Naidoo Mergan, Suthiram Kimera T
Department of Family Medicine, School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban.
Afr J Prim Health Care Fam Med. 2025 Apr 8;17(1):e1-e5. doi: 10.4102/phcfm.v17i1.4876.
In resource-constrained healthcare settings, clinical governance and risk management are critical to improving patient outcomes and efficiently using limited resources. This article describes an innovative strategy implemented at a South African district hospital led by family physicians to optimise admissions and care prioritisation. The protocol established a designated high-care unit and admissions ward, ensuring that all new admissions were seen by a family physician, allowing family physicians to focus on the sickest patients requiring immediate intervention. This structured approach improved clinical oversight, reduced medical errors, and decreased morbidity and mortality. By efficiently allocating the expertise of family physicians, the intervention demonstrated measurable improvements in care delivery and patient safety. This model highlights the leadership role of family physicians in clinical governance and presents a scalable solution for similar resource-limited healthcare settings.
在资源有限的医疗环境中，临床治理和风险管理对于改善患者治疗效果以及有效利用有限资源至关重要。本文介绍了在南非一家区级医院实施的一项创新策略，该策略由家庭医生牵头，旨在优化住院安排和护理优先级。该方案设立了一个指定的重症监护病房和入院病房，确保所有新入院患者都能由家庭医生诊治，使家庭医生能够专注于最需要立即干预的重症患者。这种结构化方法改善了临床监督，减少了医疗差错，并降低了发病率和死亡率。通过有效分配家庭医生的专业知识，该干预措施在医疗服务提供和患者安全方面取得了可衡量的改善。该模式凸显了家庭医生在临床治理中的领导作用，并为类似资源有限的医疗环境提供了可扩展的解决方案。
