SAHR 2007 - Health Systems Trust

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Health Policy and Legislation 2 Year Act No. Title Objects 2001 24 National Health Laboratory Service Amendment Act 40 2001 55 Medical Schemes Amendment Act 41 2002 17 Mental Health Care Act 42 2002 31 Health Donations Fund Repeal Act 43 2002 59 Medicines and Related Substances Amendment Act 44 2002 60 Occupational Diseases in Mines and Works Amendment Act 45 2002 62 Medical Schemes Amendment Act 46 To amend the National Health Laboratory Service Act of 2000, so as to provide for pension options to employees of bodies that are to be replaced by the National Health Laboratory Service. To amend the Medical Schemes Act of 1998, so as to extend certain rights of members to their dependants; to broaden the definition of complaint; to explicitly prohibit discrimination on the basis of age; to further regulate the practice of re-insurance; to regulate the circumstances under which waiting periods may be applied; to improve the powers of the Council and the Registrar to act in the interests of beneficiaries; to regulate the marketing of entities doing the business of a medical scheme; to provide for more frequent submission of returns to the Registrar; to determine the circumstances under which inspections may be made; to further define the persons who may be appointed as auditors of medical schemes; to further define the persons who may serve as trustees of a medical scheme and to further clarify their duties; to define the persons who may serve as principal officers of a medical scheme; to limit the purposes for which medical schemes may compensate brokers and provide for the regulation of their professional conduct; to regulate the transfer of business of medical schemes to any person; to remove the requirement for staff of the Council to be members of the Government Employees Pension Fund; to amend the transitional provisions with regard to certain schemes. To provide for the care, treatment and rehabilitation of persons who are mentally ill; to set out different procedures to be followed in the admission of such persons; to establish Review Boards in respect of every health establishment; to determine their powers and functions; to provide for the care and administration of the property of mentally ill persons; to repeal certain laws. To provide for the disestablishment of the Health Donations Fund and for the repeal of the Health Donations Fund Act of 1978. To amend the Medicines and Related Substances Act of 1965, so as to provide for some definitions; to provide for the appointment of one or more Deputy Registrars; to provide for a term of office of members of the Pricing Committee; to provide for the delay of the coming into operation of provisions requiring a licence before a person can compound and dispense or manufacture medicines, or act as a wholesaler or distributor; to provide for appeals against the decisions of the Director-General and the council; to provide for regulations relating to the marketing of medicines. To amend the Occupational Diseases in Mines and Works Act of 1973, so as to provide that if a person was medically examined within a period of 24 months immediately preceding an application for medical examination, the Director of the Medical Bureau for Occupational Diseases may refuse that person's application for medical examination. To amend the Medical Schemes Act of 1998, to broaden the definition of 'broker' and the circumstances under which such a person must be accredited in terms of this Act. 2003 61 National Health Act 20 To provide a framework for a structured uniform health system within the Republic, taking into account the obligations imposed by the Constitution and other laws on the national, provincial and local governments with regard to health services. 2004 24 Dental Technicians Amendment Act 47 2004 35 Traditional Health Practitioners Act 48 2004 38 Choice on Termination of Pregnancy Amendment Act 49 2005 3 Sterilisation Amendment Act 50 2005 33 Nursing Act 51 To regulate the nursing profession. To amend the Dental Technicians Act of 1979, so as to define 'informally trained person'; to provide for the restricted registration of informally trained persons as dental technicians; to make direct billing by a dental technician contractor discretionary; to restrict the performance of certain acts by members of certain juristic persons. To establish the Interim Traditional Health Practitioners Council of South Africa; to provide for a regulatory framework to ensure the efficacy, safety and quality of traditional health care services; to provide for the management and control over the registration, training and conduct of practitioners, students and specified categories in the traditional health practitioners’ profession. To amend the Choice on Termination of Pregnancy Act of 1996, to empower a Member of the Executive Council to approve facilities where a termination of pregnancy may take place; to exempt a facility offering a 24-hour maternity service from having to obtain approval for termination of pregnancy services under certain circumstances; to provide for the recording of information and the submission of statistics; to enable a Member of the Executive Council to make regulations. To amend the Sterilisation Act of 1998, to make provision for a medical opinion in certain circumstances; to provide for additional information to be considered when contemplating sterilisation. 29
References 1 Department of Health. The Way Forward from the Health Summit – Summing up by the Minister of Health, Dr Manto Tshabalala Msimang; 20 Nov 2001. URL: http://www.doh.gov.za/docs/sp-f.html 2 Department of Health. Opening Address by the Minister of Health at the Risk Equalization International Review Panel Workshop; 26 Jan 2004. URL: http://www.doh.gov.za/docs/sp/2004/sp0126.html 3 Akani Garden Route (Pty) Ltd v Pinnacle Point Casino (Pty) Ltd 2001 (4) SA 501 (SCA). 4 Affordable Medicines Trust and Minister of Health and Others 2004 (6) SA 387 (T). 5 Minister of Health and Another NO v New Clicks South Africa (Pty) Ltd and Others 2006 (2) SA 311 (CC). 6 Department of Health. National Drug Policy for South Africa. Pretoria: Department of Health. URL: http://www.doh.gov.za/docs/policy/drugsjan1996.pdf 7 National Department of Health Press Release. Health Minister Calls for Nomination to the Medicine Pricing Committee; 4 February 2003. URL: http://www.doh.gov.za/docs/pr/2003/pr0204.html 8 National Department of Health. Memorandum; 7 Aug 2000. URL:http://www.doh.gov.za/programmes/upfs/index. asp?include=docs/archives/2002/memo.html 9 Department of Health. White Paper for the Transformation of the Health System in South Africa. Pretoria: Department of Health; April 1997. URL: http://www.doh.gov.za/docs/ 10 Christian Lawyers Association of SA and Others v Minister of Health and Others 1998 (4) SA 1113 (T). 11 Christian Lawyers Association v Minister of Health and Others (Reproductive Health Alliance as Amicus Curiae) 2005 (1) SA 509 (T). 12 Gray A. Equity and Provision of Pharmaceutical Services. In: Ntuli A, editor. South African Health Review 1998; Durban: Health Systems Trust; 1998. 13 Pringle C. Hostile Trading Environment Challenges Local Pharmaceutical Industry. Mining Weekly; 25 May 2007. URL: http://www.engineeringnews.co.za/article.php?a_ id=108513 14 SAPA. Shoprite to Open Pharmacy Chain. Business iAfrica. com, 26 Oct 2004. URL: http://business.iafrica.com/news/71591.htm 15 Traynor AP, Sorenson TD. Assessing Risk for Loss of Rural Pharmacy Services in Minnesota. Journal of the American Pharmacists Association 2005;45(6):684-693. URL: http://www.medscape.com/viewarticle/518372 16 Department of Health. 160 New Pharmacies Licensed in One Year; 19 Mar 2007. URL: http://www.doh.gov.za/docs/pr/2007/pr0319.html 17 Bisseker C. Doctors Go To Court. The Financial Mail, 10 Oct 2003. URL: http://www.hst.org.za/news/20031015 18 Republic of South Africa. Medical Schemes Amendment Bill (Bill 80 of 2001). URL: http://www.info.gov.za/gazette/bills/2001/b80-01.pdf 19 Republic of South Africa. National Health Act Regulations Schedule. Notice No. 681 in Government Gazette No 30110 of 23 Jul 2007. URL: http://www.info.gov.za/gazette/regulation/2007/30110. pdf 20 Republic of South Africa. National Health Act (Act 61 of 2003). URL: http://www.info.gov.za/gazette/acts/2003/a61-03.pdf 21 Republic of South Africa. Nursing Amendment Act (Act 5 of 1995). URL: http://www.info.gov.za/acts/1995/a5-95.pdf 22 Republic of South Africa. Pharmacy Amendment Act (Act 6 of 1995). URL: http://www.doh.gov.za/docs/legislation/acts/1995/act95- 006.html 23 Republic of South Africa. Medical, Dental and Supplementary Health Service Professions Amendment Act (Act 18 of 1995). URL: http://www.info.gov.za/acts/1995/a18-95.pdf 24 Republic of South Africa. Chiropractors, Homeopaths and Allied Health Service Professions Amendment Act (Act 40 of 1995). URL: http://www.info.gov.za/acts/1995/a40-95.pdf 25 Republic of South Africa. Choice on Termination of Pregnancy Amendment Act (Act 92 of 1996). URL: ftp://ftp.hst.org.za/pubs/govdocs/acts/1996/act96-092. html 26 Republic of South Africa. Nursing Amendment Act (Act 19 of 1997). URL: http://www.info.gov.za/gazette/acts/1997/a19-97.pdf 27 Republic of South Africa. Dental Technicians Amendment Act (Act 43 of 1997). URL: http://www.info.gov.za/gazette/acts/1997/a43-97.pdf 28 Republic of South Africa. Pharmacy Amendment Act (Act 88 of 1997). URL: http://www.info.gov.za/gazette/acts/1997/a88-97.pdf 29 Republic of South Africa. Medical, Dental and Supplementary Health Service Professions Amendment Act (Act 89 of 1997). URL: http://www.info.gov.za/gazette/acts/1997/a89-97.pdf 30 Republic of South Africa. Medicines and Related Substances Control Amendment Act (Act 90 of 1997). URL: http://www.info.gov.za/gazette/acts/1997/a90-97.pdf 31 Republic of South Africa. Chiropractors, Homeopaths and Allied Health Service Professions Act (Act 91 of 1997). URL: http://www.info.gov.za/gazette/acts/1997/a91-97.pdf 32 Republic of South Africa. Medical, Dental and Supplementary Health Service Professions Amendment Act (Act 1 of 1998). URL: http://www.info.gov.za/gazette/acts/1998/a1-98.pdf 33 Republic of South Africa. Sterilisation Act (Act 44 of 1998). URL: http://www.info.gov.za/gazette/acts/1998/a44-98.pdf 34 Republic of South Africa. Medical Schemes Act (Act 131 of 1998). URL: http://www.info.gov.za/gazette/acts/1998/a131-98.pdf 35 Republic of South Africa. Tobacco Products Control Amendment Act (Act 12 of 1999). URL: http://www.info.gov.za/gazette/acts/1999/a12-99.pdf 36 Republic of South Africa. Pharmacy Amendment Act (Act 1 of 2000). URL: http://www.info.gov.za/gazette/acts/2000/a1-00.pdf 37 Republic of South Africa. Chiropractors, Homeopaths and Allied Health Service Professions Amendment Act (Act 6 of 2000). URL: http://www.info.gov.za/gazette/acts/2000/a6-00.pdf 38 Republic of South Africa. National Health Laboratory Services Act (Act 37 of 2000). URL: http://www.info.gov.za/gazette/acts/2000/a37-00.pdf 30
Page 2 and 3: South African Health Review 2007 LI
Page 4: Foreword The 12th edition of South
Page 7 and 8: 12 Traditional and Complementary Me
Page 9 and 10: Other Funders for the Health System
Page 11 and 12: This response raises a number of qu
Page 13 and 14: ucts are currently sold without reg
Page 15 and 16: The authors conclude that mandatory
Page 17 and 18: servicing and inappropriate hospita
Page 19 and 20: systems is also critical; worrying
Page 22 and 23: Authors: Laetitia Rispel i Geoffrey
Page 24 and 25: Stewardship: Protecting the Public
Page 36: Stewardship: Protecting the Public
Page 39 and 40: Introduction The importance of the
Page 41 and 42: diseases such as tuberculosis and t
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Page 47: Year Act No. Title Objects 1997 90
Page 52: 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
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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
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Page 81 and 82: will retain that benefit for their
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Page 89 and 90: 37 Du Preez L. Registrar wants cura
Page 91 and 92: Introduction There has long been co
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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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Glossary AFA AIDS ALP AMA ANC ART A
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Glossary KZN LFS LIMS LP LPP MAR MC
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Glossary SAPC SARS SASIM SASSA SEP
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Index A Acts (Legislation and Bills
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Index N and O National Health Refer
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SAHR 2007 - Health Systems Trust

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