Western Cape Primary Care Assessment Tool (PCAT) study: Measuring primary care organisation and performance in the Western Cape Province, South Africa (2013)

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Western Cape Primary Care Assessment Tool (PCAT) study: Measuring primary care organisation and performance in the Western Cape Province, South Africa (2013)
 
Creator Bresick, Graham F. Sayed, Abdul-Rauf le Grange, Cynthia Bhagwan, Susheela Manga, Nayna Hellenberg, Derek
 
Subject Family medicine; primary health care; primary care systems research primary care metrics; essential elements; measuring performance
Description Background: Major health sector reform and the need for baseline measures of performance to determine impact.Aim: Baseline audit of primary healthcare (PHC) performance.Setting: Cape Town and Cape Winelands (rural) PHC facilities (PCFs) in Western Cape Province, South Africa.Method: The South African cross-culturally validated ZA PCAT to audit PHC performance on 11 subdomains associated with improved health and reduced costs. Adult PCF users systematically sampled. All full-time doctors and nurse practitioners in PCFs sampled and all PCF managers in sub-districts sampled invited into the study.Results: Data from 1432 users, 100 clinicians and 64 managers from 13 PCFs in 10 sub-districts analysed (figures show stakeholder percentages scoring subdomain performance ‘acceptable to good’). 11.5% users scored access ‘acceptable to good’; community orientation and comprehensive services provided 20.8% and 39.9%, respectively. Total PHC score for users 50.2%; for managers and practitioners 82.8% and 88.0%, respectively. Among practitioners access was lowest (33.3%); PHC team (98.0%) and comprehensive services available (100.0%) highest. Among managers, access (13.5%) and family centredness (45.6%) are lowest; PHC team (85.9%) and comprehensive services available (90.6%) highest. Managers scored access, family centredness and cultural competence significantly lower than practitioners. Users scored comprehensive services available, comprehensive services provided and community orientation significantly lower than practitioners and managers.Conclusion: Gaps between users’ experience and providers’ assessments of PHC performance are identified. Features that need strengthening and alignment with best practice, provincial and national, and health policies are highlighted with implications for practitioner and manager training, health policy, and research.
 
Publisher AOSIS
 
Contributor European Union
Date 2016-05-19
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — performance audit
Format text/html application/octet-stream text/xml application/pdf
Identifier 10.4102/phcfm.v8i1.1057
 
Source African Journal of Primary Health Care & Family Medicine; Vol 8, No 1 (2016); 12 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/1057/1624 https://phcfm.org/index.php/phcfm/article/view/1057/1622 https://phcfm.org/index.php/phcfm/article/view/1057/1623 https://phcfm.org/index.php/phcfm/article/view/1057/1593 https://phcfm.org/index.php/phcfm/article/downloadSuppFile/1057/1790 https://phcfm.org/index.php/phcfm/article/downloadSuppFile/1057/1791 https://phcfm.org/index.php/phcfm/article/downloadSuppFile/1057/1792
 
Coverage Western Cape 2013 adult primary care users
Rights Copyright (c) 2016 Graham F. Bresick, Abdul-Rauf Sayed, Cynthia le Grange, Susheela Bhagwan, Nayna Manga, Derek Hellenberg https://creativecommons.org/licenses/by/4.0
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