An evaluation of expenditure in the private health care sector and its reporting in the national accounts of South Africa

 

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dc.contributor.advisor McIntyre, Di en_ZA
dc.contributor.author Valentine, Nicole Britt en_ZA
dc.date.accessioned 2016-03-07T04:14:39Z
dc.date.available 2016-03-07T04:14:39Z
dc.date.issued 1997 en_ZA
dc.identifier.citation Valentine, N. 1997. An evaluation of expenditure in the private health care sector and its reporting in the national accounts of South Africa. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/17539
dc.description Bibliography: pages 94-102. en_ZA
dc.description.abstract There is currently much work underway internationally to improve the accuracy and to refine the detail of accounting for health care expenditures. This research was initiated by the increasing activity in the field of national health accounting, as well as by previous research indicating that the Reserve Bank might be underestimating private health care expenditure in the national accounts. The Reserve Bank estimate of health care expenditure is important as it is the only complete and regularly produced estimate of private sector health care expenditure for South Africa. It was posited that an independent estimation of private health care expenditure would show that its magnitude is underestimated in the expenditure estimates published by the Reserve Bank for the national accounts. This thesis was upheld by the results of the research. The thesis estimate of private health care expenditure was R15 billion, 39% higher than the Reserve Bank estimate available at the time. It was also 21% higher than the final Reserve Bank estimate published in December 1995. The methodology used to derive the thesis estimate involved a survey of national income accounting concepts and guidelines embodied in the internationally used publication, the 1993 System of National Accounts. Primary data was collected from a wide range of institutions in the South African health sector. Secondary data sources were also consulted in several instances. In particular, the Registrar of Medical Schemes was consulted for medical scheme expenditure estimates as they constitute the largest portion of private sector health care expenditure in South Africa. The thesis estimate was then calculated for a single year according to the 1993 System of National Accounts guidelines. The year chosen was the government financial year from April 1992 to March 1993. The year was chosen to coincide with the year chosen for a national health expenditure review. In the presentation of the results, the estimate was broken down in separate "sources" and "uses" matrices, which are being used internationally to present national health accounting information. From the comparison of the Reserve Bank and thesis expenditure estimates, one of the most important recommendations that emerged was that the Reserve Bank should consult a wider range of expenditure data sources, more timeously and regularly. In particular, it was suggested that the Reserve Bank should negotiate earlier access to the data held by the Registrar of Medical Schemes, as well as cross-check household survey data with independent estimates of out-of-pocket and statutory scheme health care expenditure. In addition to providing a new benchmark estimate for private sector health care expenditure in the government financial year 1992/93, the breakdown of the estimate into matrices provides a framework that could be used as the basis for the development of more detailed satellite national health accounts, in accordance with 1993 SNA standards. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Health Economics en_ZA
dc.subject.other Medical economics - South Africa en_ZA
dc.subject.other Health insurance - South Africa. en_ZA
dc.subject.other Medical corporations - South Africa en_ZA
dc.subject.other Medical care - South Africa - Finance en_ZA
dc.title An evaluation of expenditure in the private health care sector and its reporting in the national accounts of South Africa en_ZA
dc.type Master Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Commerce en_ZA
dc.publisher.department School of Economics en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MEcon en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Valentine, N. B. (1997). <i>An evaluation of expenditure in the private health care sector and its reporting in the national accounts of South Africa</i>. (Thesis). University of Cape Town ,Faculty of Commerce ,School of Economics. Retrieved from http://hdl.handle.net/11427/17539 en_ZA
dc.identifier.chicagocitation Valentine, Nicole Britt. <i>"An evaluation of expenditure in the private health care sector and its reporting in the national accounts of South Africa."</i> Thesis., University of Cape Town ,Faculty of Commerce ,School of Economics, 1997. http://hdl.handle.net/11427/17539 en_ZA
dc.identifier.vancouvercitation Valentine NB. An evaluation of expenditure in the private health care sector and its reporting in the national accounts of South Africa. [Thesis]. University of Cape Town ,Faculty of Commerce ,School of Economics, 1997 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/17539 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Valentine, Nicole Britt AB - There is currently much work underway internationally to improve the accuracy and to refine the detail of accounting for health care expenditures. This research was initiated by the increasing activity in the field of national health accounting, as well as by previous research indicating that the Reserve Bank might be underestimating private health care expenditure in the national accounts. The Reserve Bank estimate of health care expenditure is important as it is the only complete and regularly produced estimate of private sector health care expenditure for South Africa. It was posited that an independent estimation of private health care expenditure would show that its magnitude is underestimated in the expenditure estimates published by the Reserve Bank for the national accounts. This thesis was upheld by the results of the research. The thesis estimate of private health care expenditure was R15 billion, 39% higher than the Reserve Bank estimate available at the time. It was also 21% higher than the final Reserve Bank estimate published in December 1995. The methodology used to derive the thesis estimate involved a survey of national income accounting concepts and guidelines embodied in the internationally used publication, the 1993 System of National Accounts. Primary data was collected from a wide range of institutions in the South African health sector. Secondary data sources were also consulted in several instances. In particular, the Registrar of Medical Schemes was consulted for medical scheme expenditure estimates as they constitute the largest portion of private sector health care expenditure in South Africa. The thesis estimate was then calculated for a single year according to the 1993 System of National Accounts guidelines. The year chosen was the government financial year from April 1992 to March 1993. The year was chosen to coincide with the year chosen for a national health expenditure review. In the presentation of the results, the estimate was broken down in separate "sources" and "uses" matrices, which are being used internationally to present national health accounting information. From the comparison of the Reserve Bank and thesis expenditure estimates, one of the most important recommendations that emerged was that the Reserve Bank should consult a wider range of expenditure data sources, more timeously and regularly. In particular, it was suggested that the Reserve Bank should negotiate earlier access to the data held by the Registrar of Medical Schemes, as well as cross-check household survey data with independent estimates of out-of-pocket and statutory scheme health care expenditure. In addition to providing a new benchmark estimate for private sector health care expenditure in the government financial year 1992/93, the breakdown of the estimate into matrices provides a framework that could be used as the basis for the development of more detailed satellite national health accounts, in accordance with 1993 SNA standards. DA - 1997 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 1997 T1 - An evaluation of expenditure in the private health care sector and its reporting in the national accounts of South Africa TI - An evaluation of expenditure in the private health care sector and its reporting in the national accounts of South Africa UR - http://hdl.handle.net/11427/17539 ER - en_ZA


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