Choosing wisely for the sake of patients and the profession is something that South African doctors in the private sector will have to start considering. How can they ensure the appropriate use of tests, procedures and drugs to the benefit of the patient, profession and the sustainability of the health system as a whole? In the […]
By Mike Scott
The beleaguered process to establish a guideline tariff list for healthcare providers has yet again ...
Dr Martin de Villiers, CEO of ICON The role of the GP in the diagnosis, management ...
SAMA says the HPCSA’s decision to propose a new process for the determination of what it now calls a ‘fee norm’ is ‘disappointing and totally unacceptable’. The move has left healthcare providers in the dark for the eighth consecutive year, on what can be deemed as a fair and reasonable benchmark fee, again allowing medical […]
As medical schemes and providers frantically prepare for the implementation of Phase 3 and 4.1 of the ICD-10 coding system, which would have become mandatory in the beginning of January next year, the Department of Health (DoH) has announced that it has been postponed to 1 July 2014 due to what it called ‘an extended […]
Adv Christiaan J (Chico) Bresler Certain debts are rendered unenforceable or extinguished by the passing of time. In the eyes of the law, such debts ‘prescribe’, unless: • The creditor serves on the debtor any process to claim payment of the debt (for instance, a summons) • The debtor expressly or tacitly acknowledges liability for […]
Having an ethical framework for our professional and personal lives is both important and enriching. The choices we need to make will not always be straightforward, and a professional career throws many difficult situations and conflicts our way – especially in a field such as healthcare. Ahead of the Medical Protection Society’s annual Ethics4All events […]
Dr David Spencer, Head, Infectious Diseases, Helen Joseph Hospital, Johannesburg Recent data from South African researchers indicate that HIV-infected people are surviving longer and that the spread of the virus among those ≤24 years may be decreasing. However, there are still areas of concern. Provided baseline CD4 counts at the time of ART initiation are […]
Gastroenterology Forum authors: Prof Reid Ally, Dr Keith Pettengell and Dr John Wright To answer this question… because it has been common cause since its discovery in duodenal ulcer (DU) patients by Brian Marshall in 1982. Initially, it was shown that 90% of DUs are associated with Helicobacter pylori (HP) infection. Furthermore, subtypes were identified that […]
Prof James Ker, Consulting Editor About 54% of the stroke burden and 47% of ischaemic heart disease burden worldwide is attributable to high blood pressure. These figures give a glimpse of the large impact that elevated blood pressure has on mortality and morbidity. Systolic hypertension is more common than diastolic hypertension and systolic blood pressure contributes […]
By Dr Andrew Good Several of the major challenges in the South African health system are related to disease. Important diseases that have major effects on life expectancy, quality of life, productivity, and healthcare costs in SA include HIV, cardiovascular disease, diabetes mellitus, asthma/COPD and depression. South African GPs need to play a major role […]
Even with guidance as well as specific legislation, there will be grey areas in the matter of consent to treatment of minors. The maturity of the child concerned, the wishes and opinions of the parents/guardian, and the clinical circumstances all have to be taken into consideration and some of these may conflict. The overriding principle […]
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- When a Complaint is Lodged against You at the HPCSA: What to Expect October 8, 2012
- Tips on Vaccinating HIV Patients July 7, 2010
- Medunsa on Its Last Legs? April 4, 2011
- Travel Precautions and Advice for Immunocompromised Patients May 20, 2011
- Choosing Wisely November 11, 2013
- Cartoon – Nov/Dec 2014 November 11, 2013
- Tariffs – back to the drawing board November 11, 2013
- Outcry over proposed fee process November 11, 2013
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