scholarly journals The Influence of Value Perspectives on Decision-Making in the South African Private Healthcare Sector

2021 ◽  
Author(s):  
Anchen Laubscher ◽  
Adrian Saville
Keyword(s):  
Decision Making ◽  
South African ◽  
Healthcare Sector ◽  
The South ◽  
Private Healthcare

The Clinical and Economic Effectiveness of MyDiaCare, Digital Tools combined with Diabetes Nurse Educator Support, for managing Diabetes in South Africa (Preprint)

2021 ◽  
Author(s):  
Hemant Makan ◽  
Lindie Strauss ◽  
Jacqueline Lubbe ◽  
Sarah Alami ◽  
Guila Lancman ◽  
...  
Keyword(s):  
South Africa ◽  
South African ◽  
Diabetes Management ◽  
Density Lipoprotein ◽  
Standard Of Care ◽  
Healthcare Sector ◽  
The South ◽  
Private Healthcare ◽  
Hba1c Levels

BACKGROUND In South Africa, diabetes prevalence is expected to reach 5.4 million by 2030. Moreover, a large proportion of adults remain undiagnosed. In South Africa, diabetes-related complications not only severely impact patient health and quality of life, but also the economy. OBJECTIVE The Diabetes Nurse Educator (DNE) study assessed the benefit of adding the MyDiaCare program to standard of care for managing type 1 and 2 diabetes patients in South Africa. An economic study was also performed to assess the benefit of adding MyDiaCare to standard of care in type 2 diabetes patients, older than 19 years, treated in the South African private healthcare sector. METHODS The real-world DNE study was designed as an observational, retrospective, multicenter, single group study. Eligible patients were older than 18 years and with at least 6 months of participation in the MyDiaCare program. The MyDiaCare program combines patient mobile application and a healthcare professional platform with face-to face visits with a DNE. The benefit of MyDiaCare was assessed by the changes in HbA1c levels, the proportion of patient achieving clinical and biological targets, adherence to care plans, and satisfaction after 6 months of participating in the MyDiaCare program. A budget impact model was performed using data from the DNE study and another South African cohort to estimate the economic benefit of MyDiaCare. RESULTS Between 25 November 2019 and 30 June 2020, 117 patients (8 with type 1 diabetes and 109 with type 2) were enrolled in two centers. After 6 months of MyDiaCare, a clinically relevant decrease in mean glycated hemoglobin (HbA1c) levels by 0.6% from 7.8% to 7.2% was observed. Furthermore, 54% of patients reached or maintained their HbA1c targets at 6 months. Most patients achieved their targets for blood pressure (67% for systolic and 89% for diastolic blood pressure) and lipid parameters (69% for low-density lipoprotein (LDL) cholesterol, 58% for high-density lipoprotein (HDL) cholesterol, and 83% for total cholesterol, but fewer patients for triglycerides (46%), waist circumference (18%), and body weight (17%). The mean overall adherence to the MyDiaCare care plan was 93%. Most patients (74%) were satisfied with the MyDiaCare program. The economic study estimated that after 1 year of using the MyDiaCare program, the cost of type 2 diabetes management in the South African private healthcare sector would be reduced by 26 billion rands: from 117 billion rands with standard of care to 91 billion rands by adding MyDiaCare. CONCLUSIONS The MyDiaCare program, that combines digital tools for patients and healthcare professionals with DNE support, is a practical, clinically effective (lowering HbA1c levels and other cardiovascular risk factors), and cost-saving solution for diabetes management in the South African private healthcare sector. CLINICALTRIAL Not applicable.

scholarly journals The Profession of Biokinetics in South Africa: The Need for Access to the Public Healthcare System

2021 ◽  
Author(s):  
Yvonne Paul ◽  
Terry J Ellapen ◽  
Takalani C. Muluvhu ◽  
Makwena B. Ntjana
Keyword(s):  
South African ◽  
Exercise Therapy ◽  
Communicable Disease ◽  
Empirical Studies ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
The South ◽  
The Public ◽  
Private Healthcare ◽  
Public Healthcare Sector

This chapter reviews the efficacy of the only South African exercise therapy profession (Biokinetics) in the rehabilitation of non-communicable diseases (NCDs). Biokinetics is a South African exercise therapy profession established in 1983 and which operates in both the pathogenic and fortogenic healthcare paradigms. Unfortunately, the profession of Biokinetics is restricted to the South African private healthcare sector. This chapter describes the scope of the profession of Biokinetics, empirical studies illustrating the efficacy of the profession in addressing society’s non-communicable disease epidemic, and the challenges inhibiting the profession from gaining access to the South African public healthcare sector. It is hoped that the presentation and critical appraisal of the empirical evidence which illustrates the contribution of the profession of Biokinetics to the rehabilitation of NCDs justifies the authors’ claims for the inclusion of the aforementioned profession in the South African public healthcare sector.

scholarly journals Reading Practices and Literacy of Boer Combatants in the South African War of 1899–1902

2017 ◽  
Vol 24 (3) ◽  
pp. 286-307
Author(s):  
Fransjohan Pretorius
Keyword(s):  
Decision Making ◽  
South African ◽  
Practical Experience ◽  
The State ◽  
Reading Practices ◽  
The South ◽  
Planning Strategy ◽  
The Bible ◽  
South African War ◽  
Reading Matter

In investigating the reading practices of Boer combatants during the South African War, diaries, letters, and reminiscences were consulted. The state of literacy reveals a picture of a small number of highly literate men, a larger group of adequately literate men, a still larger group of semi-literates, and the illiterate. Reading matter included the Bible, newspapers, and books. Issues raised are: Did literacy (or illiteracy) influence military decision-making or troop morale? Were certain works making some impact on the battlefield? Was the practical experience the Boers had gained before the war more successful in planning strategy and tactics than literacy?

scholarly journals South African Renal Registry Annual Report 2018

2020 ◽  
Vol 23 (1) ◽  
Author(s):  
M. Razeen Davids ◽  
Thabiet Jardine ◽  
Nicola Marais ◽  
Julian C. Jacobs ◽  
Sajith Sebastian
Keyword(s):  
Public Sector ◽  
South African ◽  
Annual Report ◽  
Population Group ◽  
Healthcare Sector ◽  
Western Cape ◽  
The South ◽  
The Public ◽  
Number Of Patients ◽  
Kidney Replacement Therapy

The seventh annual report of the South African Renal Registry summarises the 2018 data on kidney replacement therapy (KRT) for patients with kidney failure in South Africa. In December 2018, the number of patients who were being treated with chronic dialysis or transplantation stood at 10 730, a prevalence of 186 per million population (pmp). Most patients are treated with haemodialysis in the private healthcare sector, where the prevalence was 839 pmp. In the public sector, which serves 85% of the South African population, the prevalence of KRT (67 pmp) remained below the level reported for 1994. Limpopo and Mpumalanga remain the most under-served provinces and Blacks the most under-served population group. The Western Cape province had the highest public sector treatment rates by a large margin and was also where most of the country’s public sector kidney transplants were performed.

Mitchell’s Brewery: entrepreneurship challenges in the South African craft beer industry

2018 ◽  
Vol 8 (4) ◽  
pp. 1-35
Author(s):  
Geoff Bick ◽  
Fezile Sidubi
Keyword(s):  
Decision Making ◽  
South African ◽  
Work Experience ◽  
Strategic Decision ◽  
Strategic Decision Making ◽  
The South ◽  
School Students ◽  
Content Type ◽  
Craft Beer ◽  
Beer Industry

Learning outcomes They are as follows: to identify strategic growth opportunities for SMEs in the South African craft beer industry; to understand the complexities associated with operating a craft beer SME in the South African alcohol sector and analyse the SME’s strategic decision-making process that happens as a result; to understand the challenges and identify opportunities for entrepreneurship and growth in an emerging economy and niche segment; to develop a differentiation strategy for a small player in a competitive market; and to impart industry-specific knowledge and insight on the craft brewing industry. Case overview/synopsis The case is centred on the challenges that Hein Swart, managing director of Mitchell’s Brewery, is facing in sustaining business operations amid heavy regulations and increasing competition from existing craft breweries. In addition, there is the entry of a different type of competitor into the South African market that did not exist previously. The case narrative broadly presents several industry themes that interact with each other and create the existing complexities. Complexity academic level This case is targeted at postgraduate business school students with some work experience who want to build their critical thinking, business management and strategic decision-making skills such as Masters of Business Administration (MBA) and Executive MBA academic programmes, and also delegates on Executive Education programmes. The case is expected to be used as a case study for courses in entrepreneurship and strategic management; however, it can also be applied in strategic marketing courses. Supplementary materials Teaching Notes are available for educators only. Please contact your library to gain login details or email [email protected] to request teaching notes. Subject code CSS 3: Entrepreneurship

Cape Town’s Contested Hierarchy of Demand for Agricultural and Municipal Water in a Rainfed Economy 2017–2018

2019 ◽  
pp. 546-564
Author(s):  
Anthony Colman
Keyword(s):  
Decision Making ◽  
South African ◽  
Water Policy ◽  
Policy Decision ◽  
Water Crisis ◽  
Western Cape ◽  
The South ◽  
Water And Sanitation ◽  
Policy Decision Making ◽  
The City

The article provides an analysis of the stakeholders involved in policy decision making on water utilization, especially during the Water Crisis of 2017–2018. It looks at this through the prism of the meetings and key informants of the South African Parliament Portfolio Committee on Water and Sanitation, the City of Cape Town Council and the farmers of the Western Cape. It also considers the effects of the prioritization of the use of water for drinking water and sanitation over agriculture. The South Africa water policy principles set by its Constitution and the Acts of 1996–1997 provide a comparator.

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