SAHR 2007 - Health Systems Trust
SAHR 2007 - Health Systems Trust
SAHR 2007 - Health Systems Trust
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<strong>Health</strong> and Related Indicators 15<br />
Type Indicator Definition<br />
<strong>Health</strong> Personnel<br />
(<strong>Health</strong> professionals) per<br />
100 000 population<br />
Number of (health<br />
professionals)<br />
Nurse clinical workload<br />
Indicator Definitions<br />
Ratio of the number of (health professionals) to the population (per 100 000). Note that where this is reported for public health sector<br />
personnel, the population has been adjusted to be the public sector dependent (uninsured) population.<br />
The number of posts for each health profession.<br />
Community Service (CS) posts are allocated against existing (vacant) posts, therefore these health professionals form part of the figure<br />
reported by PERSAL for the relevant profession.<br />
The number of patients seen per nurse per clinical work day. All nurses doing clinical work, whether professional, enrolled, or assistants,<br />
must be included in the clinical work days count. Work days used for training, meetings and other non-clinical activities are NOT included in<br />
the denominator.<br />
<strong>Health</strong> Financing<br />
Percentage of health professional<br />
posts vacant<br />
Total number of health professional<br />
posts<br />
Claims ratio<br />
<strong>Health</strong> expenditure % of GDP<br />
Medical scheme beneficiaries<br />
Medical scheme coverage<br />
Pensioner ratio<br />
Per capita health expenditure<br />
Per capita expenditure (nonhospital<br />
PHC)<br />
Ratio of public to private<br />
sector per capita health<br />
expenditure<br />
Numerator: PHC total headcount<br />
Denominator: Nurse clinical working days<br />
Percentage of all health sector (professional) posts that are vacant.<br />
Vacancy rates are also given for medical practitioners and professional nurses.<br />
Total number of health sector posts (health professional categories) including dental, medical, nursing, pharmacy, occupational therapy,<br />
physiotherapy, radiography and psychology professions. Data from 2002 also includes environmental health professionals. Note that older<br />
data from PERSAL also included some vacant posts for each profession. Newer data has most of the vacant posts identified, and therefore<br />
the number of posts primarily reflects filled posts.<br />
Percentage of member contributions that has been utilised for the payment of benefits claimed by members of medical schemes, as<br />
opposed to allocation of contributions for non-health benefits and the building of reserves<br />
Percentage of national Gross Domestic Product that is spent on health care.<br />
Number of medical scheme beneficiaries, as reported by the Medical Schemes Council.<br />
Percentage of population covered by medical schemes.<br />
Percentage of members of medical schemes who are 65 years or older, in registered medical schemes.<br />
Amount spent on health per person (in Rands) For the public sector, this is often calculated for the population without medical scheme<br />
coverage (public sector dependent population). For the private sector this is usually calculated for the number of medical schemes<br />
beneficiaries.<br />
Attention should be given to the notes for each data item, since financial indicators are affected by inflation, and expenditure may be<br />
reported according to currency value for a particular year to facilitate comparison of real differences.<br />
The nominal value is the value of anything expressed in money of the day, versus real value which removes the effect of inflation.<br />
Amount spent on non-hospital PHC services by the public sector per person without medical scheme coverage (in Rands).<br />
Includes provincial expenditure from sub-programmes 2.1-2.5 (District management, Community health clinics, Community health centres,<br />
Community-based services and Other community services) under District <strong>Health</strong> Services, plus net Local government expenditure on<br />
health services. Expenditure is divided by the population without medical scheme coverage.<br />
Expenditure may be given in nominal terms (prices for the year of expenditure) or real terms (inflation adjusted prices to a particular base<br />
year).<br />
Total public health sector expenditure divided by the population covered (public sector dependent population) : total medical scheme<br />
expenditure divided by number of beneficiaries. Where expressed as a single figure, is private/public per capita expenditure. i.e. for<br />
2002/03 private expenditure per person is about 7.1 times higher than public sector expenditure per person.<br />
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