A new health care profession in rural district hospitals : a case study of the introduction of clinical associates in Shongwe hospital

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dc.contributor.author Bac, Martin
dc.contributor.author Hamm, Joris
dc.contributor.author Van Bodegraven, Petra
dc.contributor.author Pater, B.
dc.contributor.author Louw, J.M. (Jakobus Murray)
dc.date.accessioned 2018-02-12T15:09:47Z
dc.date.available 2018-02-12T15:09:47Z
dc.date.issued 2017-01-27
dc.description.abstract BACKGROUND : One of the reasons to develop training courses for medical mid-level workers in South Africa is a shortage of doctors. The introduction of this new profession has led to task sharing and redefining of professional boundaries. The primary aim of this study is to evaluate the introduction of new healthcare professionals in a rural hospital district. METHODS : This multi-method qualitative research study used a semi-structured questionnaire to assess the effectiveness of Clinical Associates. A review of documents from 2012 to 2015 was done including a longitudinal study of the development of the Bachelor in Clinical Medical Practice (BCMP) programme at Shongwe hospital. RESULTS : Three Clinical Associates in 2011 and six Clinical Associates in 2014 completed questionnaires. Student satisfaction increased as measured with the Med IQ tool. At the end of 2013 Shongwe Clinical Learning Centre (CLC) had improved from last position out of 17 CLCs in 2011 to position number eight in 2014. Casualty was run by Clinical Associates and during observations it became clear that Clinical Associates were able to take responsibility for outpatient departments (OPDs), the emergency unit and some wards with supervision by a doctor. CONCLUSION : The introduction of the BCMP programme and the establishment of a Clinical Learning Centre in Shongwe hospital have led to improved patient care and a more conducive environment for teaching and learning. With the availability of more Clinical Associates vacant medical officer posts can be converted to employ Clinical Associates to serve patients without an increase in the cost of total human resources. en_ZA
dc.description.department Family Medicine en_ZA
dc.description.librarian am2018 en_ZA
dc.description.sponsorship The University of Pretoria en_ZA
dc.description.uri http://www.tandfonline.com/loi/ojfp20 en_ZA
dc.description.uri http://www.safpj.co.za/index.php/safpj en_ZA
dc.identifier.citation M Bac, JMA Hamm, PC van Bodegraven, B Pater & JM Louw (2017) A new health care profession in rural district hospitals: a case study of the introduction of Clinical Associates in Shongwe hospital, South African Family Practice, 59:1, 14-17, DOI: 10.1080/20786190.2016.1248144. en_ZA
dc.identifier.issn 2078-6190 (print)
dc.identifier.issn 2078-6204 (online)
dc.identifier.other 10.1080/20786190.2016.1248144
dc.identifier.uri http://hdl.handle.net/2263/63934
dc.language.iso en en_ZA
dc.publisher Medpharm Publications, NISC (Pty) Ltd and Cogent, Taylor and Francis Group en_ZA
dc.rights © 2017 The Author(s). Open Access article distributed under the terms of the Creative Commons License [CC BY-NC-ND 4.0]. en_ZA
dc.subject Clinical associates en_ZA
dc.subject Primary health care team en_ZA
dc.subject Rural health en_ZA
dc.subject Task sharing en_ZA
dc.title A new health care profession in rural district hospitals : a case study of the introduction of clinical associates in Shongwe hospital en_ZA
dc.type Article en_ZA


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