- Title
- Semi-rural community pharmacists’ perceptions of their future role in the national health insurance
- Creator
- Pambuka, Simbongile Patrick
- Subject
- National health insurance -- South Africa
- Subject
- Health care reform -- South Africa Pharmacy -- Practice -- South Africa Community health services -- South Africa
- Date Issued
- 2018
- Date
- 2018
- Type
- Thesis
- Type
- Masters
- Type
- MA
- Identifier
- http://hdl.handle.net/10948/23027
- Identifier
- vital:30396
- Description
- The healthcare system in South Africa is currently characterised by distinctly different public and private sectors. The public sector services approximately 84% of the population while the private sector services the smaller portion, 16% of the population. However, the expenditure in both the private and public sectors is almost the same, with approximately five times more being spent per capita in the private sector than in the public sector. The South African health care system is therefore unbalanced with respect to expenditure per capita resulting in inequitable access to and quality of health services. In particular, the public sector is very under-resourced relative to the population and disease burden that it serves. In order to address the inequities inherent in the current two-tiered system, the South African government is in the process of introducing a National Health Insurance (NHI). The NHI will provide a means of pooling all healthcare funding, thereby providing a means of cross subsidization of the public sector. Funding contributions will be linked to an individual’s ability-to-pay and benefits will be determined by an individual’s need for care. It has been suggested that within an NHI system private pharmacies may be contracted through service agreements to provide both chronic and acute medicines. However, there are currently no policies that have been developed specifying the roles and functions of pharmacists in the NHI, and in a re-engineered Primary Health Care system. Furthermore, research suggests that the majority of pharmacists do not believe that the NHI is a suitable means to address South Africa’s healthcare problems and many do not agree with the principles behind it. This study used a qualitative approach in order to provide a comprehensive exploration of the attitudes and perceptions of community pharmacists in the semirural Eastern Cape towards the NHI as well as their future role and function within it. In this explorative and descriptive study, semi-structured in-depth interviews were conducted with community pharmacists within a 60km radius of Queenstown in the Eastern Cape. The interviews were digitally recorded and then transcribed. The transcriptions were coded and thematically analysed using computer assisted qualitative data analysis software - Atlas.ti®. It is envisaged that this understanding will provide a basis for addressing pharmacists’ concerns and may contribute towards the further development of the role and the scope of practice of community pharmacists in the NHI.
- Format
- v, 57 leaves
- Format
- Publisher
- Nelson Mandela University
- Publisher
- Faculty of Health Sciences
- Language
- English
- Rights
- Nelson Mandela University
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