Derek Hellenberg
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View article: A framework for implementation of community orientated primary care in the Metro Health Services, Cape Town, South Africa
A framework for implementation of community orientated primary care in the Metro Health Services, Cape Town, South Africa Open
In South Africa national policy on re-engineering primary health care (PHC) supports the implementation of ward-based outreach teams with community health workers. In the Western Cape a community–orientated primary care (COPC) approach has…
View article: A framework for implementation of community-orientated primary care in the Metro Health Services, Cape Town, South Africa
A framework for implementation of community-orientated primary care in the Metro Health Services, Cape Town, South Africa Open
In South Africa, the national policy on re-engineering primary health care (PHC) supports the implementation of ward-based outreach teams with community health workers. In the Western Cape, a community-orientated primary care (COPC) approa…
View article: Training family physicians: A qualitative exploration of experiences of registrars in a family medicine training programme in Cape Town, South Africa
Training family physicians: A qualitative exploration of experiences of registrars in a family medicine training programme in Cape Town, South Africa Open
Background: The MMed in Family Medicine is a professional Master’s qualification spanning 4 years of training. The outcomes were predetermined by national consensus. While these outcomes are measured in the form of a national exit examinat…
View article: Development and validation of a tool to measure patient experience in chronic disease care
Development and validation of a tool to measure patient experience in chronic disease care Open
Background: There is a global increase in the prevalence of non-communicable diseases and a growing understanding that patients need to be involved in their care. Patient experience should be assessed and the information used to improve on…
View article: Medical students’ perceptions on euthanasia and physician-assisted suicide: Are they fully informed?
Medical students’ perceptions on euthanasia and physician-assisted suicide: Are they fully informed? Open
CITATION: Burger, H. et al. 2018. Medical students' perceptions on euthanasia and physician-assisted suicide : are they fully informed? South African Medical Journal, 108(9):705, doi:10.7196/SAMJ.2018.v108i9.13528.
View article: Strengths and limitations of a family physician
Strengths and limitations of a family physician Open
Family physicians (FP) practising in different parts of the world may require different sets of knowledge and skills to satisfy the needs of the communities in which they work as well as the requirements of the professional bodies with whi…
View article: Building freeways: piloting communication skills in additional languages to health service personnel in Cape Town, South Africa
Building freeways: piloting communication skills in additional languages to health service personnel in Cape Town, South Africa Open
In multilingual countries such as South Africa, language has been recognised as a health care barrier preventing patients from receiving quality care. Equipping health care staff with communication skills in the additional languages, repre…
View article: Profile and anticoagulation outcomes of patients on warfarin therapy in an urban hospital in Cape Town, South Africa
Profile and anticoagulation outcomes of patients on warfarin therapy in an urban hospital in Cape Town, South Africa Open
Background: Warfarin is the most frequently used oral anticoagulant worldwide and it is the oral anticoagulant of choice in South Africa for reducing thrombosis-related morbidity and mortality. However, the safety and efficacy of warfarin …
View article: Western Cape Primary Care Assessment Tool (PCAT) study: Measuring primary care organisation and performance in the Western Cape Province, South Africa (2013)
Western Cape Primary Care Assessment Tool (PCAT) study: Measuring primary care organisation and performance in the Western Cape Province, South Africa (2013) Open
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…
View article: Approach to chest pain and acute myocardial infarction
Approach to chest pain and acute myocardial infarction Open
Patient history, physical examination, 12-lead electrocardiogram (ECG) and cardiac biomarkers are key components of an effective chest pain assessment. The first priority is excluding serious chest pain syndromes, namely acute coronary syn…
View article: Diabetes mellitus and non-traumatic lower extremity amputations in four public sector hospitals in Cape Town, South Africa, during 2009 and 2010
Diabetes mellitus and non-traumatic lower extremity amputations in four public sector hospitals in Cape Town, South Africa, during 2009 and 2010 Open
These data demonstrate an alarming burden of LEAs due to DM in the public sector in Cape Town. Given that the majority of LEAs are preventable with adequate education, screening, treatment and follow-up, effective interventions are needed.
View article: Impact of transthoracic echocardiography at district hospital level
Impact of transthoracic echocardiography at district hospital level Open
ECHO has a positive impact on patient management outside tertiary settings, where the definition of impact appears to be different. The value of a normal study, screening prior to upstream referral and usefulness irrespective of change hav…
View article: The contribution of family physicians to district health services: a national position paper for South Africa
The contribution of family physicians to district health services: a national position paper for South Africa Open
This position paper on Family Medicine in South Africa was written for the National Department of Health in 2014 for the purposes of delivering a comprehensive assessment of the contribution that family physicians could make to the health …