Managed Health Care based on the Relationship between People and their Health Professionals

Abstract

This article is intended to help evoke more focused management in private care, in a changing economic environment, It is intended for private general practitioners, but may be of interest to anyone who is involved in the delivery of health services. Context: Change in the Health Budget Change in Tax Change in GDP Change in Medical Aid Membership Overall effect in financing care Pathways for total care Synergy of these with PHC based policy. Certainly well-documented macro-economic trends have put financial pressure on South African Health Insurance (NHI) is presented. The decline in conventional medical aids and the impact on general practice of independent practitioner associations (IPAs) and other bodies which are linked to declining systems, is discussed. New options for private care are discussed with some of their experiences. The integration of these options with PHC based policy is presented.