914273b699c96482022-12-21T19:47:04ZengElsevierAfrican Journal of Emergency Medicine2211-419X2013-12-0134S510.1016/j.afjem.2013.08.008Internal medicine outreach in area 2 of KwaZulu-Natal with the Red Cross Air Mercy Service: 2007-mid-2013R.I. Caldwell*This study updates the Outreach Programme for Internal Medicine in Area 2 of KwaZulu-Natal (KZN) over the past six-and-a-half years. Methods: AMS, via a formal agreement with the KZN Department of Health (DOH) for 16 years, has provided a safe, reliable, independent transport system, by air and by road. The DOH has provided posts in the major disciplines for the co-ordination of Area 2 outreach. The aim is that each district hospital should receive a visit from a specialist in each major discipline on a monthly basis. Internal Medicine is fortunate to have a fulltime coordinator with the retention of the retired coordinator on a sessional basis. A typical visit comprises a teaching session, a ward-round, and an outpatient session. Protocols and referral criteria are discussed, and the medical manager may be consulted regarding needs and problems. Results: 90% of the 20 district hospitals in Area 2 of KZN have received regular visits. The sessional outreach physician visits seven hospitals per month, and has now made 432 visits, 172 of them by air and 260 by road. The current coordinator and other specialists have achieved a further 167 visits, giving a tally of 599. A total of 3509 medical personnel have been involved, and 5525 patients have been seen. An additional achievement has been regular visits by Neurology, Nephrology, Cardiology and Endocrinology to Madadeni Hospital, furthering the plan of subspecialty outreach to regional hospitals and general specialty outreach to district hospitals. Conclusion: This Outreach Programme functions on a comprehensive footing, thanks to the AMS and the KZN DOH. Other health areas could be encouraged to follow this example.http://www.sciencedirect.com/science/article/pii/S2211419X13001298
spellingShingle R.I. Caldwell*
Internal medicine outreach in area 2 of KwaZulu-Natal with the Red Cross Air Mercy Service: 2007-mid-2013
African Journal of Emergency Medicine
title Internal medicine outreach in area 2 of KwaZulu-Natal with the Red Cross Air Mercy Service: 2007-mid-2013
title_full Internal medicine outreach in area 2 of KwaZulu-Natal with the Red Cross Air Mercy Service: 2007-mid-2013
title_fullStr Internal medicine outreach in area 2 of KwaZulu-Natal with the Red Cross Air Mercy Service: 2007-mid-2013
title_full_unstemmed Internal medicine outreach in area 2 of KwaZulu-Natal with the Red Cross Air Mercy Service: 2007-mid-2013
title_short Internal medicine outreach in area 2 of KwaZulu-Natal with the Red Cross Air Mercy Service: 2007-mid-2013
title_sort internal medicine outreach in area 2 of kwazulu natal with the red cross air mercy service 2007 mid 2013
url http://www.sciencedirect.com/science/article/pii/S2211419X13001298
work_keys_str_mv AT ricaldwell internalmedicineoutreachinarea2ofkwazulunatalwiththeredcrossairmercyservice2007mid2013