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BACKGROUND Communication between health workers and patients at Hottentots Holland Hospital (HHH) is hindered by staff and patients not speaking the same language. HHH is a district hospital in the Cape Town Metropolitan District of the Western Cape where staff mainly speak Afrikaans or English and a large number of patients mainly Xhosa. OBJECTIVES The(More)
OBJECTIVE To determine whether clinical audit improved the performance of diabetic clinical processes in the health district in which it was implemented. DESIGN Patient folders were systematically sampled annually for review. SETTING Primary health-care facilities in the Metro health district of the Western Cape Province in South Africa. PARTICIPANTS(More)
BACKGROUND An integrated audit tool was developed for five chronic diseases, namely diabetes, hypertension, asthma, chronic obstructive pulmonary disease and epilepsy. Annual audits have been done in the Western Cape Metro district since 2009. The year 2012 was the first year that all six districts in South Africa's Western Cape Province participated in the(More)
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