oa South African Medical Journal - South African Guidelines Excellence (SAGE) : what's in a name? - : editorial

Volume 106, Issue 1
  • ISSN : 0256-9574
  • E-ISSN: 2078-5135



South Africa (SA) remains one of the most unequal societies in the world. Addressing the various challenges we face requires multidisciplinary, multi-pronged approaches, including consideration of strategies for improving the delivery of healthcare. Quality of healthcare can be understood to encompass a number of dimensions, including effectiveness, efficiency, accessibility, patient centredness,equity and safety. SA's call for primary healthcarere-engineering suggests an acute awareness of local challenges. The planned restructuring, including the National Health Insurance initiative, is a means for reducing inequality in the provision of healthcare, which will require new approaches to healthcare delivery, with greater emphasis on health promotion and preventive activities. These changes necessitate a collaborative approach for achieving improvements in key health processes and outcomes, as well as changes in clinician and patient behaviours, all underpinned by innovative interventions. In the changing healthcare system, healthcare providers need clear, trustworthy guidance on how best to care for their patients so that all can reasonably reach the ideals of quality in healthcare. High-quality, evidence-informed clinical practice guidelines (CPGs) are potentially reassuring tools for healthcare providers, as they are a means of bridging the gap between policy, best practice, local contexts and patient choice.

Loading full text...

Full text loading...


Article metrics loading...


This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error