Burden of upper respiratory tract infections in primary care facilities and excessive antimicrobial over-prescription: A community-oriented primary care project in rural Kenya
This study demonstrates the value of family physicians in clinical governance and improving the quality of care through implementation of guidelines and training. Joint action with the Kilifi county Ministry of Health and the private sector is needed to address mal-regulated access to AMs beyond health facility control.PMID:34879697 | DOI:10.4102/phcfm.v13i1.3107 (Source: Primary Care)
Source: Primary Care - December 9, 2021 Category: Primary Care Authors: Nelson Nyamu Florence Mbatia Pieter Van den Hombergh Simone Jaarsma Felix Agoi Jacob Shabani Michaela Mantel Fleur O De Meijer Source Type: research

Continuous improvement in healthcare support on NATO operations
An unprecedented characteristic of modern healthcare is the progressive increase in information that is available to provide optimal services to patients. Healthcare organisations need to effectively process information, by identifying proper sources and relevance of evidence in order to outline a credible management system. The North Atlantic Treaty Organization (NATO) Military Committee advocates the provision of evidence-based practices in medical support to deployed forces. Moreover, the changing and adapting requirements to deliver up-to-date medical solutions in NATO must also be balanced against the difficult marria...
Source: Journal of the Royal Army Medical Corps - November 23, 2021 Category: General Medicine Authors: Frassini, J. Tags: Personal view Source Type: research

Technologically FIT for the future; utilising technology to support and future proof practice
Purpose: To provide an overall evaluation of how moving from analogue to digital processes (electronic note keeping and exercise prescription) has improved service; exploring key themes including patient experience, clinical governance, business growth and societal shift. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: D. Hurley, J. Atkinson Tags: P153 Source Type: research

The contribution of family physicians in coordinating care and improving access at district hospitals: The False Bay experience, South Africa
Afr J Prim Health Care Fam Med. 2021 Nov 18;13(1):e1-e4. doi: 10.4102/phcfm.v13i1.3226.ABSTRACTThis 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 ...
Source: Primary Care - November 19, 2021 Category: Primary Care Authors: Liezel Rossouw Hoosain Lalkhen Kaashiefah Adamson Klaus B Von Pressentin Source Type: research

The contribution of family physicians to surgical capacity at district hospitals in South Africa
This report illustrates the contribution of a FP to surgical care at Zithulele Hospital in the Eastern Cape. Family physicians not only bring the necessary clinical skills set but also increase the confidence and capacity of the whole team. Outreach and support by surgeons, as well as continuing professional development, are important. Surgical and anaesthetic skills must be developed together. Family physicians also bring leadership and clinical governance skills that ensure the inputs to support surgery, such as equipment and information systems are available. The contribution of FPs to surgery and district hospitals is ...
Source: Primary Care - November 19, 2021 Category: Primary Care Authors: Hans Hendriks Adeloye Adeniji Louis Jenkins Robert J Mash Source Type: research

The contribution of family physicians in coordinating care and improving access at district hospitals: The False Bay experience, South Africa
Afr J Prim Health Care Fam Med. 2021 Nov 18;13(1):e1-e4. doi: 10.4102/phcfm.v13i1.3226.ABSTRACTThis 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 ...
Source: Primary Care - November 19, 2021 Category: Primary Care Authors: Liezel Rossouw Hoosain Lalkhen Kaashiefah Adamson Klaus B Von Pressentin Source Type: research

The contribution of family physicians to surgical capacity at district hospitals in South Africa
This report illustrates the contribution of a FP to surgical care at Zithulele Hospital in the Eastern Cape. Family physicians not only bring the necessary clinical skills set but also increase the confidence and capacity of the whole team. Outreach and support by surgeons, as well as continuing professional development, are important. Surgical and anaesthetic skills must be developed together. Family physicians also bring leadership and clinical governance skills that ensure the inputs to support surgery, such as equipment and information systems are available. The contribution of FPs to surgery and district hospitals is ...
Source: Primary Care - November 19, 2021 Category: Primary Care Authors: Hans Hendriks Adeloye Adeniji Louis Jenkins Robert J Mash Source Type: research

The contribution of family physicians in coordinating care and improving access at district hospitals: The False Bay experience, South Africa
Afr J Prim Health Care Fam Med. 2021 Nov 18;13(1):e1-e4. doi: 10.4102/phcfm.v13i1.3226.ABSTRACTThis 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 ...
Source: Primary Care - November 19, 2021 Category: Primary Care Authors: Liezel Rossouw Hoosain Lalkhen Kaashiefah Adamson Klaus B Von Pressentin Source Type: research

The contribution of family physicians to surgical capacity at district hospitals in South Africa
This report illustrates the contribution of a FP to surgical care at Zithulele Hospital in the Eastern Cape. Family physicians not only bring the necessary clinical skills set but also increase the confidence and capacity of the whole team. Outreach and support by surgeons, as well as continuing professional development, are important. Surgical and anaesthetic skills must be developed together. Family physicians also bring leadership and clinical governance skills that ensure the inputs to support surgery, such as equipment and information systems are available. The contribution of FPs to surgery and district hospitals is ...
Source: Primary Care - November 19, 2021 Category: Primary Care Authors: Hans Hendriks Adeloye Adeniji Louis Jenkins Robert J Mash Source Type: research

Whakarongorau Aotearoa: insight into the delivery of New Zealand's national telehealth services
N Z Med J. 2021 Oct 22;134(1544):129-137.ABSTRACTWhakarongorau Aotearoa/New Zealand Telehealth Services, formerly known as Homecare Medical, is New Zealand's largest digital healthcare service. It originated as a house call doctor service about 20 years ago and now delivers free 24/7 telehealth services to the New Zealand public 365 days a year. Whakarongorau Aotearoa changed its name in April 2021 to reflect the growing kaupapa and was gifted this whakataukī: He reo mārohirohi ka taringa rongohia-A brave voice deserves a listening ear. This viewpoint sets out to address a number of public and professional misconceptions...
Source: New Zealand Medical Journal - October 25, 2021 Category: General Medicine Authors: Fiona Pienaar Matt Wright Robin Cooper Kristin Good Andrew Slater Source Type: research