South African Family Practice最新文献

{"title":"The academy and its journal: 45 years of editorial leadership in South African family medicine.","authors":"Klaus B Von Pressentin","doi":"10.4102/safp.v68i2.6282","DOIUrl":"10.4102/safp.v68i2.6282","url":null,"abstract":"<p><p>Journals are living archives of their disciplines. For the South African Family Practice journal, its 45-year journey offers a unique lens on how family medicine in Southern Africa found its voice and evolved alongside global primary care scholarship. This Open Forum reflection traces the journal's trajectory, from print and pharma-supported pages to a fully online, open-access platform grounded in ethical rigour and robust peer review. Drawing on archival insights and a conversation with Prof. Pierre de Villiers, who continued Prof. Sam Fehrsen's editorial legacy, the overview highlights how editorial independence, methodological diversity and capacity building have shaped the journal as a trusted voice for family medicine and primary care. This narrative describes the journal's role in enhancing the discipline's evidence base and scholarly identity over 45 years. The evolution of the journal offers lessons for strengthening primary care scholarship in Africa and other regions.Contribution: Four decades of editorial leadership of the South African Family Practice have significantly shaped the journal's identity, integrity and reputation in primary care across Southern Africa and abroad. Key transitions supporting inclusive scholarly development are highlighted.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 2","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing teamwork perceptions and challenges in a South African district hospital.","authors":"Willem M Van Tonder, Matthew A N Benedict, Francois C Van Rooyen","doi":"10.4102/safp.v68i1.6290","DOIUrl":"10.4102/safp.v68i1.6290","url":null,"abstract":"<p><strong>Background: </strong>The South African healthcare sector faces many challenges that jeopardise safety and quality of care. Amid these challenges, effective teamwork is essential to promote safe and quality healthcare services. This study aimed to measure the overall teamwork perception among healthcare professionals at National District Hospital (NDH) and compare differences in perceptions across healthcare disciplines and departments.</p><p><strong>Methods: </strong>An analytical cross-sectional study was conducted using a questionnaire distributed among all healthcare professionals at NDH. The questionnaire consisted of a demographic section and the validated Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) 2.0 Teamwork Perceptions Questionnaire (T-TPQ).</p><p><strong>Results: </strong>The overall mean teamwork perception score among healthcare professionals was 3.7 (74%). While no statistically significant difference was found across disciplines (p = 0.434) and departments (p = 0.066), hospital-wide analysis identified situational monitoring (72%) and leadership (73%) as the weakest domains. Conversely, communication (79%) was the strongest domain. Critical unit-specific deficits were identified in the leadership domain of two departments.</p><p><strong>Conclusion: </strong>The overall perception of teamwork was acceptable. However, targeted interventions are required to improve situational monitoring hospital-wide and to address the leadership challenges found in some departments. These findings provide evidence-based direction for quality improvement within this specific district hospital setting. The T-TPQ is a valuable tool that all institutions should utilise to assess their healthcare services independently and identify strategies to improve teamwork.Contribution: This study enhances the limited existing literature on teamwork and its assessment within healthcare settings, particularly within the context of South African district health services.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e7"},"PeriodicalIF":1.2,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mastering your fellowship: Part 2, 2026.","authors":"Mergan Naidoo, Klaus Von Pressentin, John M Musonda, Selvandran Rangiah, Ramprakash Kaswa","doi":"10.4102/safp.v68i1.6246","DOIUrl":"10.4102/safp.v68i1.6246","url":null,"abstract":"<p><p>The series 'Mastering your Fellowship' provides examples of the question formats encountered in the written and clinical examinations, Part A of the FCFP (SA) examination. The series aims to help family medicine registrars (and supervisors) prepare for this examination. Model answers are available online.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e10"},"PeriodicalIF":1.2,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary health care approach to rheumatic heart disease management.","authors":"Ruchika Meel, Ramprakash Kaswa","doi":"10.4102/safp.v68i1.6255","DOIUrl":"10.4102/safp.v68i1.6255","url":null,"abstract":"<p><p>The primary health care (PHC) approach to rheumatic heart disease emphasises preventing initial episodes of rheumatic fever through primary prevention, avoiding recurrences by secondary prevention and ensuring long-term follow-up and an effective referral system. Primary care providers act as gatekeepers of community healthcare needs. They are heavily involved in community engagement, primary prevention, continuity of care and are part of strong PHC referral networks. This positions them ideally to participate in the prevention and early detection of rheumatic heart disease. The main aim of this CPD article is to guide the early identification and management of rheumatic heart disease within PHC settings.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e5"},"PeriodicalIF":1.2,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping scholarly continuing professional development publications in the South African Family Practice journal (2020-2025): Trends, gaps, and a call for contributions.","authors":"Mareike Rabe, Ramprakash Kaswa, Klaus B Von Pressentin","doi":"10.4102/safp.v68i2.6293","DOIUrl":"10.4102/safp.v68i2.6293","url":null,"abstract":"<p><p>Continuing professional development (CPD) comprises self-directed educational activities that are vital to the lifelong learning of healthcare professionals. It maintains competence, adapts to new guidelines, and supports evidence-based practice. In South Africa, professional boards mandate CPD, which is offered via journals, webinars, courses, conferences, and digital platforms. We evaluated CPD articles in the South African Family Practice (SAFP) journal from 2020 to 2025. Clinical content dominated, with guidance on infectious and chronic diseases. However, online engagement was limited. This 6-year snapshot, part of the journal's 45-year celebration, emphasises SAFP's role in advancing primary care education. It also highlights opportunities for greater inclusivity and accessibility, for innovation in CPD publishing, and the need for future evaluations of readership patterns and practitioners' needs.Contribution: This article reviews CPD publishing in SAFP over 6 years, focusing on themes, authorship, and engagement challenges within its 45-year legacy of promoting lifelong learning in primary care.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 2","pages":"e1-e5"},"PeriodicalIF":1.2,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intimate partner violence among pregnant women in Limpopo Province, South Africa.","authors":"Sharmeen S Alam, Gert J O Marincowitz, Clara Marincowitz","doi":"10.4102/safp.v68i1.6292","DOIUrl":"10.4102/safp.v68i1.6292","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence (IPV) is a significant public health issue globally. Intimate partner violence predominantly constitutes violence against women, and when it occurs during pregnancy, it can have severe consequences for both the mother and the baby.</p><p><strong>Method: </strong>A quantitative descriptive study design was used to collect data from a sample of 277 participants using a survey questionnaire. The survey was administered during participants' first antenatal visit at Rethabile Health Centre, in Limpopo, South Africa.</p><p><strong>Results: </strong>Twenty-two of the 277 participants (7.94%) indicated that they experienced IPV during their lifetime, 10 participants (3.6%) were abused during the past year, and four (1.4%) were abused during their current pregnancy. There were statistically significant associations between IPV and comorbidities such as hypertension (HPT) and diabetes. Low birth weight during the previous pregnancy and unintended pregnancies were also significantly more prevalent in women who experienced IPV.</p><p><strong>Conclusion: </strong>Intimate partner violence during pregnancy is prevalent globally, affecting approximately 9.2% of pregnant women. In our study, 7.9% of the participants reported that they experienced IPV in their lifetime. A culturally and legally appropriate assessment tool must be developed for SA, including an expanded classification of marital status for the tool and research questionnaires where marital status is of importance as in IPV.Contribution: Although our study indicated a lower-than-expected rate of IPV during pregnancy, statistically significant associations were found between IPV and comorbidities such as HPT and diabetes, as well as low birth weight during the previous pregnancy and unintended pregnancies, which warrant further research.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e7"},"PeriodicalIF":1.2,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Augmenting care, not replacing it: Generative artificial intelligence and equitable primary care in Southern Africa.","authors":"Klaus B Von Pressentin, Arun Nair, Mareike Rabe, Marischka De Jong, Ramprakash Kaswa, Indiran Govender","doi":"10.4102/safp.v68i1.6340","DOIUrl":"10.4102/safp.v68i1.6340","url":null,"abstract":"<p><p></p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"6340"},"PeriodicalIF":1.2,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum: 'Gender-affirming healthcare' is not what the family physician needs to know.","authors":"Janet Giddy, Allan Donkin, Reitze Rodseth","doi":"10.4102/safp.v68i1.6328","DOIUrl":"10.4102/safp.v68i1.6328","url":null,"abstract":"","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"6328"},"PeriodicalIF":1.2,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconfiguring global primary care evidence: The essential role of regional journals.","authors":"Shailendra Prasad, Klaus B Von Pressentin, Bassim Birkland, Ramakrishna Prasad, Esther M Johnston, Diego Garcia-Huidobro","doi":"10.4102/safp.v68i2.6297","DOIUrl":"10.4102/safp.v68i2.6297","url":null,"abstract":"<p><p>Primary care research (PCR) strengthens health systems and informs policy, but is dominated by high-income country (HIC) institutions and authors creating epistemic injustice by marginalising local knowledge from low- and middle-income countries (LMICs) and reinforcing structural inequities. Regional journals are vital for providing accessible, relevant evidence by lowering publishing barriers, supporting emerging researchers, enabling multilingual dissemination, and creating practice-focused knowledge for local health systems. Strengthening regional publishing is essential for a diverse, equitable global evidence base that improves the relevance, impact, and fairness of global PCR.Contribution: This article advances primary care scholarship by invoking epistemic justice and emphasising regional journals as vital for equitable knowledge. It references journals such as South African Family Practice, which celebrates 45 years of local research and mentorship. It links representation, research, and publishing, critiques citation metrics, and offers strategies to improve regional journals and promote justice in global primary care evidence.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 2","pages":"e1-e5"},"PeriodicalIF":1.2,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"South African family medicine research: Past, present and future.","authors":"Robert J Mash","doi":"10.4102/safp.v68i2.6300","DOIUrl":"10.4102/safp.v68i2.6300","url":null,"abstract":"<p><p>Over the past 45 years, the publication of original research in the South African Family Practice journal has steadily increased from humble beginnings in the 1980s to approximately 40-50 articles per year. This reflects the growth of the discipline and new speciality of family medicine as well as the shift in national policy towards primary health care as the foundation of the health system. Despite this growth, the profile of the research remains largely descriptive with surveys, audits and exploratory qualitative studies. The implication of this is that the discipline may not be addressing critical research questions on effectiveness, efficiency or identifying risk factors for common or important conditions. There is diversity of research questions and topics, although some areas remain relatively neglected, such as research on children, pregnant mothers, palliative care, rehabilitation, continuity and coordination.Contribution: As we look forward to the future, the discipline should be ready to analyse new electronic sources of 'big data', develop capacity for clinical trials and cost-effectiveness studies, launch more practice-based research networks, strengthen the whole research capacity-building pipeline and set priorities at a national level.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 2","pages":"e1-e5"},"PeriodicalIF":1.2,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}