The Use of EUROPEP in South Africa: An Internationally Standardised Instrument to Evaluate General Practice

Peltzer, Karl; Phaswana‐Mafuya, Nancy; Davids, A.

doi:10.1080/14330237.2010.10820351

Cited by 1 publication

(2 citation statements)

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“…Thirteen studies24–36 addressed eight nationally validated PC performance instruments—namely the South African and Malawian versions of the Primary Care Assessment Tool (ZA PCAT and PCAT-Mw respectively)26 34; the electronic Tool to Improve Quality of Healthcare (e-TIQH) in Tanzania25; the Nigerian Patient Evaluation Scale (PES)31; the South African Ideal Clinic Realisation and Maintenance (ICRM) instrument29; SafeCare Essentials tool33; the European Task Force for Patient Evaluation of General Practice (EUROPEP)37; and the Client Satisfaction Survey Questionnaire 35. (Information on instruments is summarised in Appendix D uploaded as a supplementary file.)…”

Section: Resultsmentioning

confidence: 99%

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Primary health care performance: a scoping review of the current state of measurement in Africa

et al. 2019

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IntroductionCountries with strong primary healthcare (PHC) report better health outcomes, fewer hospital admissions and lower expenditure. People-centred care that delivers essential elements of primary care (PC) leads to improved health outcomes and reduced costs and disparities. Such outcomes underscore the need for validated instruments that measure the extent to which essential, evidence-based features of PC are available and applied to users; and to ensure quality care and provider accountability.MethodsA systematic scoping review method was used to identify peer-reviewed African studies and grey literature on PC performance measurement. The service delivery dimension in the Primary Healthcare Performance Initiative conceptual framework was used to identify key measurable components of PC.ResultsThe review identified 19 African studies and reports that address measuring elements of PC performance. 13 studies included eight nationally validated performance measuring instruments. Of the eight, the South African and Malawian versions of Primary Care Assessment Tool measured service delivery comprehensively and involved PC user, provider and manager stakeholders.Conclusion40 years after Alma Ata and despite strong evidence for people-centred care, significant gaps remain regarding use of validated instruments to measure PC performance in Africa; few validated instruments have been used. Agreement on indicators, fit-for-purpose validated instruments and harmonising existing instruments is needed. Rigorous performance-based research is necessary to inform policy, resource allocation, practice and health worker training; and to ensure access to high quality care in a universal health coverage (UHC) system—research with potential to promote socially responsive, accountable PHC in the true spirit of the Alma Ata and Astana Declarations.

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Section: Resultsmentioning

confidence: 99%

“…The PES enables patients to evaluate elements of facility organisation and health services provided (table 2); the EUROPEP enables patient evaluation of provider competence, patient–provider communication and practice organisation. The EUROPEP study37 assessed the psychometric properties of the South African (isiXhosa) version.…”

Section: Discussionmentioning

confidence: 99%