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      Recommendations to facilitate managers’ compliance with quality standards at primary health care clinics

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          Abstract

          Background

          The Republic of South Africa (RSA) is shifting towards universal health coverage and a unified health system. This milestone can be achieved through the implementation of National Health Insurance (NHI). To employ NHI, health establishments in the country are compelled to comply with quality standards. The non-compliance with quality standards at primary health care (PHC) clinics within a district in Gauteng, which was verified by quality standards’ audit reports, prompted an intervention. No prior research aimed at facilitating managers’ compliance with quality standards has been conducted within the context under study. This research gap necessitated an exploration on how managers’ compliance to quality standards at PHC clinics within a district in Gauteng could best be facilitated.

          Objectives

          To describe recommendations to facilitate managers’ compliance with quality standards at PHC clinics within a district in Gauteng.

          Method

          A qualitative, exploratory, descriptive and contextual research design was used in this study. Semi-structured, individual interviews were conducted.

          Results

          The recommendations to facilitate managers’ compliance with quality standards at PHC clinics within a district in Gauteng were described. However, for the purpose of this article, only the recommendations seeking to address challenges with management practices as a reason for non-compliance with quality standards at PHC clinics will be discussed. These recommendations include involvement of PHC clinic managers in decision-making, adequate support from senior management and improvement of internal communication practices.

          Conclusion

          The researcher concludes that the senior management team in the district under study should strive to embrace the described recommendations as a strategy to facilitate managers’ compliance to quality standards at PHC clinics.

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          Most cited references48

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          What fosters or prevents interprofessional teamworking in primary and community care? A literature review.

          The increase in prevalence of long-term conditions in Western societies, with the subsequent need for non-acute quality patient healthcare, has brought the issue of collaboration between health professionals to the fore. Within primary care, it has been suggested that multidisciplinary teamworking is essential to develop an integrated approach to promoting and maintaining the health of the population whilst improving service effectiveness. Although it is becoming widely accepted that no single discipline can provide complete care for patients with a long-term condition, in practice, interprofessional working is not always achieved. This review aimed to explore the factors that inhibit or facilitate interprofessional teamworking in primary and community care settings, in order to inform development of multidisciplinary working at the turn of the century. A comprehensive search of the literature was undertaken using a variety of approaches to identify appropriate literature for inclusion in the study. The selected articles used both qualitative and quantitative research methods. Following a thematic analysis of the literature, two main themes emerged that had an impact on interprofessional teamworking: team structure and team processes. Within these two themes, six categories were identified: team premises; team size and composition; organisational support; team meetings; clear goals and objectives; and audit. The complex nature of interprofessional teamworking in primary care meant that despite teamwork being an efficient and productive way of achieving goals and results, several barriers exist that hinder its potential from becoming fully exploited; implications and recommendations for practice are discussed. These findings can inform development of current best practice, although further research needs to be conducted into multidisciplinary teamworking at both the team and organisation level, to ensure that enhancement and maintenance of teamwork leads to an improved quality of healthcare provision.
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            Factors influencing healthcare service quality.

            The main purpose of this study was to identify factors that influence healthcare quality in the Iranian context.
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              Determinants of implementation effectiveness: adapting a framework for complex innovations.

              Many innovations in the health sector are complex, requiring coordinated use by multiple organizational members to achieve benefits. Often, complex innovations are adopted with great anticipation only to fail during implementation. The health services literature provides limited conceptual guidance to researchers and practitioners about implementation of complex innovations. In the present study, we adapt an organizational framework of innovation implementation developed and validated in a manufacturing setting and explore the extent to which it aptly characterizes implementation in health sector organizations. Through comparative case studies of four cancer clinical research networks, we illustrate how this conceptual framework captures key determinants of the implementation of new programs in cancer prevention and control (CP/C) research and helps explain observed differences in implementation effectiveness. Key determinants include management support and innovation-values fit, which contribute to an organizational "climate" for implementation. We explore the implications for researchers and managers.
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                Author and article information

                Journal
                Curationis
                Curationis
                CUR
                Curationis
                AOSIS
                0379-8577
                2223-6279
                23 April 2019
                2019
                : 42
                : 1
                : 1984
                Affiliations
                [1 ]Department of Nursing Science, University of Johannesburg, Johannesburg, South Africa
                Author notes
                Corresponding author: Lebuile Mogakwe, mogakwelj@ 123456ufs.ac.za
                Author information
                https://orcid.org/0000-0001-9533-4617
                https://orcid.org/0000-0003-0691-5327
                https://orcid.org/0000-0002-7508-5577
                Article
                CUR-42-1984
                10.4102/curationis.v42i1.1984
                6489143
                31038329
                e07f1148-dcdd-43d2-9c55-1cc834a67e8e
                © 2019. The Authors

                Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.

                History
                : 25 June 2018
                : 09 December 2018
                Categories
                Original Research

                facilitating,managers,compliance,quality standards,primary health care clinics

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