To obtain an estimate of expenditure on private sector specialist mental health services in the Western Cape.
A secondary objective was to derive a demographic profile of the patient population.
A survey using mailed structured questionnaires was undertaken.
Registered psychiatrists (111), clinical psychologists (276), counselling psychologists (115) and educational psychologists (53).
During 1992/93 an estimated R37 million was spent on private sector mental health services in the Western Cape.
Approximately 353 000 ambulatory sessions were provided in the private sector compared with an estimated 244 000 in the public sector.
This suggests that the private sector makes an important contribution to ambulatory mental health care.
Marked racial inequities were identified in the utilisation of and access to mental health services in the private sector.
Children and adolescents constituted 27% of private sector patients, indicating that there is a considerable demand for mental health services for this group.
Patients make substantial out-of-pocket payments - 36% and 60% of total expenditure on services provided by psychiatrists and psychologists respectively.
Overall, 67% of patients belong to medical schemes. (...)
Mots-clés Pascal : Psychiatrie, Dépense, Organisation, Secteur privé, Homme, République Sud Africaine, Afrique
Mots-clés Pascal anglais : Psychiatry, Expenditure, Organization, Private sector, Human, South Africa, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0545636
Code Inist : 002B30A04B. Création : 24/03/1998.