A community-involvement model for improving primary health care services in a Western Cape metropolitan municipality

Ethics Reference: 2021 FBMSREC 039The research population comprises fourteen clinic managers serving the twelve clinics in the area and fifteen purposively selected ward committee members. A mixed method design introduced implies the explanatory sequential mixed method. The design explains the results from the quantitative survey with clinic managers, through a Likert scale questionnaire with the qualitative findings from the open-ended responses received from the ward committees. The identity cards and lost clinic cards for children are priority needs identified at specific households by community leaders. The patient safety between residential areas, clinics, and the location of clinics outside public transport routes are interrelated complexities presented by community leaders, notwithstanding the exponential housing developments contrary to the slow clinic staff ratio. Hence, the model for health and well-being outlines a strategy to address such complexities. Amidst resource constraints within Eastern Sub District clinics, the strengthening and revitalisation of health committees are paramount as the ears and hands for each clinic while clinicians focus on core duties.

伦理参考：2021 FBMSREC 039 本研究之研究对象包括该地区十二家诊所的十四位临床经理及十五位经目的性选取的病房委员会成员。所采用的混合方法设计为解释性递进混合方法，通过针对临床经理的定量调查结果，结合由病房委员会提供的开放式回应所得的定性发现进行结果解释。社区领袖在特定家庭中识别出身份卡和遗失诊所卡为优先需求。社区领袖指出，居住区、诊所以及位于公共交通路线之外的诊所位置之间的患者安全构成了相互关联的复杂问题，尽管住房发展呈指数级增长，但诊所工作人员的比例增长缓慢。因此，健康与福祉模型概述了一种应对此类复杂性的策略。在东区次区诊所资源受限的背景下，强化和振兴健康委员会成为重中之重，它们是每家诊所的耳目和手足，以便临床医生能够专注于核心职责。