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The Private Health Sector Indaba

The Private Health Sector Indaba. September 2007. INTRODUCTION. HASA welcomes the opportunity to constructively engage with stakeholders and the State in improving access and affordability.

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The Private Health Sector Indaba

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  1. The Private Health Sector Indaba September 2007

  2. INTRODUCTION • HASA welcomes the opportunity to constructively engage with stakeholders and the State in improving access and affordability. • The Constitutional mandate is to progressively realise these principles in so far as the positively improve the lives of health care consumers. • It is not in the interests of users that stakeholders take defensive positions, nor is it helpful for those stakeholders to finger point. • The obligation to improve access and affordability is a universal mandate, requiring collective engagement, partnerships and respect. • The broad principles should be: • Transparency • Accountability • Ethical business practices. • Competition in the interests of patients.

  3. Table 1: Forecasts of active nurses in South Africa and the estimated gap in supply of nurses. Source: HSRC HRD report. Estimates to 2014 are not available but the authors estimate that the supply Gap could be as high as 25 000 by 2014.

  4. Graph 1: Breakdown of Hospital Costs

  5. Hospital Growth in Patient Days

  6. THE CHANGE

  7. Some ideas... • A dedicated task group, that meets regularly to address issues of improved access and quality. • A universal understanding of ‘basic care’ (public and private sector), which would require further discussion. • Strategic legislative interventions, with the State understanding areas of need through joint discussion and understanding. • Developing a joint human resource strategy, utilising the resources available to both sectors. Fragmentation in this regard should be avoided. • Joint meeting with the Council for Higher Education, Department of Education, Deans of Medical Science, and the members on addressing access in education, and joint programs of human resource development. • PPI’s (on a more practical level – thinking outside the paradigm) • Development of staff HMO’s (similar to the mining sector) as a means of reducing cost, and targeting specific health care needs. Eg. Emergency health care. • Training of nursing staff, training of health hospital managers.

  8. Some ideas… • .Share experiences and ideas around staff shortages. • Identify critical areas of health professional shortages, and develop joint strategies in addressing such. • Improve access to academic institutions, with an emphasis on those critical areas of shortage. Pathology, Radiology, Psychiatry, Psychology, Pediatrics. • Shared training initiatives, with particular emphasis on legal compliance, ethics, quality and management. • Joint program to address issues of global concern • Reduce the cost of health care delivery.

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