SAHR 2007 - Health Systems Trust

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Social or National Health Insurance 5 38 Department of Health. Inquiry into the various social security aspects of the South African health system. Policy options for the future. Pretoria: Department of Health; 2002. 39 Barrientos A, Lloyd-Sherlock P. Reforming health insurance in Argentina and Chile. Health Pol Plan 2000; 15: 417-23. 40 National Treasury. 2005 Budget Review. Pretoria: National Treasury; 2005. URL: http://www.treasury.gov.za/documents/budget/2005/ review/default.htm 87
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South African Health Review 2007 LI
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Foreword The 12th edition of South
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12 Traditional and Complementary Me
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Other Funders for the Health System
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This response raises a number of qu
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ucts are currently sold without reg
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The authors conclude that mandatory
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servicing and inappropriate hospita
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systems is also critical; worrying
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Authors: Laetitia Rispel i Geoffrey
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Stewardship: Protecting the Public
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Introduction The importance of the
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diseases such as tuberculosis and t
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17 of 2002). This Act entirely repl
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(d) and any other matter relating t
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Year Act No. Title Objects 1997 90
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References 1 Department of Health.
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Purchasing of Health Care 33Pooling
Page 55 and 56: Introduction This chapter presents
Page 57 and 58: Medical schemes are the largest fin
Page 59 and 60: per person dependent on the public
Page 61 and 62: An increase in hospital expenditure
Page 63 and 64: private pharmacy do so for self-tre
Page 65 and 66: References 1 McIntyre D, Thiede M,
Page 67 and 68: Policy and legislative framework In
Page 69 and 70: Medical schemes and revenue collect
Page 71 and 72: There is evidence that when faced w
Page 73 and 74: are thus contributing factors to th
Page 75 and 76: Figure 2: Historic membership of me
Page 77 and 78: Solvency of the risk pools has beco
Page 79 and 80: Figure 4: 100 Proportion of risk be
Page 81 and 82: will retain that benefit for their
Page 83 and 84: There is a general sense (but often
Page 85 and 86: From a benefit design perspective t
Page 87 and 88: and towards competition based on ef
Page 89 and 90: 37 Du Preez L. Registrar wants cura
Page 91 and 92: Introduction There has long been co
Page 93 and 94: an element of cream-skimming which
Page 95 and 96: Table 1: Distribution of health car
Page 97 and 98: isk equalisation mechanism were imp
Page 99 and 100: once the cost spiral in medical sch
Page 101 and 102: Revenue collection: Collecting orga
Page 103 and 104: Current debates A key area of ongoi
Page 105: References 1 Gluckman H. The Provis
Page 109 and 110: Introduction A health information s
Page 111 and 112: evaluation of policies, programmes
Page 113 and 114: The role of intermediaries Intermed
Page 115 and 116: sification of diseases (i.e. morbid
Page 117 and 118: Data requirements The data requirem
Page 119 and 120: endered by the health care provider
Page 121 and 122: References 1 Department of Health.
Page 123 and 124: Introduction This chapter focuses o
Page 125 and 126: diabetes mellitus (DM), hypertensiv
Page 127 and 128: 2004. 18 Silicosis rates based on a
Page 129 and 130: of HIV awareness programmes, volunt
Page 131 and 132: Provincial Medical Advisory Panels.
Page 133 and 134: LFS further illustrated that the pr
Page 135 and 136: enefits to 23 608 claimants with th
Page 137 and 138: Address workers health through nonh
Page 139 and 140: References 1 Jeebhay MF, Jacobs B.
Page 141 and 142: 122
Page 143 and 144: Introduction It is generally accept
Page 145 and 146: and financial value of competing se
Page 147 and 148: Medicine legislation Medicines and
Page 149 and 150: the European Union and the USA in o
Page 151 and 152: Utilisation of medicines Total medi
Page 153 and 154: Way forward Government has effected
Page 155 and 156: References 1 Kaiser Family Foundati
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138
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140
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Introduction “It is now widely ac
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scheme beneficiaries therefore have
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Employment of doctors within privat
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tially attracting clinicians employ
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150
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Introduction There is increased rea
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FSDoH, given the limited capital bu
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Table 3: Fixed revenues from turnov
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References 1 National Treasury. Pub
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Introduction Private hospitals have
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The distribution of hospital beds b
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Table 4: Type of health service by
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for low income earners. The Consul
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Medical tourism High costs of care
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generate demand in order to maintai
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The private hospital industry faces
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References 1 Feldstein PJ. Health C
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Traditional medicine The World Heal
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The speech by the Minister of Healt
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complementary medicine practitioner
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development of novel agents once pr
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healers were encouraged to bring th
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detection of diseases thereby posit
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References 1 World Health Organizat
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Introduction Table 1: Levels of edu
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In addition, several species such a
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Economics of the trade The value of
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Recommendations The informal sector
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Ezemvelo KZN Wildlife recently faci
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200
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Introduction The HIV & AIDS and STI
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Figure 2: AfA enrolment by gender a
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which makes it difficult to monitor
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The Medical Scheme Act, effective f
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and AIDS epidemic. In addition, inc
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212
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Table 1: Key sources of health stat
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for sessional work agreed upon by M
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Demographic Indicators A 2007 repor
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a StatsSA Mid-year Estimates. Growt
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Socio-economic indicators As long a
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EC FS GP KZN LP MP NC NW WC SA Pove
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Health Status Indicators Mortality
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Particular findings in relation to
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Disability Data on disability remai
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Infectious Disease Data on syphilis
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Figure 4: DOTS treatment and re-tre
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Table 15: TB indicators by province
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Malaria Malaria control has been re
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HIV and AIDS The HIV & AIDS and STI
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The proportion of children in need
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Demographic Impact of HIV/AIDS in S
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Map 1: HIV prevalence among antenat
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Figure 13: Antenatal HIV prevalence
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EC FS GP KZN LP MP NC NW WC SA HIV
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Reproductive Health One of the nati
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Table 20: Maternal and reproductive
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EC FS GP KZN LP MP NC NW WC SA Teen
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Sexually Transmitted Infections (ST
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Table 23: Nutrition indicators by p
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Child Health Available data on chil
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Table 26: Immunisation indicators b
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in the country. On the other hand l
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EC FS GP KZN LP MP NC NW WC SA Stil
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Hyperlipidaemia Male total populati
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Cancer The most recent data on inci
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Table 35: Health risk behaviour and
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Injuries Data on injuries have larg
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Table 38: Injury indicators by prov
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The use of the uninsured population
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EC FS GP KZN LP MP NC NW WC SA Usea
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MUNICIPALITIES OF EASTERN CAPE EC13
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MUNICIPALITIES OF FREE STATE FS182
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MUNICIPALITIES OF GAUTENG GT481 GTD
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MUNICIPALITIES KWAZULU-NATAL KZN261
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KwaZulu-Natal Category A or C Munic
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MUNICIPALITIES OF LIMPOPO LIM362 LI
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MUNICIPALITIES OF MPUMALANGA MP316
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NC061 NC062 NC064 NCDMA08 NC081 NC0
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MUNICIPALITIES OF NORTH WEST NW395
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WCDMA01 WC011 WC012 WC013 WC014 WC0
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Health personnel The DoH Annual Rep
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Figure 24: Trends in health sector
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EC FS GP KZN LP MP NC NW WC SA Numb
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EC FS GP KZN LP MP NC NW WC SA Radi
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EC FS GP KZN LP MP NC NW WC SA Numb
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In summary, while gross contributio
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Table 51: Per capita health funding
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EC FS GP KZN LP MP NC NW WC SA Per
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Table 55: Budget programme structur
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Non-hosp PHC expenditure per capita
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Map 4: Non-hospital PHC expenditure
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Table 58: Health-related Millennium
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q StatsSA Causes of death 2005. Cal
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Type Indicator Definition Household
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Type Indicator Definition STIs Nutr
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Type Indicator Definition Behaviour
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References AIDS Update 2006 AIDS ep
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HIV Household Survey 2002 Shisana O
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SAMJ 96(538-43) Shaikh N, Abdullah
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344
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DMP DoH DOTS DQRS DTP EAP EBITDA EC
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NW ODMWA PBACMU PBARM PBCO PBHNP PC
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350
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F Fee-for-service 42, 66, 77, 83, 1
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