Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers

 

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dc.contributor.advisor Bonnici, François en_ZA
dc.contributor.author Parak, Yusuf en_ZA
dc.date.accessioned 2018-02-06T14:15:05Z
dc.date.available 2018-02-06T14:15:05Z
dc.date.issued 2017 en_ZA
dc.identifier.citation Parak, Y. 2017. Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/27333
dc.description.abstract Research Problem: The South African health system faces numerous challenges associated with its status as a middle-income developing nation. Wasteful expenditure and poor clinical outcomes arise from inefficient inter-organizational communication of patient information and the lack of a centralized health database. Research question: How does the experience of chronic disease patients with their health information inform the development of future health records in low income population groups? Proposition: Exploration of patient and health care workers experiences of medical records can inform their future development to enhance continuity of care. Objectives, methodology, procedures and outcome: Identification of an appropriate format, technological basis and functional design of a prototype medical record system by means of a phenomenological study conducted through in-depth interviews of patients and doctors in order to improve clinical care. Left and right hermeneutics were used to analyse the data and develop themes. Findings: Health records play a critical role in the clinics workflow processes, document the patients' management and clinical progress. They are an important intermediary in the relationship between the patient and the facility. Inefficiencies in the paper-based system lead to ineffective consultations, loss of continuity of care and discord between practitioners and patients. Improvement of the records format is required to provide ubiquitous access to health and improve patient health literacy. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Inclusive Innovation en_ZA
dc.subject.other Medical Record Keeping en_ZA
dc.subject.other Health Systems en_ZA
dc.title Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers en_ZA
dc.type Master Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Commerce en_ZA
dc.publisher.department Research of GSB en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MPhil en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Parak, Y. (2017). <i>Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers</i>. (Thesis). University of Cape Town ,Faculty of Commerce ,Research of GSB. Retrieved from http://hdl.handle.net/11427/27333 en_ZA
dc.identifier.chicagocitation Parak, Yusuf. <i>"Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers."</i> Thesis., University of Cape Town ,Faculty of Commerce ,Research of GSB, 2017. http://hdl.handle.net/11427/27333 en_ZA
dc.identifier.vancouvercitation Parak Y. Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers. [Thesis]. University of Cape Town ,Faculty of Commerce ,Research of GSB, 2017 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/27333 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Parak, Yusuf AB - Research Problem: The South African health system faces numerous challenges associated with its status as a middle-income developing nation. Wasteful expenditure and poor clinical outcomes arise from inefficient inter-organizational communication of patient information and the lack of a centralized health database. Research question: How does the experience of chronic disease patients with their health information inform the development of future health records in low income population groups? Proposition: Exploration of patient and health care workers experiences of medical records can inform their future development to enhance continuity of care. Objectives, methodology, procedures and outcome: Identification of an appropriate format, technological basis and functional design of a prototype medical record system by means of a phenomenological study conducted through in-depth interviews of patients and doctors in order to improve clinical care. Left and right hermeneutics were used to analyse the data and develop themes. Findings: Health records play a critical role in the clinics workflow processes, document the patients' management and clinical progress. They are an important intermediary in the relationship between the patient and the facility. Inefficiencies in the paper-based system lead to ineffective consultations, loss of continuity of care and discord between practitioners and patients. Improvement of the records format is required to provide ubiquitous access to health and improve patient health literacy. DA - 2017 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2017 T1 - Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers TI - Positive health: The passport approach to improving continuity of care for low income South African chronic disease sufferers UR - http://hdl.handle.net/11427/27333 ER - en_ZA


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