Ethics MPS 2

Tariffs not cost drivers

Hospital and service provider cost increases, historically blamed for high medical inflation, are not the major cost drivers in SA, according to Dr Jonathan Broomberg, CEO of Discovery Health Medical Scheme. The scheme’s data, tracked over the past five years, show volume of services accounting for 4.5% of the average premium increase of 11.5% with […]

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Pelvic floor update

                      According to Prof JP Roovers, a respected urogynaecologist from The Netherlands, vaginal prolapse (of the uterus, bladder and bowel) as well as urinary incontinence are population diseases. “One out of three women has prolapse. Research has shown that only 25% of women experiencing prolapse […]

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Medical technology in the spotlight

The South African Medical Association (SAMED) held their annual conference at the end of May in Bryanston, Johannesburg. The event featured many varied speakers on a range of topics around the overarching theme: Taking medical technology to the next level. The following is an overview of the day’s presentations. A word from the DoH Chief […]

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A place for NSAIDs

Dr Sean Chetty, Head of Anaesthesiology at Rahima Moosa Mother & Child Hospital and Senior Clinical Lecturer at Wits University, recently shared his knowledge and experience in the use of non-steroidal anti-inflammatory drugs (NSAIDs). “There was a previous misconception that only COX-2 inhibitors (coxibs) are dangerous. This is out the window and we now think […]

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Diagnosing and managing bipolar disorder

Bipolar mood disorder, bipolar affective disorder and manic depressive disorder are all interchangeable terms for the same condition. Bipolar involves fluctuating patterns of abnormal highs (mania/hypomania) and lows (depression). There are two main types (bipolar I and II), distinguished by the severity of the highs and the duration of episodes, explained Dr Sheldon Zilesnick, Psychiatrist […]

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Dispensing GPs

Confusion around PMBs

Dr AM Levin Prescribed Minimum Benefits (PMBs) are an integral part of managed healthcare, and these must be carefully assessed according to the criteria stipulated by the Council for Medical Schemes (CMS), in which these conditions must meet the definition of a ‘relevant health service’. Sadly, the question of PMBs is increasingly causing confusion among […]

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Increasing costs – who is to blame?

Prof Morgan Chetty Why do doctors provide ‘unnecessary’ care? One reason is that patients are motivated perhaps by an ingrained belief that more care is always better care. The argument against this is that for doctors it may be financially beneficial. James Froehlich, Director of Research Medicine at the University of Michigan Medical School said, […]

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Patient expectations vs reality

Dr Graham Howarth, MPS Head of Medical Services (Africa) and former Associate Professor in the Department of Obstetrics and Gynaecology at the University of Pretoria, recently presented at the South African Society of Obstetricians and Gynaecologists (SASOG) Congress. Here, he shares thoughts from his presentation on how to manage the gap between patient expectations and reality. […]

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SA Diabetes Guidelines: Optimal injection techniques

Guidelines for optimal injection techniques for diabetes have been launched in SA to overcome poor compliance and incorrect insulin dosage that contribute to the disorder, which is reaching epidemic proportions. The guidelines, which were made public at an official launch on 10 April at the Centre for Diabetes and Endocrinology (CDE), were created by the […]

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