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Medical Insurance Representatives Perceptions on National Health Insurance Primary Healthcare Re-Engineering in South Africa: A Qualitative Study.
- Source :
- Journal of Primary Care & Community Health; 4/3/2024, p1-8, 8p
- Publication Year :
- 2024
-
Abstract
- The South African government is moving toward universal health coverage (UHC) with the passing of the National Health Insurance (NHI) Bill. Access to quality primary healthcare (PHC) is the cornerstone of UHC principles. The South African governmental health department have begun focusing efforts on improving the efficiency and functionality of this system; that includes the involvement of private healthcare professionals and medical insurance companies. This study sought to explore perceptions of medical insurance company personnel on PHC re-engineering as part of NHI restructuring. A qualitative research design was adopted in this study. Semi-structured interviewed were conducted on 10 participants. Their responses were audio recorded and transcribed utilizing Microsoft Word<superscript>®</superscript> documents. Nvivo<superscript>®</superscript> was used to facilitate the analysis of data. A thematical approach was used to categories codes into themes. Although participants were in agreement with the current healthcare reform in South Africa. The findings of this study have highlighted several gaps in the NHI Bill at the current point in time. In order to achieve standardized quality of care at a primary level; it is imperative that reimbursement frameworks with clearly detailed service provision and accountability guidelines are developed. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEALTH insurance laws
NATIONAL health service laws
HEALTH services accessibility
POLICY sciences
MEDICAL protocols
QUALITATIVE research
HEALTH attitudes
HEALTH insurance reimbursement
PRIMARY health care
INTERVIEWING
RESPONSIBILITY
HEALTH policy
WORK design
THEMATIC analysis
HEALTH care reform
ATTITUDES of medical personnel
UNIVERSAL healthcare
RESEARCH methodology
DATA analysis software
INSURANCE companies
MEDICAL referrals
Subjects
Details
- Language :
- English
- ISSN :
- 21501319
- Database :
- Complementary Index
- Journal :
- Journal of Primary Care & Community Health
- Publication Type :
- Academic Journal
- Accession number :
- 176449690
- Full Text :
- https://doi.org/10.1177/21501319241237044