Original Research

Transformation management of primary health care services in two selected local authorities in Gauteng

W Sibaya, Marie Muller
Curationis | Vol 23, No 4 | a727 | DOI: https://doi.org/10.4102/curationis.v23i4.727 | © 2000 W Sibaya, Marie Muller | This work is licensed under CC Attribution 4.0
Submitted: 27 September 2000 | Published: 27 September 2000

About the author(s)

W Sibaya, Department of nursing Science, RAU, South Africa
Marie Muller, Department of nursing Science, RAU, South Africa

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The transformation of health services in South Africa today is governed by the political, policy and legislative frameworks. This article focuses on the transformation of a primary health care service within a local authority in Gauteng. The purpose with this article is to explore and describe the perceptions (expectations and fears) of selected managers employed in this primary health care service. The results are utilised to compile a strategy (framework) for transformation management and leadership within the primary health care service. A qualitative research design was utilised and the data was collected by means of individual interviews with selected managers in the service, followed by a content analysis. The expectations and fears of managers focus mainly on personnel matters, community participation/satisfaction, salaries and parity, inadequate stocks/supplies and medication, the deterioration of quality service delivery and the need for training and empowerment. These results are divided into structure, process and outcome dimensions and are embodied in the conceptual framework for the transformation and leadership strategy. It is recommended that standards for transformation management be formulated and that the quality of transformation management be evaluated accordingly.


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Crossref Citations

1. Transformation: are nurse leaders in critical care ready?
Journal of Nursing Management  vol: 20  issue: 7  first page: 921  year: 2012  
doi: 10.1111/j.1365-2834.2011.01339.x