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Global Health Action Volume 6, 2013 - Issue 1
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Original Articles

Implementation of national guidelines, incorporated within structured diabetes and hypertension records at primary level care in Cape Town, South Africa: a randomised controlled trial

Krisela SteynDepartment of Medicine, Chronic Disease Initiative for Africa, University of Cape Town, Cape Town, South Africa;Chronic Diseases of Lifestyle Unit, Medical Research Council, Tygerberg, South AfricaCorrespondence[email protected]
,
Carl LombardBiostatistics Unit, Medical Research Council, Tygerberg, South Africa
,
Nomonde GwebusheBiostatistics Unit, Medical Research Council, Tygerberg, South Africa
,
Jean M. FourieChronic Diseases of Lifestyle Unit, Medical Research Council, Tygerberg, South Africa
,
Katherine Everett-MurphyChronic Diseases of Lifestyle Unit, Medical Research Council, Tygerberg, South Africa
,
Merrick ZwarensteinDepartment of Family Medicine, Centre for Studies in Family Medicine, Western University, London, Ontario, Canada
&
Naomi S. LevittDepartment of Medicine, Chronic Disease Initiative for Africa, University of Cape Town, Cape Town, South Africa
 show all
Article: 20796 | Received 07 Mar 2013, Accepted 12 Aug 2013, Published online: 25 Sep 2013

References

  • Bradshaw D , Norman R , Pieterse D , Levitt NS . Estimating the burden of disease attributable to diabetes in South Africa in 2000. S Afr Med J. 2007; 97: 700–6.
  • Levitt NS , Zwarenstein MF , Bawa AA , Maphumolo S . Audit of public sector primary diabetes care in Cape Town, South Africa: high prevalence of complications, uncontrolled hyperglycaemia, and hypertension. Diabetic Med. 1997; 14: 1073–7.
  • Peer N , Steyn K , Dennison CR , Levitt NS , Nyo MT , Nel JH , etal. Determinants of target organ damage in black hypertensive patients attending primary health care services in Cape Town: the Hi-Hi study. Am J Hypertens. 2008; 21: 896–902.
  • Grimshaw J , McAuley LM , Bero LA , Grilli R , Oxman AD , Ramsay C , etal. Systematic reviews of the effectiveness of quality improvement strategies and programmes. Qual Saf Health Care. 2003; 12: 298–303.
  • Working Group of the National Diabetes Advisory Board. Guidelines for the management of type 2 (non-insulin dependent) diabetes mellitus at the primary care level in South Africa. S Afr Med J. 1997; 87: 497–512.
  • Executive Committee of the Hypertension Society of Southern Africa. Guidelines for the management of hypertension at primary care level. S Afr Med J. 1995; 85: 1321–5.
  • Daniels AR , Biesma R , Otten J , Levitt NS , Steyn K , Martell R , etal. Ambivalence of primary health care professionals towards the South African guidelines for hypertension and diabetes. S Afr Med J. 2000; 90: 1206–11.
  • Oxman AD , Thomson MA , Davis DA , Haynes RB . No magic bullets: a systematic review of 102 trials of interventions to improve professional practice. CMAJ. 1995; 153: 1423–31.
  • Strauss A , Corbin JM . Basics of qualitative research: grounded theory procedures and techniques. 1990; CA: Sage Publications.
  • National Health Act, No 61 of 2003 of South Africa. 2003; 1–92. Government Gazette, Republic of South Africa.
  • Steyn K , Levitt NS , Patel M , Fourie J , Gwebushe N , Lombard C , etal. Hypertension and diabetes: poor care for patients at community health centres. S Afr Med J. 2008; 98: 618–22.

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