South African Family Practice最新文献_第7页

Registrars’ experience with research in family medicine training programmes in South Africa 注册医师在南非家庭医学培训课程中的研究经验

IF 1

South African Family Practice Pub Date : 2024-04-10 DOI: 10.4102/safp.v66i1.5907

Emcy Louw, R. Mash

{"title":"Registrars’ experience with research in family medicine training programmes in South Africa","authors":"Emcy Louw, R. Mash","doi":"10.4102/safp.v66i1.5907","DOIUrl":"https://doi.org/10.4102/safp.v66i1.5907","url":null,"abstract":"Background: Completion of a research assignment is a requirement for specialist training in South Africa. Difficulty with completion delays graduation and the supply of family physicians. The aim of this study was to explore the experience of registrars with their research in postgraduate family medicine training programmes.Methods: An explorative descriptive qualitative study. Extreme case purposive sampling selected registrars who had and had not completed their research on time, from all nine training programmes. Saturation was achieved after 12 semi-structured interviews. The framework method was used for data analysis, assisted by ATLAS.ti software.Results: The assumption of prior learning by teachers and supervisors contributed to a sense of being overwhelmed and stressed. Teaching modules should be more standardised and focussed on the practical tasks and skills, rather than didactic theory. Lengthy provincial and ethics processes, and lack of institutional support, such as scholarly services and financial support, caused delays. The expertise of the supervisor was important, and the registrar–supervisor relationship should be constructive, collaborative and responsive. The individual research experience was dependent on choosing a feasible project and having dedicated time. The balancing of personal, professional and academic responsibilities was challenging.Conclusion: Training programmes should revise the teaching of research and improve institutional processes. Supervisors need to become more responsive, with adequate expertise. Provincial support is needed for streamlined approval and dedicated research time.Contribution: The study highlights ways in which teaching, and completion of research can be improved, to increase the supply of family physicians to the country.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140718559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interventions for Type 2 Diabetes reduction among older people living with HIV in Harare. 为减少哈拉雷地区感染艾滋病毒的老年人患上 2 型糖尿病而采取的干预措施。

IF 1

South African Family Practice Pub Date : 2024-03-26 DOI: 10.4102/safp.v66i1.5827

Nongiwe L Mhlanga, Thinavhuyo R Netangaheni

{"title":"Interventions for Type 2 Diabetes reduction among older people living with HIV in Harare.","authors":"Nongiwe L Mhlanga, Thinavhuyo R Netangaheni","doi":"10.4102/safp.v66i1.5827","DOIUrl":"https://doi.org/10.4102/safp.v66i1.5827","url":null,"abstract":"Background: Interventions for Type 2 Diabetes reduction among older people aged more than 50 years living with HIV (PLWH) are pertinent as they face excess risks amid a growing population of ageing PLWH.Aim: To describe interventions for Type 2 Diabetes reduction among older people living with HIV in Harare Urban DistrictSetting: The study was conducted in a low socio-economic setting from five primary health care clinics in Harare urban District.Methods: A qualitative multi-method approach was applied using an exploratory descriptive design and an integrative review literature. The exploratory descriptive study collected data from two purposively selected samples; (1) older PLWH and (2) nurses. Whittemore and Knafl's framework was used for the integrative literature review with articles from 2013 to 2023 selected. Data source triangulation was applied using Braun and Clark's content analysis framework. Ethical approval was obtained (14056739_CREC_CHS_2022).Results: 23 older PLWH with mean age, 62 years, 9 nurses with an average of 6 years' experience and 12 articles comprised the three data sources. Key themes that emerged were that, screening should include; assessment from a younger age; assessment of HIV and ART-specific risks; diagnostic testing of Type 2 diabetes tests at ART initiation and routinely. Health education should provide information on adequate physical activity parameters and increased consumption of fruits and vegetables. Metformin may be considered as a pharmacological intervention where lifestyle interventions fail.Conclusion: The proposed interventions suggest measures to reduce Type 2 Diabetes and mitigate excess risks faced by older PLWH.Contribution: Improved screening, health education and pharmacological interventions for older PLWH in primary health care settings enable Type 2 Diabetes reduction.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11019056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860094","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}

引用次数: 0

Medical interns’ training in family medicine at a district hospital and primary health care clinics in Middelburg, Mpumalanga 在姆普马兰加省米德尔堡的一家地区医院和初级保健诊所对实习医生进行家庭医学培训

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South African Family Practice Pub Date : 2024-03-26 DOI: 10.4102/safp.v66i1.5844

Lushiku Nkombua, Amir Rahimi

引用次数: 0

The views of family physicians on National Health Insurance in Gauteng Province, South Africa. 南非豪登省家庭医生对国民健康保险的看法。

IF 1

South African Family Practice Pub Date : 2024-03-25 DOI: 10.4102/safp.v66i1.5831

Shane D Murphy, Klaus Von Pressentin, Shabir A Moosa

{"title":"The views of family physicians on National Health Insurance in Gauteng Province, South Africa.","authors":"Shane D Murphy, Klaus Von Pressentin, Shabir A Moosa","doi":"10.4102/safp.v66i1.5831","DOIUrl":"https://doi.org/10.4102/safp.v66i1.5831","url":null,"abstract":"Background: Universal health coverage (UHC) improves national health outcomes while addressing social inequalities in access to quality healthcare services. The district health system (DHS) is critical to the success of UHC in South Africa through the National Health Insurance (NHI) scheme. Family physicians (FPs), as champions of primary care, are central to the DHS operation and implementation of NHI.Methods: This was a qualitative exploratory study that used semi-structured interviews to explore FPs views and engagement on NHI policy and implementation in their districts. Ten FPs were included through purposive sampling.Results: Most of the FPs interviewed were not engaged in either policy formulation or strategic planning. The NHI bill was seen as a theoretical ideology that lacked any clear plan. Family physicians expressed several concerns around corruption in governmental structures that could play out in NHI implementation. Family physicians felt unsupported within their district structures and disempowered to engage in rollout strategies. The FPs were able to provide useful solutions to health system challenges because of the design of their training programmes, as well as their experience at the primary care level.Conclusion: Healthcare governance in South Africa remains located in national and provincial structures. Devolution of governance to the DHS is required if NHI implementation is to succeed. The FPs need to be engaged in NHI strategies, to translate plans into actionable objectives at the primary care level.Contribution: This study highlights the need to involve FPs as key actors in implementing NHI strategies at a decentralised DHS governance level.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11019033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869896","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}

引用次数: 0

Crafting a compelling curriculum vitae: Navigating the path to professional success. 撰写令人信服的简历：引领职业成功之路。

IF 1

South African Family Practice Pub Date : 2024-03-25 DOI: 10.4102/safp.v66i1.5920

Chantelle C Van der Bijl, Arun Nair, Klaus B Von Pressentin

引用次数: 0

Using ChatGPT in family medicine and primary health care 在家庭医疗和初级保健中使用 ChatGPT

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South African Family Practice Pub Date : 2024-03-19 DOI: 10.4102/safp.v66i1.5895

Indiran Govender, John Tumbo, Sailesh Mahadeo

引用次数: 0

Investigating causes of the high prevalence of sexually transmitted infections in Du Noon 调查杜努恩性传播感染高发的原因

IF 1

South African Family Practice Pub Date : 2024-03-19 DOI: 10.4102/safp.v66i1.5794

Azhaar B.F. Dookhith, Adil Razack, Abdul-Aziez Isaacs

{"title":"Investigating causes of the high prevalence of sexually transmitted infections in Du Noon","authors":"Azhaar B.F. Dookhith, Adil Razack, Abdul-Aziez Isaacs","doi":"10.4102/safp.v66i1.5794","DOIUrl":"https://doi.org/10.4102/safp.v66i1.5794","url":null,"abstract":"Background: In South Africa, sexually transmitted infections (STIs) represent a significant public health issue. Sexually transmitted infections contribute significantly to the burden of disease in South Africa and are recognised as one of the main causes of the human immunodeficiency virus (HIV) epidemic. The aim of this study was to investigate the potential causes of the high prevalence of STIs in the Du Noon population.Methods: A mixed methodology study involving 40 participants between the ages of 18 years and 45 years was conducted at Du Noon community health centre from 01 May 2021 to 15 May 2021. Both structured questionnaires and one-on-one patient interviews with open-ended questions were utilised to collect data.Results: Cultural beliefs, having multiple partners, a lack of partner notification, alcohol consumption, and a lack of condom usage were found to be the main contributing factors to the high incidence of STIs. Sex education appears to be lacking. Our findings reflected the other well-known cultural and socioeconomic issues confronting South African communities, for example, poverty, age-disparate relationships, and polygamous relationships.Conclusion: The cultural perspectives and understandings of sexual interactions of older men appear to have an impact on younger generations; as do peer pressure, social media and other socio-economic factors. There is an urgent need to shift cultural ideologies and norms among the youth. More research is needed to understand the views and misconceptions of the general public about STIs.Contribution: This study highlighted how health education challenges, interpersonal relationships, and socioeconomic barriers are still important factors in STI transmission.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140230583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emergency care visits at a South African hospital: Implications for healthcare services and policy. 南非一家医院的急诊就诊情况：对医疗服务和政策的影响。

IF 1

South African Family Practice Pub Date : 2024-03-18 DOI: 10.4102/safp.v66i1.5816

Jacob A Adewole, John M Tumbo, Henry I Okonta

{"title":"Emergency care visits at a South African hospital: Implications for healthcare services and policy.","authors":"Jacob A Adewole, John M Tumbo, Henry I Okonta","doi":"10.4102/safp.v66i1.5816","DOIUrl":"https://doi.org/10.4102/safp.v66i1.5816","url":null,"abstract":"Background: A robust knowledge on the pattern of use of emergency care resources not only serves as an indicator of universal access to care but also provides a basis for quality improvement within the health system. This study was undertaken to describe the pattern of emergency room visits at Brits District Hospital (BDH) in North West province, South Africa. The objectives of this study were to determine the sociodemographic characteristics of emergency department (ED) users and other patterns of ED use.Methods: This was a cross-sectional descriptive study that was conducted at a district hospital. All patients who reported for emergency care in the ED in 2016 were eligible for the study. Data were extracted and analysed from a systematic sample of 355 clinical notes and hospital administrative records.Results: The age group that visited the ED most frequently (25.3%) was 25-34 years old. A high proportion of the ED users (60%) were self-referred, and only 38% were transported by the emergency medical response services (EMRS). Few (5.6%) presentations were of a non-urgent nature. Trauma-related conditions accounted for the most frequent presentation at the ED (36.5%).Conclusion: Although most ED users were self-referred, their clinical presentations were appropriate and underscore the need for policy strategies to reduce the burden of trauma in the catchment populationContribution: The study findings may have an impact on future health policies by providing decision-makers with baseline information on the pattern of use of ED resources, ensuring better resource deployment and greater access to care.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11019032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866591","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}

引用次数: 0

The lived experiences of HIV-positive women in rural Zimbabwe: A qualitative focus group study 津巴布韦农村艾滋病毒呈阳性妇女的生活经历：焦点小组定性研究

IF 1

South African Family Practice Pub Date : 2024-03-18 DOI: 10.4102/safp.v66i1.5823

Limkile Mpofu, M. Ganga-Limando

{"title":"The lived experiences of HIV-positive women in rural Zimbabwe: A qualitative focus group study","authors":"Limkile Mpofu, M. Ganga-Limando","doi":"10.4102/safp.v66i1.5823","DOIUrl":"https://doi.org/10.4102/safp.v66i1.5823","url":null,"abstract":"Background: The study explored and described the meaning attached to the lived experiences of women living with human immunodeficiency virus (HIV) in the rural context of Zimbabwe. Stigma and discrimination negatively impact one’s ability to perform the expected social roles, the quality of life, and the efforts to prevent the spread of HIV and acquired immunodeficiency syndrome (AIDS) and reduce HIV-related mortality. Thus, the study aims to understand the meaning attached to the lived experiences of HIV-positive women living in rural areas or villages of Matabeleland South province in Zimbabwe.Methods: The study used a qualitative, descriptive, and exploratory design. Four focus group discussions were conducted with 24 HIV-positive rural women living in Matabeleland South province, Zimbabwe. An Interpretative Phenomenological Analysis (IPA) was adopted to explore and describe the meaning attached to the lived experiences of women living with HIV.Results: Two interconnected themes were identified in the analysis with their sub-themes. These were: (1) struggle for social belonging, with subthemes – loss of social belonging and reduced access to community-based empowerment opportunities and (2) struggle for maintaining the quality of life with subthemes – lack of need-based community healthcare and food insecurity.Conclusion: Being a woman living with HIV in rural Zimbabwe means a perpetual struggle to maintain one’s humanness and quality of life.Contribution: This study’s results will support the efforts of the Zimbabwean government to improve the quality of life of HIV-positive women living in rural areas.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140231882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A community service doctor’s experiences of mental healthcare provision in rural Eastern Cape 一名社区服务医生在东开普省农村地区提供心理保健服务的经历

IF 1

South African Family Practice Pub Date : 2024-03-15 DOI: 10.4102/safp.v66i1.5849

D. Rall, Leslie Swartz

{"title":"A community service doctor’s experiences of mental healthcare provision in rural Eastern Cape","authors":"D. Rall, Leslie Swartz","doi":"10.4102/safp.v66i1.5849","DOIUrl":"https://doi.org/10.4102/safp.v66i1.5849","url":null,"abstract":"Background: Literature shows that in South Africa there are insufficient resources to meet mental healthcare needs. At general or district hospital level, the non-specialist doctor is often responsible for the holistic assessment and management of mental health service users. Such situations inevitably increase doctors’ care load as they are required to treat across disciplines. We highlight the particular challenges faced by a community service (CS) doctor in this context.Methods: The presented case study formed part of a larger project that investigated public mental healthcare provision in the Eastern Cape province. Data were collected through a once-off semi-structured interview with the participant. The interview was transcribed and data analysed by utilising thematic analysis to yield results.Results: The study suggests that the CS doctor experiences being overloaded with duties, and feels overwhelmed in a healthcare context that lacks resources needed for service provision, which may lead to inadequate mental healthcare provision to public health service users.Conclusion: Healthcare facilities in rural parts of the Eastern Cape province are in need of assistance. This in-depth account highlighted the consequences of working on the front line of a disadvantaged and under-resourced health system. The presented account can be interpreted as a cry for help by CS doctors for relevant authorities to improve access and provision of mental healthcare in the area.Contribution: The paper provides an exploration of the circumstances wherein mental healthcare is provided in rural parts of South Africa.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140241308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0