Alcohol addiction treatment in Cape Town: Exploratory investigation of the public-private mix

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dc.contributor.advisorSinanovic, Edinaen_ZA
dc.contributor.authorFleming, Lauraen_ZA
dc.date.accessioned2014-11-08T14:30:35Z
dc.date.available2014-11-08T14:30:35Z
dc.date.issued2010en_ZA
dc.descriptionIncludes bibliographical references.en_ZA
dc.description.abstractPublic health and safety are compromised by the effects of alcohol addiction. Some of the consequences include transmission of infectious diseases, disproportionate use of medical and social services, traffic accidents, and street crimes. Additionally, when dealing with alcohol addiction, many expenses are incurred by public services such as the criminal justice system, emergency medical care centers, foster home placement centers, employee assistance programs and family violence centers. The clinical and economic benefits of addiction treatment are therefore clear. The aim of this study was to investigate Cape Town's alcohol addiction treatment center public-private mix and to determine quality of care and access. Document review and semi-structured interviews were the methods used. Provider reporting on quality of care and the limited number of sites interviewed were the main research limitations. Nevertheless, the thesis reached its objectives and contributed to the limited information on alcohol addiction treatment public-private mix, quality of care and access in South Africa. It is notable that there were few differences in the quality of care reported by public, public-private mix, private registered and private unregistered facilities. Quality of care was found to be good across sectors. Public and public-private mix facilities provided superior access in terms of income. Private facilities had the shortest wait-time. Geographic access was a pronounced issue for the poor population that resides in the Southern suburbs, far from affordable primary care alcohol addiction treatment services. Both horizontal and vertical inequities were identified in terms of access to primary care alcohol addiction treatment services in the Cape Town metropole. A strong case is made for involving more of the private sector in public-private partnerships in order to scale up alcohol addiction treatment within the South African setting. This will allow quality of care to be maintained while improving access.en_ZA
dc.identifier.apacitationFleming, L. (2010). <i>Alcohol addiction treatment in Cape Town: Exploratory investigation of the public-private mix</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit. Retrieved from http://hdl.handle.net/11427/9392en_ZA
dc.identifier.chicagocitationFleming, Laura. <i>"Alcohol addiction treatment in Cape Town: Exploratory investigation of the public-private mix."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit, 2010. http://hdl.handle.net/11427/9392en_ZA
dc.identifier.citationFleming, L. 2010. Alcohol addiction treatment in Cape Town: Exploratory investigation of the public-private mix. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Fleming, Laura AB - Public health and safety are compromised by the effects of alcohol addiction. Some of the consequences include transmission of infectious diseases, disproportionate use of medical and social services, traffic accidents, and street crimes. Additionally, when dealing with alcohol addiction, many expenses are incurred by public services such as the criminal justice system, emergency medical care centers, foster home placement centers, employee assistance programs and family violence centers. The clinical and economic benefits of addiction treatment are therefore clear. The aim of this study was to investigate Cape Town's alcohol addiction treatment center public-private mix and to determine quality of care and access. Document review and semi-structured interviews were the methods used. Provider reporting on quality of care and the limited number of sites interviewed were the main research limitations. Nevertheless, the thesis reached its objectives and contributed to the limited information on alcohol addiction treatment public-private mix, quality of care and access in South Africa. It is notable that there were few differences in the quality of care reported by public, public-private mix, private registered and private unregistered facilities. Quality of care was found to be good across sectors. Public and public-private mix facilities provided superior access in terms of income. Private facilities had the shortest wait-time. Geographic access was a pronounced issue for the poor population that resides in the Southern suburbs, far from affordable primary care alcohol addiction treatment services. Both horizontal and vertical inequities were identified in terms of access to primary care alcohol addiction treatment services in the Cape Town metropole. A strong case is made for involving more of the private sector in public-private partnerships in order to scale up alcohol addiction treatment within the South African setting. This will allow quality of care to be maintained while improving access. DA - 2010 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2010 T1 - Alcohol addiction treatment in Cape Town: Exploratory investigation of the public-private mix TI - Alcohol addiction treatment in Cape Town: Exploratory investigation of the public-private mix UR - http://hdl.handle.net/11427/9392 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/9392
dc.identifier.vancouvercitationFleming L. Alcohol addiction treatment in Cape Town: Exploratory investigation of the public-private mix. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit, 2010 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/9392en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentHealth Economics Uniten_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherHealth Economicsen_ZA
dc.titleAlcohol addiction treatment in Cape Town: Exploratory investigation of the public-private mixen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPHen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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