Arguments for and against national health insurance (PHI) for South Africa are illuminated by the experiences of other middle-income developing countries.
In many Latin American and Asian countries the majority of their populations are covered by PHI, coverage having steadily increased over the last decade.
Patterns of care under PHI tend to be inefficient - hospital-oriented, highly specialised and technical, with excessive investigation, surgery and medication, neglect of primary care and severe cost escalation.
In some cases, however, urban primary care has been promoted through polyclinics and health maintenance organisations.
Mots-clés Pascal : République Sud Africaine, Homme, Système santé, Assurance maladie, Efficacité, Equité, Etude comparative, Pays en développement, Article synthèse, Afrique
Mots-clés Pascal anglais : South Africa, Human, Health system, Health insurance, Efficiency, Equity, Comparative study, Developing countries, Review, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0310228
Code Inist : 002B30A01B. Création : 199406.