General practitioners and national health insurance - Results of a national survey

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dc.contributor.authorBLECHER, M
dc.contributor.authorJACOBS, T
dc.contributor.authorMcIntyre, D
dc.date.accessioned2021-10-08T07:17:55Z
dc.date.available2021-10-08T07:17:55Z
dc.date.issued1999
dc.description.abstractOBJECTIVE: To determine the attitudes of South African general practitioners (GPs) to national health insurance (NHI), social health insurance (SHI) and other related health system reforms. DESIGN: A national survey using postal questionnaires and telephonic follow-up of non-responders. SETTING: GPs throughout South Africa. PARTICIPANTS: Four hundred and forty-three GPs were randomly selected from a national sampling frame of 6,781 GPs. MAIN OUTCOME MEASURES: Acceptance of NHI and GP preferences with regard to financing, provision, benefits, coverage and the role of GPs. MAIN RESULTS: A response rate of 82.1% was achieved. Sixty-two per cent of GPs approved of the introduction of some form of social or NHI in South Africa, while 24.1% disapproved. Approval rose to 81.6% if GPs were to maintain their independent status, e.g. own premises and working hours, to 75% if additional private top-up insurance was allowed, and to 79.9% if payment was by fee-for-service. Seventy per cent of GPs in the study stated that they had the capacity to treat more patients. The most important reason given for approving of NHI was to make health care more equitable and accessible to the majority of South Africans. A high proportion of GPs approved of increasing the level of interaction between GPs and district health authorities. CONCLUSIONS: Most GPs approved of some form of social or NHI system, provided that the system did not significantly threaten their professional autonomy or economic and financial situation.
dc.identifier.apacitationBLECHER, M., JACOBS, T., & McIntyre, D. (1999). General practitioners and national health insurance - Results of a national survey. <i>South African Medical Journal</i>, 89(5), 534 - 540. http://hdl.handle.net/11427/34860en_ZA
dc.identifier.chicagocitationBLECHER, M, T JACOBS, and D McIntyre "General practitioners and national health insurance - Results of a national survey." <i>South African Medical Journal</i> 89, 5. (1999): 534 - 540. http://hdl.handle.net/11427/34860en_ZA
dc.identifier.citationBLECHER, M., JACOBS, T. & McIntyre, D. 1999. General practitioners and national health insurance - Results of a national survey. <i>South African Medical Journal.</i> 89(5):534 - 540. http://hdl.handle.net/11427/34860en_ZA
dc.identifier.issn0038-2469
dc.identifier.ris TY - Journal Article AU - BLECHER, M AU - JACOBS, T AU - McIntyre, D AB - OBJECTIVE: To determine the attitudes of South African general practitioners (GPs) to national health insurance (NHI), social health insurance (SHI) and other related health system reforms. DESIGN: A national survey using postal questionnaires and telephonic follow-up of non-responders. SETTING: GPs throughout South Africa. PARTICIPANTS: Four hundred and forty-three GPs were randomly selected from a national sampling frame of 6,781 GPs. MAIN OUTCOME MEASURES: Acceptance of NHI and GP preferences with regard to financing, provision, benefits, coverage and the role of GPs. MAIN RESULTS: A response rate of 82.1% was achieved. Sixty-two per cent of GPs approved of the introduction of some form of social or NHI in South Africa, while 24.1% disapproved. Approval rose to 81.6% if GPs were to maintain their independent status, e.g. own premises and working hours, to 75% if additional private top-up insurance was allowed, and to 79.9% if payment was by fee-for-service. Seventy per cent of GPs in the study stated that they had the capacity to treat more patients. The most important reason given for approving of NHI was to make health care more equitable and accessible to the majority of South Africans. A high proportion of GPs approved of increasing the level of interaction between GPs and district health authorities. CONCLUSIONS: Most GPs approved of some form of social or NHI system, provided that the system did not significantly threaten their professional autonomy or economic and financial situation. DA - 1999 DB - OpenUCT DP - University of Cape Town IS - 5 J1 - South African Medical Journal LK - https://open.uct.ac.za PY - 1999 SM - 0038-2469 T1 - General practitioners and national health insurance - Results of a national survey TI - General practitioners and national health insurance - Results of a national survey UR - http://hdl.handle.net/11427/34860 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34860
dc.identifier.vancouvercitationBLECHER M, JACOBS T, McIntyre D. General practitioners and national health insurance - Results of a national survey. South African Medical Journal. 1999;89(5):534 - 540. http://hdl.handle.net/11427/34860.en_ZA
dc.language.isoeng
dc.publisher.departmentHealth Economics Unit
dc.publisher.facultyFaculty of Health Sciences
dc.sourceSouth African Medical Journal
dc.source.journalissue5
dc.source.journalvolume89
dc.source.pagination534 - 540
dc.source.urihttps://dx.doi.org/10.7196/sajs.718
dc.subject.otherGeneral practitioner
dc.subject.otherHealth insurance
dc.subject.otherHealth system
dc.subject.otherModification
dc.subject.otherAttitude
dc.subject.otherEvaluation
dc.subject.otherQuestionnaire
dc.subject.otherHuman
dc.subject.otherSouth Africa(Republic)
dc.subject.otherPublic health
dc.subject.otherAfrica
dc.subject.otherMédecin généraliste
dc.subject.otherAssurance maladie
dc.subject.otherSystème santé
dc.subject.otherHomme
dc.subject.otherRépublique Sud Africaine
dc.subject.otherSanté publique
dc.subject.otherAfrique
dc.subject.otherMedico general
dc.subject.otherSeguro enfermedad
dc.subject.otherSistema salud
dc.subject.otherModificación
dc.titleGeneral practitioners and national health insurance - Results of a national survey
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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