National Health Insurance: The first 16 months

Matsoso, Malebona Precious; Fryatt, Robert

doi:10.7196/samj.6601

Cited by 76 publications

(77 citation statements)

References 1 publication

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“…Universal coverage is no longer a dream for SA and will become increasingly certain if all players work and strive together. 13 The South African Summit on the Prevention and Control of Non-Communicable Diseases took place in Gauteng from September 12 to 13, 2011. At the summit, the right of all South Africans to enjoy the highest attainable standards of physical and mental health was once again recognised.…”

Section: Resultsmentioning

confidence: 99%

Reasons for diabetes patients attending Bishop Lavis Community Health Centre being non-adherent to diabetes care

Booysen

Schlemmer

2015

South African Family Practice

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Background: Non-adherence to diabetes care is a concern at Bishop Lavis Community Health Centre (BLCHC) as it results in many diabetes complications that could have been avoided. The aim was to explore the reasons for people with diabetes in the Bishop Lavis area being non-adherent to diabetes care. Methods:A qualitative study was undertaken. Focus groups and in-depth interviews were conducted with patients who had uncontrolled blood sugar and non-compliance. The framework method was used to analyse the data. Results:The main findings in this study were that the following had a negative impact on compliance with diabetes care: (1) poor knowledge of diabetes mellitus; (2) drug treatment barriers such as shift work and not knowing the importance of taking medication regularly; (3) lifestyle adjustment barriers: dietary barriers and lack of exercise; (4) staff and clinic visit problems, for example over-burdened public health-care facilities; and (5) poor support structures including support from family, the community and financially as well as poor infrastructure. Conclusion:The main findings in this study were consistent with many of the previous studies done on adherence, i.e. patient barriers, disease and drug-regime barriers and doctor-patient relationship barriers. However, in this poverty-stricken area these participants also face other constraints that influence their compliance behaviour. These include (1) over-burdened public health care facilities, (2) insufficient education, (3) poor support structures, (4) infrastructure that is not wheelchair-friendly, (5) unsafe communities, (6) low income and unemployment.

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Section: Resultsmentioning

confidence: 99%

Reasons for diabetes patients attending Bishop Lavis Community Health Centre being non-adherent to diabetes care

Booysen

Schlemmer

2015

South African Family Practice

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“…The first status report by Matsoso and Fryatt was published in May 2013. 1 In my previous editorial on the pilot project, I provided a synopsis of the objectives, progress and challenges, and concluded with positive data on the satisfaction index of patients on the usage of the public health service. 2 It is time to ask a follow-up question about the project.…”

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confidence: 99%

South Africa's National Health Insurance revisited: “Quo vadis”? (“Whither goest thou?”)

Ogunbanjo

2014

South African Family Practice

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“…Increasing pressure on healthcare budgets and the implementation of the National Health Insurance 1 necessitates an evaluation of current intensive care unit (ICU) practices and resources. The importance of accurate healthcare data is critical in tackling these challenges and presents several advantages.…”

Section: Introductionmentioning

confidence: 99%

Development and evaluation of an integrated electronic data management system in a South African metropolitan critical care service

Allorto

Wise

2015

Southern African Journal of Anaesthesia and Analgesia

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Introduction:The importance of accurate healthcare data is vital when approaching current healthcare challenges, but is difficult to collect in busy, under-resourced environments. It was aimed to develop and implement an information system that is costeffective, easy and practical for data collection. A clinically integrated data collection system that demonstrates how to achieve this in a resource-poor setting is described. Methods: A database was developed using customisable software to provide a robust relational database and clinically practical solution to data collection. The system was examined for data completeness through a field audit of referral records for evaluation of the reviewed system. Discussion: The database system has been incorporated into the daily flow of clinical work, thus reducing duplication of note keeping and avoiding the need for data capturers. After improving the design and user interface, better compliance was noted. This provided useful insight into critical care database development. Conclusion:This project has demonstrated successful development and implementation of a hybrid electronic medical record and registry for a critical care metropolitan service. It has provided a practical information system allowing for the development of local critical care services with the ability for quality improvement, aggregate reporting for systems planning, and research.

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National Health Insurance: The first 16 months

Cited by 76 publications

References 1 publication

Reasons for diabetes patients attending Bishop Lavis Community Health Centre being non-adherent to diabetes care

Reasons for diabetes patients attending Bishop Lavis Community Health Centre being non-adherent to diabetes care

South Africa's National Health Insurance revisited: “Quo vadis”? (“Whither goest thou?”)

Development and evaluation of an integrated electronic data management system in a South African metropolitan critical care service

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