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Factors influencing the financing of South Africa's National Health Insurance

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dc.contributor.advisor Venter, J. M. P. (Jan M. P.)
dc.contributor.author Gani, Shenaaz
dc.date.accessioned 2016-03-02T10:46:08Z
dc.date.available 2016-03-02T10:46:08Z
dc.date.issued 2015-06
dc.identifier.citation Gani, Shenaaz (2015) Factors influencing the financing of South Africa's National Health Insurance, University of South Africa, Pretoria, <http://hdl.handle.net/10500/19998> en
dc.identifier.uri http://hdl.handle.net/10500/19998
dc.description.abstract With the advent of the new National Health Act, health care in South Africa is at a critical point as this will be the first time in history that a National Health Insurance is being implemented in this country. Globally National Health Insurance has been around for more than a hundred years, however some countries with long established national health schemes are currently grappling with funding issues surrounding their health systems. South Africa should take note of these issues as it embarks on this journey. The objective of this study was to perform a literature review on how South Africa’s National Health Insurance can be funded taking cognisance of the history of the country and experiences of other countries. It is imperative for each country to achieve optimal health care funding to ensure the success and long-term sustainability of National Health Insurance. The analysis of the problems experienced by other countries revealed that balancing the three main funding options namely, allocated from the national revenue fund, user charges and or donations or grants from international organisations, is critical as the funds needed in a system to achieve coverage at an affordable cost is dependent on the current state of health care in a country. Considering South Africa’s history and current inequality in society and health care it is clear that the majority of funding for the National Health Insurance should be supplied by the national revenue fund. The required funds can either be raised by increasing existing taxes or introducing a new tax specifically aimed at financing the National Health Insurance. The use of user charges is important however, although not purely for a revenue collection point, but from a cost control point of view as well. Some studies have revealed that the lack of user charges results in a misuse of the system. en
dc.format.extent 1 online resource (xv, 190 leaves) : color illustrations
dc.language.iso en en
dc.subject National Health Insurance en
dc.subject Millennium development goals en
dc.subject Universal coverage en
dc.subject World Health Organization en
dc.subject Apartheid en
dc.subject South Africa en
dc.subject Poverty en
dc.subject Health system en
dc.subject Sustainability en
dc.subject.ddc 368.4200968
dc.subject.lcsh National health insurance -- South Africa -- Finance en
dc.subject.lcsh Health insurance -- South Africa -- Finance en
dc.subject.lcsh Medical care, Cost of -- South Africa en
dc.subject.lcsh Poor -- Medical care -- South Africa en
dc.subject.lcsh Poverty -- Health aspects -- South Africa en
dc.subject.lcsh Sustainable development -- Health aspects -- South Africa en
dc.title Factors influencing the financing of South Africa's National Health Insurance en
dc.type Dissertation en
dc.description.department Financial Accounting en
dc.description.degree M. Phil. (Accounting Science)


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