2014 ◽  
Vol 13 (5) ◽  
pp. 963
Author(s):  
Burgert A. Senekal ◽  
Karlien Stemmet

The theory of complex systems has gained significant ground in recent years, and with it, complex network theory has become an essential approach to complex systems. This study follows international trends in examining the interlocking South African bank director network using social network analysis (SNA), which is shown to be a highly connected social network that has ties to many South African industries, including healthcare, mining, and education. The most highly connected directors and companies are identified, along with those that are most central to the network, and those that serve important bridging functions in facilitating network coherence. As this study is exploratory, numerous suggestions are also made for further research.


Author(s):  
Nigel Crisp

Chapter 18 describes how Dr Motsoaledi, the South African Health Minister, set about leading the fight on HIV/AIDS in South Africa, and introducing a national health insurance scheme in order to offer healthcare to every person in the country, by building on the work that was already underway. It describes his complex story, with many confusing cross-currents and elements of conflict and intrigue, and how a large part of the Minister’s role involved trying to cut through the confusion, offer a clear pathway for the future, and communicate


2001 ◽  
Vol 57 (2) ◽  
pp. 32-40 ◽  
Author(s):  
L. A. Hale ◽  
C. J. Eales

This paper presents the opinions of expert physiotherapists on what constitutes optimal stroke rehabilitation in South Africa. Data were collected by the use of the Delphi technique. Consensus was reached after two rounds, and the respondents’ views are summarised and discussed within the framework of South African health care. Results showed that physiotherapy was felt to be very important after stroke, and the survey created a profile of the skills that physiotherapists may require in order to work in this field. However, no new or innovative methods by which appropriate rehabilitation services could be delivered in South Africa were generated by the survey.The Delphi technique is described and its use in this survey considered.


2015 ◽  
Vol 31 (2) ◽  
pp. 239-249 ◽  
Author(s):  
Laetitia C Rispel ◽  
Pieter de Jager ◽  
Sharon Fonn

2017 ◽  
Vol 9 (4(J)) ◽  
pp. 62-72
Author(s):  
Victor H. Mlambo ◽  
Toyin Cotties Adetiba

While there has been a plethora of studies that addresses migration in Africa, many have yet to successfully unpack the effects of brain drain on the South African health sector. Using textual analysis of the available literature relevant to the topic under consideration; this work seeks to identify the major structural and socio-economic push factors that drive the migration of health professionals in South Africa, relying on Revestain’s laws of migration and Lee’s push/pull theory of migration. The study also looks at explaining other factors that contribute to the migration of health professionals in South Africa. We argue that for South Africa to retain health professionals, the government needs to increase the training of health workers, improve their working conditions and security, upgrade infrastructure and ensure availability of resources as well as develop a more open immigration policy prioritizing skilled immigration.


Author(s):  
Andrea Keyter ◽  
Sam Salek ◽  
Shabir Banoo ◽  
Stuart Walker

Background: National regulatory agencies of various sizes and maturity levels, including the South African Health Products Regulatory Authority (SAHPRA), have had to revise systems and re-engineer processes in order to adapt to the new regulatory environment and increase the effectiveness of regulatory operations. This study aimed to develop a new regulatory review model for improved regulatory performance, underpinned by the parameters of the World Health Organization Global Benchmarking Tool (WHO GBT) that support strengthening of regulatory systems. Methods: A new enhanced model for regulatory review, was developed based on the key recommendations from 6 studies, previously conducted by the authors, that were identified as fundamental elements in enhancing regulatory performance. The elements selected to define the new regulatory review model were endorsed through the integration of the parameters of the WHO GBT that, when embedded within regulatory systems, support enhanced regulatory performance. Results: Opportunities for improvement in regulatory performance were identified and include quality measures; monitoring and evaluating review times; a risk-based evaluation; transparency and communication; and training and education. An improved model for the South African regulatory review and benefit-risk (BR) assessment supported by quality decision-making was proposed as well as recommendations for the application of risk-stratification strategies, strengthening of reliance networks, reinforcing good regulatory practices (GRPs) and enhancing transparency. Conclusion: If implemented the proposed improved regulatory model may pave the way towards more efficient and transparent, streamlined review processes, coupled with increased consistency, evidence-based decision-making practices, reduced timelines and improved patients’ access to new medicines in South Africa.


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