South African health financing reform 2000–2010: Understanding the agenda-setting process

Pillay, Timesh D; Skordis‐Worrall, Jolene

doi:10.1016/j.healthpol.2012.12.012

Cited by 23 publications

(38 citation statements)

References 36 publications

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“…Although the findings did not come as a surprise, as KwaZulu-Natal is described as one of South Africa's poorest and most densely populated provinces [37], it is a concern and measures have to be taken towards meeting the patients' needs. [36], Pillay and Skordis-Worrall [38] affirm the financial decline in public policy globally, meaning that South Africa is not an exception. This was supported by Holst and Rasmussen [3] who stated that the transition between hospital and home leaves patients and their relatives with unmet financial support needs.…”

Section: Socioeconomic Support Needsmentioning

confidence: 99%

Perceived needs of patients and family caregivers regarding home-based enteral nutritional therapy in South Africa: A qualitative study

Mooi

Ncama

2020

PLoS ONE

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Introduction The need for specialized care, particularly enteral nutritional therapy in community settings is now increasing with implications for both patients and primary care providers. More research is needed to identify the needs of patients and primary caregivers. The study aimed to explore the perceived support needs regarding the provision of home-based enteral nutritional therapy among critically ill adult patients and family caregivers in the Kwa-Zulu-Natal Province of South Africa. Methods A qualitative study of purposely selected adult patients on homebased enteral nutritional therapy and family caregivers was conducted in a district hospital, a community health centre, two primary health care clinics and selected households in the KwaZulu-Natal Province, South Africa. Semi-structured individual interviews were conducted between June and September 2018 and the content analysis approach was used to analyse data. Results Two major themes and five subthemes emerged from the results of the interviews. The major themes concerned socioeconomic and psychosocial support needs related to the provision of home-based enteral nutritional therapy. Subthemes included the need for financial assistance, need for enteral nutrition products and supplementary supplies, need for infrastructure for continuity of care, and psychological support needs. Conclusion Results of this study confirm the need for developing strategies adapted to a South African context and yonder to meet patients' and family caregivers' needs with regard to nutritional services. More research on the identification of needs through monitoring and evaluation of

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Section: Socioeconomic Support Needsmentioning

confidence: 99%

Perceived needs of patients and family caregivers regarding home-based enteral nutritional therapy in South Africa: A qualitative study

Mooi

Ncama

2020

PLoS ONE

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“…These sectors were, and remain, a source of great concern. Much of the literature on the health sector notes the failure to deliver better health, a lack of progress as measured against the Millennium Development Goals, and general reversal of healthiness (Mayosi et al 2009; Pillay and Jolene Skordis-Worrall 2013).…”

Section: Reform Reconstruction and Retreat: 1994–2008mentioning

confidence: 99%

South Africa’s Key Health Challenges

Whiteside¹

2014

The ANNALS of the American Academy of Political and Social Scie

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South Africa has an estimated 6.4 million people living with HIV, with more than 2 million already on treatment. The disease emerged in South Africa at the same time as the transition to democracy began in 1990. Although the country has seen considerable advances in many social spheres, the health sector has lagged. This lag is primarily because the HIV/AIDS epidemic results in an increased burden of disease in a cohort of people who would otherwise be healthy. This article warns that the all-pervasive nature of the epidemic will put other areas of development at risk. With economic development come new threats to the health of South Africans, including noncommunicable diseases and environmental change. Service delivery remains a challenge for the government at all levels, and the demands of not only South Africans but of migrants and refugees need to be considered.

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“…Thus, the amount and method of payment to health care providers directly affect the organization and function of the national health system, benefiting patients from the health system and the structure and performance of the insurance organizations ( 4 , 5 ). Reluctance and dissatisfaction of health service providers can lead to a reduction in service quality, increasing the length of stay and ultimately increasing the cost of health care ( 6 ). Decision about how to pay is of political nature, because it will leave a great impact on the health system ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

A trend analysis of surgical operations under a global payment system in Tehran, Iran (2005-2015)

et al. 2018

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BackgroundGlobal payment system is a first example of per-case payment system that contains 60 commonly used surgical operations for which payment is based on the average cost per case in Iran.ObjectiveThe aim of the study was to determine the amount of reduction, increase or no change in the trend of global operations.MethodsIn this retrospective longitudinal study, data on the 60 primary global surgery codes was gathered from Tehran Health Insurance Organization within the ten-year period of 2005–2015 separately, for each month. Out of 60 surgery codes, only acceptable data for 46 codes were available based on the insurance documents sent by medical centers. A quantitative analysis of time series through Regression Analysis Model using STATA software v.11 was performed.ResultsSome global surgery codes had an upward trend and some were downwards. Of N Codes, N83, N20, N28, N63, and N93 had an upward trend (p<0.05) and N32, N43, N81 and N90 showed a significant downward trend (p<0.05). Similarly, all H Codes except for H18 had a significant upward trend (p<0.000). As such, K Codes including K45, K56 and K81 had an increasing movement. S Codes also experienced both increasing and decreasing trends. However, none of the O Codes changed according to time. Other global surgical codes like C61, E07, M51, L60, J98 (p<0.000), I84 (p<0.031) and I86 (p<0.000) shown upward and downward trends. Total global surgeries trend was significantly upwards (B=24.26109, p<0.000).ConclusionThe varying trend of global surgeries can partly reflect the behavior of service providers in order to increase their profits and minimize their costs.

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South African health financing reform 2000–2010: Understanding the agenda-setting process

Cited by 23 publications

References 36 publications

Perceived needs of patients and family caregivers regarding home-based enteral nutritional therapy in South Africa: A qualitative study

Perceived needs of patients and family caregivers regarding home-based enteral nutritional therapy in South Africa: A qualitative study

South Africa’s Key Health Challenges

A trend analysis of surgical operations under a global payment system in Tehran, Iran (2005-2015)

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