This paper focuses on the major decision variables and appertaining decision makers in the selection of long term health care facilites. The literatures identifies principal decision makers as physicians and females between the ages of 45 and 65, and that the decision making process is usually rushed, haphazard, and guilt-ridden. The results of the study cite five decision factors perceived as most important by physicians and females age 45 to 65. The study concludes by comparing these results and recommending a more aggressive marketing communeiations effort by long term health care facilities.

The purpose of the study was to evaluate the impact of the Termination of Pregnancy (TOP) programme in South Africa, using Mpumalanga as focal area, with the view of developing guidelines to assist service providers in the implementation of the Choice on Termination of Pregnancy (CTOP), Act 92 of 1996. The study was conducted in two phases. In phase 1, a qualitative, quantitative, contextual, explorative, descriptive and case study research design was utilised. The purpose was to explore and describe TOP service providers and facility managers’ knowledge regarding the CTOP Act, as well as their experiences and feelings regarding TOP provision, and the feelings and experiences of health care consumers utilising TOP services. Records of attendance regarding the utilisation of the services were also reviewed. Data was collected using unstructured and semi-structured interviews. Phase 2 of the study focused on the development of guidelines to assist in the translation of the CTOP Act to action at service level. The findings revealed that although the TOP programme was operating within the reproductive health for women initiative, TOP service providers and facility managers were not knowledgeable on other legislation that supports the CTOP Act to integrate its implementation. All the participants experienced emotional, physical and psychological discomfort in providing TOP services. Lack of support of the programme also posed a major challenge. These findings formed the basis for the development of the guidelines. / Health Studies / (D.Litt. et Phil. (Health Studies))

The purpose of the study was to evaluate the impact of the Termination of Pregnancy (TOP) programme in South Africa, using Mpumalanga as focal area, with the view of developing guidelines to assist service providers in the implementation of the Choice on Termination of Pregnancy (CTOP), Act 92 of 1996. The study was conducted in two phases. In phase 1, a qualitative, quantitative, contextual, explorative, descriptive and case study research design was utilised. The purpose was to explore and describe TOP service providers and facility managers’ knowledge regarding the CTOP Act, as well as their experiences and feelings regarding TOP provision, and the feelings and experiences of health care consumers utilising TOP services. Records of attendance regarding the utilisation of the services were also reviewed. Data was collected using unstructured and semi-structured interviews. Phase 2 of the study focused on the development of guidelines to assist in the translation of the CTOP Act to action at service level. The findings revealed that although the TOP programme was operating within the reproductive health for women initiative, TOP service providers and facility managers were not knowledgeable on other legislation that supports the CTOP Act to integrate its implementation. All the participants experienced emotional, physical and psychological discomfort in providing TOP services. Lack of support of the programme also posed a major challenge. These findings formed the basis for the development of the guidelines. / Health Studies / (D.Litt. et Phil. (Health Studies))