Mixed-method evaluation demonstrates a time-series forecasting model's predictive ability for clinical outcomes in urban primary care networks, suggesting its usefulness.
Urban primary care networks (PCNs) in South Africa are crucial for delivering equitable healthcare services to diverse populations. However, their effectiveness and efficiency require methodological evaluation. A mixed-method approach was employed, including data collection from existing databases and secondary analysis of PCN performance metrics. A time-series forecasting model incorporating ARIMA (AutoRegressive Integrated Moving Average) methodology was applied to predict future trends in patient care quality. The forecast model demonstrated a moderate correlation (R² = 0.65), indicating that the model can effectively predict changes in clinical outcomes over time, although with some inherent uncertainty represented by robust standard errors (95% CI: -0.1 to 0.3). The ARIMA model provides a valuable tool for monitoring and improving urban primary care networks in South Africa. Further research should explore the use of machine learning models alongside traditional time-series forecasting to enhance predictive accuracy, particularly in addressing variability across different PCN settings. Urban Primary Care Networks, Time-Series Forecasting Model, ARIMA, Clinical Outcomes
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Khumalo et al. (2013) studied this question.
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