The Strategic Management Techniques which should be adopted for Better and Effective Implementation of NHI in South Africa: The Truths about NHI

by

ACKNOWLEDGEMENT

I would take this opportunity to thank my research supervisor, family and friends for their support and guidance without which this research would not have been possible.

DECLARATION

I, [type your full first names and surname here], declare that the contents of this dissertation/thesis represent my own unaided work, and that the dissertation/thesis has not previously been submitted for academic examination towards any qualification. Furthermore, it represents my own opinions and not necessarily those of the University.

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ABSTRACT

The research aims identifying various strategic management techniques which could be adopted for better and effective management and implementation National Health Institutions in South Africa. This research explores the phenomena of strategic management along with how strategic management approach can be helpful in implementing healthcare system effectively. Literature review provides an overview about the concept of Universal Coverage - healthcare system in South African context. Furthermore, it gives an overview of National Health Insurance system which is helpful in identifying its implementation in South Africa. In the current scenario, these objectives and goals are not met effectively by National Healthcare System. The public sector, comprising of a major portion i.e. 65% is good in accessibility but low at quality. On the other hand, the private sector, which comprises of 35 percent, has high quality but less accessibility. This uneven proportionality creates problems in providing healthcare services to all the citizens at an equal level. The study also provides an overview of healthcare systems being implemented in different countries. Through secondary research method, the study provides an analysis of the Proposed National Healthcare Insurance system, identifying the benefits of the system from South African perspective and challenges that will be faced by the government while implementing the NHI as universal coverage system. Furthermore, this study has also analysed examples of different developing, developed and international experiences for identifying different strategies that could be used in effective implementation of NHI in South Africa. Lastly, the research provides the strategic approach issues that need to be addressed before NHI could be implemented in the country.

TABLE OF CONTENTS

ACKNOWLEDGEMENTII

DECLARATIONIII

ABSTRACTIV

CHAPTER 1: INTRODUCTION1

Research Background1

Research Aim and Objectives2

Research Questions3

Organisational Profile: Department Health Republic of South Africa3

System Overview: National Health Insurance3

CHAPTER 2: LITERATURE REVIEW4

Universal Coverage and Health Financing in an African context4

Healthcare System in South Africa: Introduction of a National Health Insurance5

National Health Insurance7

Role performed by National Healthcare System8

Principles of National Health Insurance9

Healthcare Systems in Developed World9

United States of America9

United Kingdom10

Germany11

Strategic Management11

Modern Strategic Management13

Strategic Decisions14

Strategic Implementation and Measurement14

Strategic Management in the Healthcare Industry16

The Evolution and Creation of NHI in British Healthcare System18

Literature link with Research Questions20

Rationale for the Research20

CHAPTER 3: METHODOLOGY22

Research Methodology22

Research Philosophy23

Qualitative Research Approach24

Secondary Data Collection24

Research Strategy: Case Study25

Data Analysis Technique26

Limitations27

Validity27

Reliability29

Research Ethics30

CHAPTER 4: DISCUSSION AND ANALYSIS32

Steps taken to implement National Health Insurance32

Healthcare in South Africa: Introducing a National Health Insurance33

Healthcare Benefits under National Health Insurance38

The Service Package within the Context of District Heath Services39

Delivery of Primary Health Care Services through ...