SAHR 2007 - Health Systems Trust

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Health and Related Indicators 15 ➤ manufacturing pharmacies – 705 (6.8%); ➤ wholesale pharmacies – 350 (3.4%); ➤ administrative pharmacy practice – 359 (3.4%); ➤ pharmacy education – 156 (1.5%); ➤ other or unspecified – 606 (5.8%). Similar data could not be obtained from either the Health Professions Council or the Nursing Council. In such cases, the PERSAL database remains the only source of data on public sector employment. This is the basis of the figures shown in Table 44. The personnel per 100 000 uninsured population (Table 45) assumes that all uninsured members of the population seek care in the public sector. As was shown above, the situation is far more complex. Determining how private sector health professionals are distributed is as difficult. Health Services – Health personnel caution. These provincial averages hide considerable differences between districts. These data can be accessed in the District Health Barometer reports. Overall, while the number of posts in the public sector has increased in recent years, the percentage of vacant posts has also increased. With few exceptions, there have not been increases in the number of new entrants into the health professions, as measured by the number commencing community service each year. Trends in public sector health employees are shown in Figure 24, taken from the annual Treasury review. Note that this includes all categories of personnel employed, not just the professional categories covered in Table 44. The national workload targets are as follows: ➤ ➤ Doctor clinical workload at PHC level – 30 patients per day Nurse clinical workload at PHC level – 40 patients per day Data for nurse and doctor clinical workload is shown in Table 48. At a provincial level, the targets were exceeded in the WC, however there appears to be a significant amount of data missing for the denominator which is inflating the value. Other provinces also have a significant amount of missing data for some districts, so the data should be treated with Figure 23: Number of health professionals in the public sector as a percentage of total registered, 2006/07 100 90 80 70 4 193 300 1 883 24 365 2 279 9 717 4 209 5 891 3 409 57 244 18 499 Percentage 60 50 40 30 20 10 0 744 Dental practitioners 150 Dental therapists 868 Environmental health practitioners 9 959 Medical practitioners 736 Occupational therapists 1 830 Pharmacists 850 419 2 100 Physiotherapists Psychologists Radiographers 44 071 Professional nurses 20 806 Enrolled nurses Public sector Balance on register Sources: PERSAL, SANC, SAPC, HPCSA. Data for nurses are for 2006, data for other professions are 2007. Public sector includes those reported by PERSAL system. Balance on register is the total number registered with the respective health professionals council and NOT in the public sector, and may include those abroad, retired or non-practising, as well as those in the private sector. 307
Figure 24: Trends in health sector employees, 1998-2007 260 000 250 000 240 000 230 000 220 000 210 000 200 000 98/99 99/00 00/01 01/02 02/03 03/04 04/05 05/06 06/07 07/08 early Source: National Treasury, 2007. Note that this includes all categories of health sector employees, not only the professional categories shown in Table 44. 308
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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
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Introduction This chapter presents
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Medical schemes are the largest fin
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per person dependent on the public
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An increase in hospital expenditure
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private pharmacy do so for self-tre
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References 1 McIntyre D, Thiede M,
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Policy and legislative framework In
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Medical schemes and revenue collect
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There is evidence that when faced w
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are thus contributing factors to th
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Figure 2: Historic membership of me
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Solvency of the risk pools has beco
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Figure 4: 100 Proportion of risk be
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will retain that benefit for their
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There is a general sense (but often
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From a benefit design perspective t
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and towards competition based on ef
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37 Du Preez L. Registrar wants cura
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Introduction There has long been co
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an element of cream-skimming which
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Table 1: Distribution of health car
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isk equalisation mechanism were imp
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once the cost spiral in medical sch
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Revenue collection: Collecting orga
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Current debates A key area of ongoi
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References 1 Gluckman H. The Provis
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Authors: Patrick Matshidze i Lyn Ha
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Health Information Systems in the P
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Authors: Shahieda Adams i Reno Mora
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Health and Health Care in the Workp
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Author: Bettina Taylor i 8 Rationin
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Rationing of Medicines and Health C
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Health Care Delivery 139
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Authors: Haroon Wadee i Farzana Kha
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Human Resources for Health 9 Table
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Human Resources for Health 9 Table
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Human Resources for Health 9 source
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Human Resources for Health 9 Refere
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Authors: Shadrack Shuping i Sipho K
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Public-Private Partnerships 10 Alth
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Public-Private Partnerships 10 Tabl
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Public-Private Partnerships 10 Conc
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Authors: Thulani Matsebula i Michae
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Private Hospitals 11 Table 1: Priva
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Private Hospitals 11 Table 3: Distr
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Private Hospitals 11 Human resource
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Private Hospitals 11 Figure 3: 16 T
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Private Hospitals 11 Figure 4: 2 50
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Private Hospitals 11 Monitoring qua
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Private Hospitals 11 Recommendation
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Authors: Nceba Gqaleni i Indres Moo
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Traditional and Complementary Medic
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Authors: Myles Mander i Lungile Ntu
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Economics of the Traditional Medici
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Authors: Marion Stevens i Edina Sin
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HIV and AIDS, STI and TB in the Pri
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Indicators 213
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Authors: Candy Day i Andy Gray ii 1
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Health and Related Indicators 15
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Health and Related Indicators 15
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Health and Related Indicators 15 Ta
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Page 364 and 365: Glossary AFA AIDS ALP AMA ANC ART A
Page 366 and 367: Glossary KZN LFS LIMS LP LPP MAR MC
Page 368 and 369: Glossary SAPC SARS SASIM SASSA SEP
Page 370 and 371: Index A Acts (Legislation and Bills
Page 372 and 373: Index N and O National Health Refer
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SAHR 2007 - Health Systems Trust

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