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Healthcare trends

Prof Chetty looks at the trends emerging from various healthcare profiling programmes and the looming challenges to achieve appropriate and accountable care. (more…)

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Value-based healthcare

The most commonly heard strategy in healthcare today is the move to pay for value and not for volume. The problem is that value-based purchasing (VBP) is essentially a theoretical construct and most people are sceptical about whether VBP can work. (more…)

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Evidence b(i)ased

Dr AM Levin There is a constant outcry by medical aids for medical practitioners to justify their treatment protocols on the premise of so-called ‘evidence-based clinical’ experience. The latter information may be acquired in one of two ways. The first is by means of medical trials, often sponsored by pharmaceutical companies and then conducted by […]

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Coordinating care in the medical neighbourhood

Prof Morgan Chetty Part I – Introduction to the concept of medical neighbourhoods The ‘medical neighbourhood’ is the latest concept within healthcare reform. The ultimate goal is highly effective, efficient primary care practices that are coordinating care in an integrated fashion. Attention has been focused on strengthening primary care by creating patient-centred medical homes. The […]

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Doctor’s Voice: Learning from Experience

Dr AM Levin Managed healthcare is becoming an increasingly important and acceptable function of medical schemes. It is critical that those medical schemes who either directly themselves or through the use of independent managed healthcare groups must always remain cognisant that their primary function is only to advise on the affordability of a given surgical […]

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Practice Matters: Bashing of family practitioners

Prof Morgan Chetty It is sad to hear that on a daily basis family practitioners are being bashed and denigrated by specialists, and by default the industry as a whole. It would seem that disrespectful behaviour such as badmouthing might be a symptom of a problematic relationship between family physicians and other specialists.Comments often used […]

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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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