The National Health Insurance, the decentralised clinical training platform, and specialist outreach
According to the Constitution of South Africa (SA), citizens living in remote areas are entitled to the same level of healthcare as those with access to tertiary hospitals. Specialist outreach has been shown to achieve this. When SA’s National Health Services Commission convened (1942 - 1944), Gluck...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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South African Medical Association
2017-01-01
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| Series: | South African Medical Journal |
| Subjects: | |
| Online Access: | http://www.samj.org.za/index.php/samj/article/view/11767/7915 |
| _version_ | 1797331498758569984 |
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| author | R I Caldwell C Aldous |
| author_facet | R I Caldwell C Aldous |
| author_sort | R I Caldwell |
| collection | DOAJ |
| description | According to the Constitution of South Africa (SA), citizens living in remote areas are entitled to the same level of healthcare as those with access to tertiary hospitals. Specialist outreach has been shown to achieve this. When SA’s National Health Services Commission convened (1942 - 1944), Gluckman summarised: ‘Where the need is greatest the supply of hospitals is least.’ Primary healthcare (PHC) characterised the Kark’s Pholela Health Centre and was highly regarded. Although PHC underpins National Health Insurance (NHI) planning, both preventive and curative healthcare are needed. The KwaZulu-Natal (KZN) provincial Department of Health and the University of KZN College of Health Sciences’ 5-year plan for a decentralised clinical teaching platform (DCTP) is ambitious, requiring optimum co-operation between health department and university. Reservations can be addressed through sustained specialist outreach. Above all, the patient must be the chief beneficiary. The NHI and DCTP overlap with specialist outreach, but cannot do without it. |
| first_indexed | 2024-03-08T07:35:28Z |
| format | Article |
| id | doaj.art-ab9b65846e404da8870c4126a80065ba |
| institution | Directory Open Access Journal |
| issn | 0256-9574 2078-5135 |
| language | English |
| last_indexed | 2024-03-08T07:35:28Z |
| publishDate | 2017-01-01 |
| publisher | South African Medical Association |
| record_format | Article |
| series | South African Medical Journal |
| spelling | doaj.art-ab9b65846e404da8870c4126a80065ba2024-02-02T19:14:05ZengSouth African Medical AssociationSouth African Medical Journal0256-95742078-51352017-01-011071394010.7196/SAMJ.2017.v107i1.12008The National Health Insurance, the decentralised clinical training platform, and specialist outreachR I Caldwell0C Aldous1School of Clinical Medicine, Department of Internal Medicine, College of Health Sciences, University of KwaZulu-Natal, Pietermaritzburg, South AfricaSchool of Clinical Medicine, Department of Internal Medicine, College of Health Sciences, University of KwaZulu-Natal, Pietermaritzburg, South AfricaAccording to the Constitution of South Africa (SA), citizens living in remote areas are entitled to the same level of healthcare as those with access to tertiary hospitals. Specialist outreach has been shown to achieve this. When SA’s National Health Services Commission convened (1942 - 1944), Gluckman summarised: ‘Where the need is greatest the supply of hospitals is least.’ Primary healthcare (PHC) characterised the Kark’s Pholela Health Centre and was highly regarded. Although PHC underpins National Health Insurance (NHI) planning, both preventive and curative healthcare are needed. The KwaZulu-Natal (KZN) provincial Department of Health and the University of KZN College of Health Sciences’ 5-year plan for a decentralised clinical teaching platform (DCTP) is ambitious, requiring optimum co-operation between health department and university. Reservations can be addressed through sustained specialist outreach. Above all, the patient must be the chief beneficiary. The NHI and DCTP overlap with specialist outreach, but cannot do without it.http://www.samj.org.za/index.php/samj/article/view/11767/7915National Health InsuranceDecentralised clinical training platformSpecialist outreach |
| spellingShingle | R I Caldwell C Aldous The National Health Insurance, the decentralised clinical training platform, and specialist outreach South African Medical Journal National Health Insurance Decentralised clinical training platform Specialist outreach |
| title | The National Health Insurance, the decentralised clinical training platform, and specialist outreach |
| title_full | The National Health Insurance, the decentralised clinical training platform, and specialist outreach |
| title_fullStr | The National Health Insurance, the decentralised clinical training platform, and specialist outreach |
| title_full_unstemmed | The National Health Insurance, the decentralised clinical training platform, and specialist outreach |
| title_short | The National Health Insurance, the decentralised clinical training platform, and specialist outreach |
| title_sort | national health insurance the decentralised clinical training platform and specialist outreach |
| topic | National Health Insurance Decentralised clinical training platform Specialist outreach |
| url | http://www.samj.org.za/index.php/samj/article/view/11767/7915 |
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