Global ETD Search

21	Cost-effective delivery of managed nurse-based primary health care in a selected medical scheme Seymore, Martha Magarieta 06 1900 (has links) The study was aimed at furthering the health objectives of the government's Reconstruction and Development Programme (ANC 1994b) in the area of primary health care. . The purpose of the study was to examine the possible reduction of medical scheme claims for cardiovascular disease by means of primary health care, so that medical scheme benefits do not become exhausted so rapidly. The overall outcome of the study showed that if cardiovascular disease could be diagnosed and treated early, the financial benefits could be substantial. This was illustrated by the comparison of primary, secondary and tertiary treatment of cardiovascular disease using case studies over a period of one year. Recommendations centered around nurse-based primary health care for cardiovascular disease and the cost-effective management of the medical scheme. It was concluded that as a result of nurse-based primary health care, costs could be contained so that medical scheme benefits would not become exhausted so rapidly. / Health Studies / M.A. (Nursing Science) Cardiovascular diseases Cholesterol Cost escalation Diabetes mellitus Hypercholesterolemia, Hypertension Managed health care Nurse-based primary health care, Medical scheme Primary health care Risk factors 362.10425068 Medical policy -- South Africa Medical care -- South Africa -- Finance Nursing care plans -- South Africa Health care reform -- South Africa. Health insurance -- South Africa
22	The politics of health care reform: a comparative analysis of South Africa, Sweden and Canada Usher, Kimberley 11 1900 (has links) Text in English / South Africa is currently in the process health care reform as the Government has undertaken the task of providing universal health care to all South Africans through the implementation of the National Health Insurance Scheme (NHI). This study took an in-depth look at the history and progression of the post-1994 South African health care policy, and applied the Power Resources Theory to the political economy of the current health care reform process in South Africa. Through a comparative study of the pivotal elements in the phases of health reform in Canada and Sweden this study drew lessons for the design and implementation of universal public health care provision in South Africa. This study found that a strong culture of care, strong political will, active civil society participation and a focus on equality as opposed to poverty in the creation of policy is essential to a successful implementation of universal health care. / Sociology / M.A. (Sociology) Health care reform Universal health care Solidarity Equality Power resources Political will Civil society Quality of government Welfare state National Health Insurance 362.10968 Health care reform -- South Africa Primary health care -- South Africa Medical care -- South Africa Poor -- Medical care -- South Africa Health care reform -- Canada Health care reform -- Sweden
23	A study on the utilisation of integrated management of childhood illnesses (IMCI) in primary health care facilities Malimabe, Keneuwe Joyce 11 1900 (has links) This explorative, descriptive quantitative survey attempted to determine whether the reduced number of consultations and admissions of sick children less than five years in Emfuleni sub- district clinics is due to the utilisation of the IMCI strategy or other health services. The research population comprised of all the mothers/caretakers of children less than five years who utilised the clinics and those who consulted the private medical doctor. The convenient sample consisted of 169 candidates. Data was collected by means of a questionnaire and analysed using the SAS/Basic computer statistical software package. Findings of the study revealed a need to address the major concern about the waiting time and operational times in all the three clinics. Recommendations were made that staff allocation procedures and policies be reviewed in order to abate long waiting periods at the clinics where children with childhood illnesses are treated. / Health Studies / M.A. (Health Studies) Childhood illnesses IMCI Primary health care facilities Strategy Utilisation 362.198920096822
24	The implementation of the Integrated School Health Policy in primary schools of Region C in the Gauteng Province Lenkokile, Mosetsanagape Rebecca 10 1900 (has links) The primary aim of this study is to describe and explain the extent of which school managers and primary healthcare facility managers possess knowledge and awareness of their roles in the implementation of the Integrated School Health Policy in Region C in the Gauteng Provincial Department of Basic Education. The study used a qualitative research method by which semi-structured interviews were conducted using a descriptive and explanative design. A sample of ten respondents was elected using a purposive sampling strategy and conventional or content analysis was utilised in the interpretation and analysis of data. The main findings of the study revealed that managers know their role in the implementation of the policy. Although managers are aware of their important roles; they are unable to fulfil them due to a lack of skills. Therefore, the study recommends that the Department of Health and the Department of Basic Education should ensure that managers are skilled and more knowledgeable in implementing the policy objectives. / Public Administration and Operations Management / M. Admin. (Public Admiistration) 362.10706822 South Africa -- Department of Education South Africa -- Department of Health
25	A tale of two community health facilities : exploring differences Molefe, Nsizwa Robert Jonathan 06 1900 (has links) This study looks at two community mental health facilities. The one setting is that of a state aided organisation, while the other is a non-government organisation (NGO). These two settings are contrasted in terms of how they conceptualise the concept 'community', their physical settings and facilities, and the activities and processes at each setting. The differences in the day-to-day operational processes, and activities according to their respective philosophies - psychiatric medical model and ecological model - are explored and captured from the participants through utilising qualitative data gathering methods such as interviews, observations and the personal experiences of the researcher. The information obtained from each participant in both settings reflect how they think, feel and behave towards their work. This information contributes to an understanding of how community mental health clinics operate. Finally the recommendations are of how work could be done differently, making them both more community orientated. / M. A.(Clinical Psychology) Conceptualising Community Community mental health clinics Physical settings in community clinics Psychiatric medical model Ecological model Community ideology Co-creating a community Community processes and activities Qualitative research Service providers in community clinics 362.220968 Health care reform -- South Africa. Mental health policy -- South Africa.
26	Cost-effective delivery of managed nurse-based primary health care in a selected medical scheme Seymore, Martha Magarieta 06 1900 (has links) The study was aimed at furthering the health objectives of the government's Reconstruction and Development Programme (ANC 1994b) in the area of primary health care. . The purpose of the study was to examine the possible reduction of medical scheme claims for cardiovascular disease by means of primary health care, so that medical scheme benefits do not become exhausted so rapidly. The overall outcome of the study showed that if cardiovascular disease could be diagnosed and treated early, the financial benefits could be substantial. This was illustrated by the comparison of primary, secondary and tertiary treatment of cardiovascular disease using case studies over a period of one year. Recommendations centered around nurse-based primary health care for cardiovascular disease and the cost-effective management of the medical scheme. It was concluded that as a result of nurse-based primary health care, costs could be contained so that medical scheme benefits would not become exhausted so rapidly. / Health Studies / M.A. (Nursing Science) Cardiovascular diseases Cholesterol Cost escalation Diabetes mellitus Hypercholesterolemia, Hypertension Managed health care Nurse-based primary health care, Medical scheme Primary health care Risk factors 362.10425068 Medical policy -- South Africa Medical care -- South Africa -- Finance Nursing care plans -- South Africa Health care reform -- South Africa. Health insurance -- South Africa
27	The politics of health care reform: a comparative analysis of South Africa, Sweden and Canada Usher, Kimberley Ann 11 1900 (has links) Text in English / South Africa is currently in the process health care reform as the Government has undertaken the task of providing universal health care to all South Africans through the implementation of the National Health Insurance Scheme (NHI). This study took an in-depth look at the history and progression of the post-1994 South African health care policy, and applied the Power Resources Theory to the political economy of the current health care reform process in South Africa. Through a comparative study of the pivotal elements in the phases of health reform in Canada and Sweden this study drew lessons for the design and implementation of universal public health care provision in South Africa. This study found that a strong culture of care, strong political will, active civil society participation and a focus on equality as opposed to poverty in the creation of policy is essential to a successful implementation of universal health care. / Sociology / M.A. (Sociology) Health care reform Universal health care Solidarity Equality Power resources Political will Civil society Quality of government Welfare state National Health Insurance 362.10968 Health care reform -- South Africa Primary health care -- South Africa Medical care -- South Africa Poor -- Medical care -- South Africa Health care reform -- Canada Health care reform -- Sweden

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