Introducing a national health insurance system in South Africa: A general practitioner’s bottom-up approach to costing
Objective. This study explores how private general practitioners (GPs) may choose to embrace these service delivery concepts and deal with the cost implications to meet NHI requirements.
Methods. Data were collected from 598 solo private GPs through a self-administered online questionnaire survey across South Africa.
Results. In spite of poor engagement with the public sector, and some challenges in costing and organisation, GPs appear to have an affordable and pro-active response to NHI capitation costing and fee setting. On average, they would accept a minimum global fee of R4.03 million to look after a population of 10 000 people for personal healthcare services.
Conclusion. At a total cost to the country of R16.9 billion, government could affordably use GPs to develop the primary health care part of NHI to cover the entire South African uninsured population. It is anticipated that a similar approach would be successful in other developing countries.
Shabir Moosa, Department of Family Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg
John M Luiz, Graduate School of Business, University of Cape Town
Teresa Carmichael, Wits Business School, University of the Witwatersrand, Johannesburg
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Date published: 2012-08-01
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