Possible futures for the health system of South Africa towards 2030
- Authors: Lourens, Stephanus Johannes
- Date: 2020
- Subjects: Health services administration -- South Africa
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/48720 , vital:41065
- Description: The South African health system is in crisis. To improve access to health services and move towards universal health coverage the South African government has decided to implement National Health Insurance (NHI). The implementation of such health reforms to the health system of SA is further complicated by the rapidly changing technological environment in the form of the fourth industrial revolution. The NHI and the fourth industrial revolution are expected to impact on the health system of the country, but what the impacts will be remain unclear. A review of the theory and practice of future studies support the notion that change management for healthcare organisations operating within the SA health system must be approached differently. The volatility introduced by the NHI within the context of the fourth industrial revolution necessitates the creation of strategic foresight using futures methodologies. The research has attempted to gain an understanding of the impact of National Health Insurance and the fourth industrial revolution on the health system of SA through the creation of possible futures for the health system, in the form of four alternative scenarios, towards 2030. The six pillars of future studies as stated by Inayatullah (2008) were used as a research methodology and assisted in the mapping, anticipation and timing of the issues facing the health system. The future was deepened using causal layered analysis and alternative futures were constructed through double-variable scenario creation methods using the worldviews identified during the causal layered analysis. From the constructed scenarios the research attempted to identify the preferred future for the health system of South Africa. The preferred future was used in the development of the Future Vision for the Health System of South Africa towards 2030. It is clear to achieve the desired health system towards 2030 the private and the public sectors must collaborate to create a hybrid health system which is supported by fourth industrial revolution technologies.
- Full Text:
- Date Issued: 2020
- Authors: Lourens, Stephanus Johannes
- Date: 2020
- Subjects: Health services administration -- South Africa
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/48720 , vital:41065
- Description: The South African health system is in crisis. To improve access to health services and move towards universal health coverage the South African government has decided to implement National Health Insurance (NHI). The implementation of such health reforms to the health system of SA is further complicated by the rapidly changing technological environment in the form of the fourth industrial revolution. The NHI and the fourth industrial revolution are expected to impact on the health system of the country, but what the impacts will be remain unclear. A review of the theory and practice of future studies support the notion that change management for healthcare organisations operating within the SA health system must be approached differently. The volatility introduced by the NHI within the context of the fourth industrial revolution necessitates the creation of strategic foresight using futures methodologies. The research has attempted to gain an understanding of the impact of National Health Insurance and the fourth industrial revolution on the health system of SA through the creation of possible futures for the health system, in the form of four alternative scenarios, towards 2030. The six pillars of future studies as stated by Inayatullah (2008) were used as a research methodology and assisted in the mapping, anticipation and timing of the issues facing the health system. The future was deepened using causal layered analysis and alternative futures were constructed through double-variable scenario creation methods using the worldviews identified during the causal layered analysis. From the constructed scenarios the research attempted to identify the preferred future for the health system of South Africa. The preferred future was used in the development of the Future Vision for the Health System of South Africa towards 2030. It is clear to achieve the desired health system towards 2030 the private and the public sectors must collaborate to create a hybrid health system which is supported by fourth industrial revolution technologies.
- Full Text:
- Date Issued: 2020
An access control model for a South African National Electronic Health Record System
- Authors: Tsegaye, Tamir Asrat
- Date: 2019
- Subjects: Medical records -- Data processing , Medical records -- Data processing -- Safety measures , Medical records -- Data processing -- South Africa , Medical records -- Data processing -- Access control , Medical informatics , Medical records -- Management -- South Africa , Health services administration -- South Africa
- Language: English
- Type: text , Thesis , Masters , MCom
- Identifier: http://hdl.handle.net/10962/97046 , vital:31390
- Description: Countries such as South Africa have attempted to leverage eHealth by digitising patients’ medical records with the ultimate goal of improving the delivery of healthcare. This involves the use of the Electronic Health Record (EHR) which is a longitudinal electronic record of a patient’s information. The EHR is comprised of all of the encounters that have been made at different health facilities. In the national context, the EHR is also known as a national EHR which enables the sharing of patient information between points of care. Despite this, the realisation of a national EHR system puts patients' EHRs at risk. This is because patients’ information, which was once only available at local health facilities in the form of paper-based records, can be accessed anywhere within the country as a national EHR. This results in security and privacy issues since patients’ EHRs are shared with an increasing number of parties who are geographically distributed. This study proposes an access control model that will address the security and privacy issues by providing the right level of secure access to authorised clinicians. The proposed model is based on a combination of Role-Based Access Control (RBAC) and Attribute-Based Access Control (ABAC). The study found that RBAC is the most common access control model that is used within the healthcare domain where users’ job functions are based on roles. While RBAC is not able to handle dynamic events such as emergencies, the proposed model’s use of ABAC addresses this limitation. The development of the proposed model followed the design science research paradigm and was informed by the results of the content analysis plus an expert review. The content analysis sample was retrieved by conducting a systematic literature review and the analysis of this sample resulted in 6743 tags. The proposed model was evaluated using an evaluation framework via an expert review.
- Full Text:
- Date Issued: 2019
- Authors: Tsegaye, Tamir Asrat
- Date: 2019
- Subjects: Medical records -- Data processing , Medical records -- Data processing -- Safety measures , Medical records -- Data processing -- South Africa , Medical records -- Data processing -- Access control , Medical informatics , Medical records -- Management -- South Africa , Health services administration -- South Africa
- Language: English
- Type: text , Thesis , Masters , MCom
- Identifier: http://hdl.handle.net/10962/97046 , vital:31390
- Description: Countries such as South Africa have attempted to leverage eHealth by digitising patients’ medical records with the ultimate goal of improving the delivery of healthcare. This involves the use of the Electronic Health Record (EHR) which is a longitudinal electronic record of a patient’s information. The EHR is comprised of all of the encounters that have been made at different health facilities. In the national context, the EHR is also known as a national EHR which enables the sharing of patient information between points of care. Despite this, the realisation of a national EHR system puts patients' EHRs at risk. This is because patients’ information, which was once only available at local health facilities in the form of paper-based records, can be accessed anywhere within the country as a national EHR. This results in security and privacy issues since patients’ EHRs are shared with an increasing number of parties who are geographically distributed. This study proposes an access control model that will address the security and privacy issues by providing the right level of secure access to authorised clinicians. The proposed model is based on a combination of Role-Based Access Control (RBAC) and Attribute-Based Access Control (ABAC). The study found that RBAC is the most common access control model that is used within the healthcare domain where users’ job functions are based on roles. While RBAC is not able to handle dynamic events such as emergencies, the proposed model’s use of ABAC addresses this limitation. The development of the proposed model followed the design science research paradigm and was informed by the results of the content analysis plus an expert review. The content analysis sample was retrieved by conducting a systematic literature review and the analysis of this sample resulted in 6743 tags. The proposed model was evaluated using an evaluation framework via an expert review.
- Full Text:
- Date Issued: 2019
Identification of Management skills required by middle Managers to effectively manage a public hospital in the Eastern Cape
- Authors: Belemu, Roy Boombe
- Date: 2000
- Subjects: Hospitals -- South Africa -- Management , Health services administration -- South Africa
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: vital:10829 , http://hdl.handle.net/10948/19 , Hospitals -- South Africa -- Management , Health services administration -- South Africa
- Description: The research problem addressed in this study was to identify what management skills do middle managers require to manage the organisational units effectively. To achieve this objective a theoretical model of management skills required by middle managers to effectively manage a public hospital was developed, using relevant literature in which management skills are identified. The theoretical model consisted of the following categories of management skills whose correct application can promote managerial effectiveness in managing organisational units: General management skills; Technical skills; Human skills; Leadership skills; Financial management skills; Computer skills. Each category of the management skills was broken down into elements that were then analysed using literature identified during the literature study. The model was then used to develop a questionnaire to assess the degree to which managers responsible for running the clinical, nursing and paramedical departments of a public hospital in the Eastern Cape rate the elements in terms of importance. The empirical results obtained indicate that a wide variety of skills are regarded by middle managers as important to performance of their managerial roles. This resulted in the theoretical model being confirmed and the identified management skills being accepted as management skills required by middle managers to effectively manage a public hospital in the Eastern Cape.
- Full Text:
- Date Issued: 2000
- Authors: Belemu, Roy Boombe
- Date: 2000
- Subjects: Hospitals -- South Africa -- Management , Health services administration -- South Africa
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: vital:10829 , http://hdl.handle.net/10948/19 , Hospitals -- South Africa -- Management , Health services administration -- South Africa
- Description: The research problem addressed in this study was to identify what management skills do middle managers require to manage the organisational units effectively. To achieve this objective a theoretical model of management skills required by middle managers to effectively manage a public hospital was developed, using relevant literature in which management skills are identified. The theoretical model consisted of the following categories of management skills whose correct application can promote managerial effectiveness in managing organisational units: General management skills; Technical skills; Human skills; Leadership skills; Financial management skills; Computer skills. Each category of the management skills was broken down into elements that were then analysed using literature identified during the literature study. The model was then used to develop a questionnaire to assess the degree to which managers responsible for running the clinical, nursing and paramedical departments of a public hospital in the Eastern Cape rate the elements in terms of importance. The empirical results obtained indicate that a wide variety of skills are regarded by middle managers as important to performance of their managerial roles. This resulted in the theoretical model being confirmed and the identified management skills being accepted as management skills required by middle managers to effectively manage a public hospital in the Eastern Cape.
- Full Text:
- Date Issued: 2000
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