The impending NHI will cause a disruptive change in the health care industry in South Africa. For that reason the affected firms need to prepare themselves. Furthermore the current stakeholders in the private health care sector are feeling disenfranchised in terms of how the NHI will turn out.The aim of this study was to understand the response of existing firms whose existence is threatened due to impending disruptive change.The research method that was used was qualitative and exploratory in design. It involved one on one semi structured interviews with 13 respondents from a total of 7 firms who were selected to participate in the study, from the following business groups: pharmaceutical firms, private hospitals, and medical distributors.The findings revealed that the majority of firms would respond by strengthening their relations with the government who is the key stakeholder in the NHI. Secondly, they would build capacity in terms of resources and capabilities in line with the NHI. Lastly, they would innovate their value offering in the current market or new markets. / Dissertation (MBA)--University of Pretoria, 2012. / Gordon Institute of Business Science (GIBS) / unrestricted

Disruptive change transforms existing organizational processes. Newspaper organizations such as Orlando Sentinel Communications (OSC) tend to resist process change. As with most newspaper companies in the United States, OSC management was confronted with unprecedented disruptive change and challenges by the accelerated evolution of its business models and processes. This investigation identified and modeled OSC circulation processes to support disruptive change initiatives. The XML Process Definition Language (XPDL) is an XML specification and process modeling solution developed by the Workflow Management Coalition (WFMC) designed to exchange workflow process semantics and graphics. This investigation focused on developing an XPDL process model of OSC circulation processes to address process transformations inherent to disruptive change. The method was a case study of OSC circulation processes through the System Development Life Cycle (SDLC) framework to develop a reproducible XPDL process model for OSC to use in planning for disruptive change. The investigation found that XPDL to be well-suited as the language for expressing workflow models to plan, align, and implement processes that anticipate disruptive change. The results of this research also confirmed that organizational values, workflow activities, and subflows play a prominent role in an incumbent organization's response to disruptive change. Finally, this study established that process model metainformation associated with workflow activities, transitions, and resources are core attributes in planning for disruptive change.

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The policy of Separate Development and its forceful implementation by the Nationalist Government from the !960's and into the 1980's resulted in the resettlement of thousands of Africans in the 'homeland' Ciskei in the Eastern Cape. All these changes had a profound and very often a disruptive influence on the lives of those involved. People's ability to survive amidst these circumstances, was tested to the limit. This study looks at the role of the local Christian faith community in supporting its members during these rapid and disruptive socioeconomic and political changes. The study is confined to two congregations of the Uniting Reformed Church in Southern Africa in Ilitha and Ndevana in the Eastern Cape. Following an introductory chapter, Chapter 2 gives a historical outline of developments in the broader Ciskei. Attention is also given to demographic, social and economic conditions. Chapter 3 describes the culture and feeling of despair, powerlessness and mistrust that is deeply entrenched in the minds of many people in the community due to depressive socio-economic situations. Chapter 4 gives an overview of the churches in the area and describes the supportive structures and actions of two churches in the Ilitha-Ndevana area. No instant solutions are offered to members but through mutual support they find a sense of belonging and encouragement in the midst of their hardship. In Chapter 5 a model for the mission of the local church in a context of social and economic change and disruption, is presented. It is shown how the image of Christianity and the Gospel have been distorted and misused in the past through the entanglement of mission and colonialism, a negative attitude towards African culture, and by contributing to the subordination of women in society. A vision that people in Africa can have peace and dignity and become self-reliant is proposed. Within the local faith community this vision is built on an understanding of God as the weak and suffering Lord, on fellowship and mutual support, a new reading of the Bible, a practical community based spirituality, and an emphasis on healing. / Die daarstelling en .kragdadige toepassing van die beleid van Afsonderlike Ontwikkeling vanaf die 1960's tot·die 1980's het tot gevolg_gehad dat duisende Swart Suid-AftilCaners hervestig is in die Ciskei-tuisland in die Oos-Kaap. Al hierdie veranderinge het verreikende en baie dikwels ontwrigtende gevolge op die betrokkenes gehad. Mense se vermoens om binne hierdie omstandighede te oorlee:t: is tot die uiterste beproef. Hierdie studie kyk na die rol van die plaaslike · Cbristelike. geloofsgemeenskap in die ondersteuning van sy lede tydens snelle en ontwrigtende sosiale, ekonomiese en politieke veranderinge. Die studie is beperk tot twee gemeentes van die Verenigende Gereformeerde Kerk in Suider-Aftika in Ilitha en Ndevana in die Oos-Kaap. Na 'n inleidende hoofstuk, gee hoofstuk 2 'n historiese oorsig van ontwikkelinge in die breere Ciskei-gebied. Aandag word ook gegee aan demografriese, sosiale en ekonomiese toestande. Hoofstuk 3 beskryf 'n kultuur en gevoel van moedeloosheid, magteloosheid en wantroue wat, as gevolg van neerdrukkende sosiaal-ekonomiese toestande, diep in menige mense se gemoedere vasgele is. Hoofstuk 4 gee 'n oorsig oor die kerke in die gebied en beskryf die ondersteunende strukture en optrede in twee gemeentes in die Ilitha-Ndevana area. Geen kitsoplossings word aan lede aangebied nie, maar deur onderlinge steun vind hulle geborgenheid en bemoediging te midde van swaarkry. In hoofstuk 5 word 'n model aangebied vir die missie van die plaaslike kerk te midde van sosiale en ekonomiese veranderinge en ontwrigting. Daar word aangetoon hoe die beeld van die Christendom in die verlede verwring en misbruik is deur: die verstrengeling van sending en kolonialisasie; 'n negatiewe houding teenoor kultuur in Afrika; en deur by te dra tot die ondergeskikte posisie van vroue in die samelewing. 'n Visie dat die mense van Afrika vrede en menswaardigheid kan geniet en self onderhoudend kan raak, word voorgestel. Binne die plaaslike geloofsgemeenskap word aan hierdie visie gebou deur 'n begrip van God as die magtelose en lydende Here, deur onderlinge gemeenskap en ondersteuning, 'n nuwe lees en begrip van die Bybel, 'n praktiese gemeenskaps-gerigte spiritualiteit en 'n beklemtoning van heling en herstel. / Christian Spirituality, Church History and Missiology / D.Th. (Missiology)

The policy of Separate Development and its forceful implementation by the Nationalist Government from the !960's and into the 1980's resulted in the resettlement of thousands of Africans in the 'homeland' Ciskei in the Eastern Cape. All these changes had a profound and very often a disruptive influence on the lives of those involved. People's ability to survive amidst these circumstances, was tested to the limit. This study looks at the role of the local Christian faith community in supporting its members during these rapid and disruptive socioeconomic and political changes. The study is confined to two congregations of the Uniting Reformed Church in Southern Africa in Ilitha and Ndevana in the Eastern Cape. Following an introductory chapter, Chapter 2 gives a historical outline of developments in the broader Ciskei. Attention is also given to demographic, social and economic conditions. Chapter 3 describes the culture and feeling of despair, powerlessness and mistrust that is deeply entrenched in the minds of many people in the community due to depressive socio-economic situations. Chapter 4 gives an overview of the churches in the area and describes the supportive structures and actions of two churches in the Ilitha-Ndevana area. No instant solutions are offered to members but through mutual support they find a sense of belonging and encouragement in the midst of their hardship. In Chapter 5 a model for the mission of the local church in a context of social and economic change and disruption, is presented. It is shown how the image of Christianity and the Gospel have been distorted and misused in the past through the entanglement of mission and colonialism, a negative attitude towards African culture, and by contributing to the subordination of women in society. A vision that people in Africa can have peace and dignity and become self-reliant is proposed. Within the local faith community this vision is built on an understanding of God as the weak and suffering Lord, on fellowship and mutual support, a new reading of the Bible, a practical community based spirituality, and an emphasis on healing. / Die daarstelling en .kragdadige toepassing van die beleid van Afsonderlike Ontwikkeling vanaf die 1960's tot·die 1980's het tot gevolg_gehad dat duisende Swart Suid-AftilCaners hervestig is in die Ciskei-tuisland in die Oos-Kaap. Al hierdie veranderinge het verreikende en baie dikwels ontwrigtende gevolge op die betrokkenes gehad. Mense se vermoens om binne hierdie omstandighede te oorlee:t: is tot die uiterste beproef. Hierdie studie kyk na die rol van die plaaslike · Cbristelike. geloofsgemeenskap in die ondersteuning van sy lede tydens snelle en ontwrigtende sosiale, ekonomiese en politieke veranderinge. Die studie is beperk tot twee gemeentes van die Verenigende Gereformeerde Kerk in Suider-Aftika in Ilitha en Ndevana in die Oos-Kaap. Na 'n inleidende hoofstuk, gee hoofstuk 2 'n historiese oorsig van ontwikkelinge in die breere Ciskei-gebied. Aandag word ook gegee aan demografriese, sosiale en ekonomiese toestande. Hoofstuk 3 beskryf 'n kultuur en gevoel van moedeloosheid, magteloosheid en wantroue wat, as gevolg van neerdrukkende sosiaal-ekonomiese toestande, diep in menige mense se gemoedere vasgele is. Hoofstuk 4 gee 'n oorsig oor die kerke in die gebied en beskryf die ondersteunende strukture en optrede in twee gemeentes in die Ilitha-Ndevana area. Geen kitsoplossings word aan lede aangebied nie, maar deur onderlinge steun vind hulle geborgenheid en bemoediging te midde van swaarkry. In hoofstuk 5 word 'n model aangebied vir die missie van die plaaslike kerk te midde van sosiale en ekonomiese veranderinge en ontwrigting. Daar word aangetoon hoe die beeld van die Christendom in die verlede verwring en misbruik is deur: die verstrengeling van sending en kolonialisasie; 'n negatiewe houding teenoor kultuur in Afrika; en deur by te dra tot die ondergeskikte posisie van vroue in die samelewing. 'n Visie dat die mense van Afrika vrede en menswaardigheid kan geniet en self onderhoudend kan raak, word voorgestel. Binne die plaaslike geloofsgemeenskap word aan hierdie visie gebou deur 'n begrip van God as die magtelose en lydende Here, deur onderlinge gemeenskap en ondersteuning, 'n nuwe lees en begrip van die Bybel, 'n praktiese gemeenskaps-gerigte spiritualiteit en 'n beklemtoning van heling en herstel. / Christian Spirituality, Church History and Missiology / D.Th. (Missiology)