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Browsing by Author "Zwarenstein, Merrick"

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Chest radiograph in acute respiratory infections

Author: Swingler, George H ; Zwarenstein, Merrick Date: 2005 Background: Chest radiography is widely used during the management of acute lower respiratory infections, but the benefits are unknown. Objectives: To assess the effects of chest radiography on clinical outcome in acute lower respiratory ... Read more
Diagnostic accuracy of an integrated respiratory guideline in identifying patients with respiratory symptoms requiring screening for pulmonary tuberculosis: a cross-sectional study

Author: English, Rene ; Bachmann, Max ; Bateman, Eric ; Zwarenstein, Merrick ; Fairall, Lara ; Bheekie, Angeni ; Majara, Bosielo ; Lombard, Carl ; Scherpbier, Robert ; Ottomani, Salah Date: 2006 BACKGROUND:To evaluate the diagnostic accuracy of the integrated Practical Approach to Lung Health in South Africa (PALSA) guideline in identifying patients requiring bacteriological screening for tuberculosis (TB), and to determine which ... Read more c b
Educational outreach to general practitioners reduces children's asthma symptoms: a cluster randomised controlled trial

Author: Zwarenstein, Merrick ; Bheekie, Angeni ; Lombard, Carl ; Swingler, George ; Ehrlich, Rodney ; Eccles, Martin ; Sladden, Michael ; Pather, Sandra ; Grimshaw, Jeremy ; Oxman, Andrew Date: 2007 BACKGROUND:Childhood asthma is common in Cape Town, a province of South Africa, but is underdiagnosed by general practitioners. Medications are often prescribed inappropriately, and care is episodic. The objective of this study is to assess ... Read more c b
Effectiveness of a group diabetes education programme in underserved communities in South Africa: pragmatic cluster randomized control trial

Author: Mash, Bob ; Levitt, Naomi ; Steyn, Krisela ; Zwarenstein, Merrick ; Rollnick, Stephen Date: 2012 BACKGROUND: Diabetes is an important contributor to the burden of disease in South Africa and prevalence rates as high as 33% have been recorded in Cape Town. Previous studies show that quality of care and health outcomes are poor. The ... Read more c b
From PALSA PLUS to PALM PLUS: adapting and developing a South African guideline and training intervention to better integrate HIV/AIDS care with primary care in rural health centers in Malawi

Author: Schull, Michael ; Cornick, Ruth ; Thompson, Sandy ; Faris, Gill ; Fairall, Lara ; Burciul, Barry ; Sodhi, Sumeet ; Draper, Beverley ; Joshua, Martias ; Mondiwa, Martha ; Banda, Hastings ; Kathyola, Damson ; Bateman, Eric ; Zwarenstein, Merrick Date: 2011 BACKGROUND: Only about one-third of eligible HIV/AIDS patients receive anti-retroviral treatment (ART). Decentralizing treatment is crucial to wider and more equitable access, but key obstacles are a shortage of trained healthcare workers ... Read more c b
Implementing nurse-initiated and managed antiretroviral treatment (NIMART) in South Africa: a qualitative process evaluation of the STRETCH trial

Author: Georgeu, Daniella ; Colvin, Christopher ; Lewin, Simon ; Fairall, Lara ; Bachmann, Max ; Uebel, Kerry ; Zwarenstein, Merrick ; Draper, Beverly ; Bateman, Eric Date: 2012 BACKGROUND:Task-shifting is promoted widely as a mechanism for expanding antiretroviral treatment (ART) access. However, the evidence for nurse-initiated and managed ART (NIMART) in Africa is limited, and little is known about the key barriers ... Read more c b
Streamlining tasks and roles to expand treatment and care for HIV: randomised controlled trial protocol

Author: Fairall, Lara ; Bachmann, Max ; Zwarenstein, Merrick ; Lombard, Carl ; Uebel, Kerry ; van Vuuren, Cloete ; Steyn, Dewald ; Boulle, Andrew ; Bateman, Eric Date: 2008 BACKGROUND: A major barrier to accessing free government-provided antiretroviral treatment (ART) in South Africa is the shortage of suitably skilled health professionals. Current South African guidelines recommend that only doctors should ... Read more c b
Strengthening health human resources and improving clinical outcomes through an integrated guideline and educational outreach in resource-poor settings: a cluster-randomized trial

Author: Schull, Michael ; Banda, Hastings ; Kathyola, Damson ; Fairall, Lara ; Martiniuk, Alexandra ; Burciul, Barry ; Zwarenstein, Merrick ; Sodhi, Sumeet ; Thompson, Sandy ; Joshua, Martias ; Mondiwa, Martha ; Bateman, Eric Date: 2010 BACKGROUND:In low-income countries, only about a third of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) patients eligible for anti-retroviral treatment currently receive it. Providing decentralized treatment close ... Read more c b
Supporting middle-cadre health care workers in Malawi: lessons learned during implementation of the PALM PLUS package

Author: Sodhi, Sumeet ; Banda, Hastings ; Kathyola, Damson ; Joshua, Martias ; Richardson, Faye ; Mah, Emmay ; MacGregor, Hayley ; Kanike, Emmanuel ; Thompson, Sandy ; Fairall, Lara ; Bateman, Eric ; Zwarenstein, Merrick ; Schull, Michael J Date: 12 May 2014 Background: The government of Malawi is committed to the broad rollout of antiretroviral treatment in Malawi in the public health sector; however one of the primary challenges has been the shortage of trained health care workers. The Practical ... Read more c b
Task shifting and integration of HIV care into primary care in South Africa: The development and content of the streamlining tasks and roles to expand treatment and care for HIV (STRETCH) intervention

Author: Uebel, Kerry ; Fairall, Lara ; van Rensburg, Dingie ; Mollentze, Willie ; Bachmann, Max ; Lewin, Simon ; Zwarenstein, Merrick ; Colvin, Christopher ; Georgeu, Daniella ; Mayers, Pat ; Faris, Gill ; Lombard, Carl ; Bateman, Eric Date: 2011 BACKGROUND:Task shifting and the integration of human immunodeficiency virus (HIV) care into primary care services have been identified as possible strategies for improving access to antiretroviral treatment (ART). This paper describes the ... Read more c b

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Browsing by Author "Zwarenstein, Merrick"

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