Publications by authors named "Ronald Chapman"
Objectives: The Centers for Disease Control and Prevention (CDC) needs leaders at all levels who can address technical and adaptive challenges in a changing public health landscape. We assessed the feasibility of implementing an enterprise-wide leadership development model.
Methods: In June 2023, we launched a pilot program, Learn and Lead, for nonsupervisory staff in early and mid-career levels.
Public Health Accreditation Impact: The Performance Management System.
J Public Health Manag Pract
November 2019
Performance Management Systems: A Public Health Model Practice.
J Public Health Manag Pract
April 2019
Article Synopsis
- The study evaluated the effectiveness of a program (STRETCH) aimed at training nurses to manage antiretroviral therapy (ART) for HIV patients, focusing on outcomes like mortality and viral suppression.
- A pragmatic, cluster-randomised trial was conducted in South Africa with two patient cohorts: one starting ART and the other continuing ART, comparing results between those receiving the STRETCH intervention and standard care.
- Findings showed that the STRETCH program had a significant impact on health outcomes, with data collected over a median follow-up period of about 16 to 18 months across the two cohorts.
Objective: To evaluate the cost-effectiveness of an educational outreach intervention to improve primary respiratory care by South African nurses.
Methods: Cost-effectiveness analysis alongside a pragmatic cluster randomised controlled trial, with individual patient data. The intervention, the Practical Approach to Lung Health in South Africa (PALSA), comprised educational outreach based on syndromic clinical practice guidelines for tuberculosis, asthma, chronic obstructive pulmonary disease, pneumonia and other respiratory diseases.
Background: The effectiveness of the South African government's expanding antiretroviral treatment program is unknown. Observational studies of treatment effectiveness are prone to selection bias, rarely compare patients receiving antiretroviral treatment with similar patients not receiving antiretroviral treatment, and underestimate mortality rates unless patients are actively followed up.
Methods: We followed up 14 267 patients in the Public Sector Anti-Retroviral Treatment project in Free State, South Africa, for up to 20 months after enrollment.
Objectives: To develop and implement an educational outreach programme for the integrated case management of priority respiratory diseases (practical approach to lung health in South Africa; PALSA) and to evaluate its effects on respiratory care and detection of tuberculosis among adults attending primary care clinics.
Design: Pragmatic cluster randomised controlled trial, with clinics as the unit of randomisation.
Setting: 40 primary care clinics, staffed by nurse practitioners, in the Free State province, South Africa.