Universal health care in southern Africa: policy contestation in health system reform in South Africa and Zimbabwe
"The growth in private health care for the middle classes has resulted in deeply segregated and unequal health care, with poor people being relegated to under-resourced and unresponsive public systems, and wealthy minorities receiving world-class treatment at very high prices. This book examine...
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Scottsville, South Africa
Univ. of KwaZulu Natal Press
2012
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Inhaltsverzeichnis |
| Zusammenfassung: | "The growth in private health care for the middle classes has resulted in deeply segregated and unequal health care, with poor people being relegated to under-resourced and unresponsive public systems, and wealthy minorities receiving world-class treatment at very high prices. This book examines the scope for health care reform in South Africa and Zimbabwe. Both countries are undergoing significant attempts at reforming inequitable, private sector-dominated, health care systems in the context of fragile, negotiated, social settlements. In South Africa, the government is moving towards introducing a national health insurance scheme that holds the historic promise of introducing social solidarity and effective health care for all its citizens. However, key aspects of the proposed scheme remain unresolved and need to be widely debated. In Zimbabwe, mandatory national health insurance has been discussed for decades without any conclusion being reached or a system implemented. This option needs to be revisited as the economy stabilizes and confidence in governance improves. Based on extensive research, the contributors to this volume examine health care reform in historical context, analyze the views of key stakeholders, and reflect on current proposals for better health financing and more people-centered health systems, based on the principles of universality and social solidarity. Universal Health in Southern Africa is essential reading for academics, health professionals, and policy makers concerned with the historical, ideological, and institutional background to the current policy debate on the commercialization of health care and proposed alternatives, such as a national health system"-- |
| Beschreibung: | XII, 223 S. graph. Darst. |
| ISBN: | 9781869142360 |
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Datensatz im Suchindex
| _version_ | 1806962712580718592 |
|---|---|
| adam_text |
Universal health care in southern Africa
Policy contestation in health system reform
in South Africa and Zimbabwe
Edited by
Greg Ruiters and Robert van Niekerk
lUl
RSi UNIVERSITY OF KWAZULU-NATAL PRESS
Contents
Acknowledgements vii
Abbreviations viii
Contributors xi
Introduction
Inequality and health systems in context 1
Greg Ruiters and Robert van Niekerk
PART 1: UNIVERSAL HEALTH COVERAGE: THE BATTLE OF IDEAS 19
Chapter 1
Competing policy choices and the debate on national health
insurance in South Africa 21
Greg Ruiters, Shepherd Shamu, Robert van Niekerk and Di Mdntyre
Chapter 2
The historical roots of a national health system in South Africa 41
Robert van Niekerk
Chapter 3
Health policy reform in the last days of apartheid and the dilemmas
facing the ANC , 55
Robert van Niekerk
PART 2: HEALTH CARE IN SOUTHERN AFRICA 65
Chapter 4
Public and private health care in southern Africa 67
Greg Ruiters
Chapter 5
The growth of private health care in Zimbabwe up to 2008 82
Elijah Munyuki and Shorai Jasi
Chapter 6
Medical aid societies and equity in Zimbabwe, 2008-11 97
Shepherd Shamu, Rene Loewenson, Rangirirai Machemedze
and Auline Mabika
PART 3: PRIVATISED HEALTH CARE IN SOUTH AFRICA • 119
Chapter 7
The growth of the private health sector in South Africa
up to 2007 121
Yoswa M Dambisya and Sehlapelo I Mokgoatsane
Chapter 8
The political economy of the health industry and the private
health funding crisis 136
Di Mdntyre
PART 4: THE WAY FORWARD 163
Chapter 9
Proposals and prospects for national health insurance in
South Africa 165
Di Mdntyre
Chapter 10
Lessons from international experience for national health
insurance in South Africa 177
Di Mdntyre
Chapter 11
Towards universal health coverage in southern Africa 186
Greg Ruiters, Di Mdntyre, Rene Loewenson and Robert van Niekerk
Glossary 203
Index 207 |
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| discipline | Soziologie Wirtschaftswissenschaften |
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| spelling | Universal health care in southern Africa policy contestation in health system reform in South Africa and Zimbabwe ed. by Greg Ruiters ... Scottsville, South Africa Univ. of KwaZulu Natal Press 2012 XII, 223 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier "The growth in private health care for the middle classes has resulted in deeply segregated and unequal health care, with poor people being relegated to under-resourced and unresponsive public systems, and wealthy minorities receiving world-class treatment at very high prices. This book examines the scope for health care reform in South Africa and Zimbabwe. Both countries are undergoing significant attempts at reforming inequitable, private sector-dominated, health care systems in the context of fragile, negotiated, social settlements. In South Africa, the government is moving towards introducing a national health insurance scheme that holds the historic promise of introducing social solidarity and effective health care for all its citizens. However, key aspects of the proposed scheme remain unresolved and need to be widely debated. In Zimbabwe, mandatory national health insurance has been discussed for decades without any conclusion being reached or a system implemented. This option needs to be revisited as the economy stabilizes and confidence in governance improves. Based on extensive research, the contributors to this volume examine health care reform in historical context, analyze the views of key stakeholders, and reflect on current proposals for better health financing and more people-centered health systems, based on the principles of universality and social solidarity. Universal Health in Southern Africa is essential reading for academics, health professionals, and policy makers concerned with the historical, ideological, and institutional background to the current policy debate on the commercialization of health care and proposed alternatives, such as a national health system"-- Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Reform (DE-588)4115716-3 gnd rswk-swf Krankenversicherung (DE-588)4032836-3 gnd rswk-swf Südafrika (DE-588)4078012-0 gnd rswk-swf Simbabwe (DE-588)4049850-5 gnd rswk-swf Südafrika (DE-588)4078012-0 g Gesundheitswesen (DE-588)4020775-4 s Reform (DE-588)4115716-3 s DE-604 Simbabwe (DE-588)4049850-5 g Krankenversicherung (DE-588)4032836-3 s Ruiters, Greg 1959- Sonstige (DE-588)1209096676 oth DE-601 pdf/application http://www.gbv.de/dms/zbw/731804465.pdf Inhaltsverzeichnis HEBIS Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=026167170&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Universal health care in southern Africa policy contestation in health system reform in South Africa and Zimbabwe Gesundheitswesen (DE-588)4020775-4 gnd Reform (DE-588)4115716-3 gnd Krankenversicherung (DE-588)4032836-3 gnd |
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| title | Universal health care in southern Africa policy contestation in health system reform in South Africa and Zimbabwe |
| title_auth | Universal health care in southern Africa policy contestation in health system reform in South Africa and Zimbabwe |
| title_exact_search | Universal health care in southern Africa policy contestation in health system reform in South Africa and Zimbabwe |
| title_full | Universal health care in southern Africa policy contestation in health system reform in South Africa and Zimbabwe ed. by Greg Ruiters ... |
| title_fullStr | Universal health care in southern Africa policy contestation in health system reform in South Africa and Zimbabwe ed. by Greg Ruiters ... |
| title_full_unstemmed | Universal health care in southern Africa policy contestation in health system reform in South Africa and Zimbabwe ed. by Greg Ruiters ... |
| title_short | Universal health care in southern Africa |
| title_sort | universal health care in southern africa policy contestation in health system reform in south africa and zimbabwe |
| title_sub | policy contestation in health system reform in South Africa and Zimbabwe |
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