scholarly journals Private hospital expenditure and relation to utilisation: Observations from the data

2018 ◽  
Vol 21 (1) ◽  
Author(s):  
Marine Erasmus ◽  
Helen Kean
Keyword(s):  
South Africa ◽  
Older People ◽  
South African ◽  
Market Share ◽  
Private Hospital ◽  
Private Hospitals ◽  
Detailed Understanding ◽  
Hospital Market ◽  
Hospital Expenditure ◽  
Over Time

Background: This study contributes to the detailed understanding of the drivers of medical scheme expenditure on private hospitals in South Africa over 2006–2014. This is important in the context of various regulatory reforms that are being considered at present. Aim: The aim is to provide an updated analysis and description of the drivers of medical scheme expenditure on private hospitals in South Africa. Setting: Private hospital market, South Africa. Methods: Data from the three largest private hospital groups – which account for approximately 70% of the South African private hospital market share – are collected, aggregated and analysed. This study uses targeted descriptive and exploratory analyses, relying on a residual approach to hospital expenditure. Results: It is found that over time medical scheme beneficiaries, on average, are being admitted to private hospitals more frequently, as well as staying in hospital for longer during each admission. The data also indicate that over time older people are being admitted to hospital more often. Conclusion: This study’s findings contradict previous assertions that it is only prices driving increased medical scheme expenditure on private hospitals.

scholarly journals Market concentration trends in South Africa’s private healthcare sector

2016 ◽  
Vol 19 (1) ◽  
pp. 53-63 ◽  
Author(s):  
Marine Erasmus ◽  
Nicola Theron
Keyword(s):  
Market Structure ◽  
Private Hospital ◽  
Market Concentration ◽  
Competitive Dynamics ◽  
Healthcare Sector ◽  
Private Hospitals ◽  
Hospital Market ◽  
Private Healthcare ◽  
Structure Changes ◽  
Relative Bargaining Power

The Competition Commission (CC) commenced with an enquiry into South Africa’s private healthcare sector at the beginning of 2014, the outcome of which could have far-reaching consequences for the medical industry in South Africa. The panel appointed to consider competition in the private healthcare sector has indicated that they are interested in understanding increased consolidation in the private hospital market and the effect this may have on competitive dynamics. This article considers historical concentration trends in the private hospital market from 2000 to 2012. In addition it also deals with changes in market structure in the medical scheme and administrator markets. These trends provide a complete picture of market structure changes and the implications for relative bargaining power of the various parties. It finds that whereas the market concentration of private hospitals has remained relatively stable since 2004, the market concentration of medical schemes and administrators has increased over this period.

Remembering in times of misery: can older people in South Africa ‘get through’?

2005 ◽  
Vol 25 (4) ◽  
pp. 525-541 ◽  
Author(s):  
ELS VAN DONGEN
Keyword(s):  
South Africa ◽  
Older People ◽  
Collective Memory ◽  
South African ◽  
Social History ◽  
Opposite Effect ◽  
African Society ◽  
South African Society ◽  
The Past ◽  
History Of

This paper reports a study of the situations of disadvantaged older people in contemporary South African townships. It draws from their own accounts that were collected through ethnographic research in day centres and care homes. Most of the informants had experienced a succession of serious material, psychological, social and cultural losses. Their lives had been characterised by violence, inequality, disruption and poverty. A dominant theme in their accounts is that they can hardly ‘get through’ their lives. Their thankless, even alienated, situations are not only a function of personal losses but also have much to do with the recent political and social history of South Africa. The colonial and Apartheid eras have by and large been excluded from the country's collective memory, with the result that older people's experiences of those times are not valued as affirmational reminiscence or for shaping a kin group's common identity. Expressed recollections have acquired a different function, of being a means of articulating moral judgements on the present. The result is that memories, rather than bringing the generations together, have the opposite effect and widen the gap in understanding between the older and younger generations. This in turn has serious effects on older people's wellbeing. The silencing of memories reflects the society's radical break with the past, which has made it difficult for younger people to mourn or sympathise with older people's losses. While far from helpless victims, many of the older township residents lack meaningful frames by which to locate themselves in contemporary South African society.

Multilingualism and social cohesion: insights from South African students (1998, 2010, 2015)

2016 ◽  
Vol 2016 (242) ◽  
Author(s):  
Susan Coetzee-Van Rooy
Keyword(s):  
South Africa ◽  
South African ◽  
Social Cohesion ◽  
Home Language ◽  
African Students ◽  
African Context ◽  
Vaal Triangle ◽  
Complex Settings ◽  
The Relationship ◽  
Over Time

AbstractThe relationship between nations (or states), languages and social cohesion have been studied over time. Contexts like Africa and India challenge the conceived Western notion of “one-nation-one-language”. Insights about multilingualism and social cohesion from complex sociolinguistic contexts like South Africa could provide a deeper understanding helpful for promoting social cohesion in emerging “super-diverse” situations across the globe. This article reports on selected data from a longitudinal language repertoire survey conducted over three periods (1998, 2010 and 2015) in the Vaal Triangle region in South Africa. It discusses the views of multilingual urban students (N=1900+) about the relationship between multilingualism and social cohesion. The main findings are that the multilingual African home language participants believe that being multilingual is related to social cohesion, while this is not a prominent finding for Afrikaans home language users (who are mainly bilingual). The data from the South African context indicate the importance of multilingual repertoires as instruments that support the fostering of social cohesion in complex settings. Multilingual repertoires facilitate communication that enhances the building of better relationships and a deeper understanding between people in diverse settings. The implications of the findings for emerging “super-diverse” global societies are discussed.

scholarly journals The Association of Market Mix of Hospital Ownership With Medical Disputes: Evidence From China

2020 ◽  
Vol 57 ◽  
pp. 004695802097140
Author(s):  
Tianjiao Lan ◽  
Jay Pan
Keyword(s):  
Market Share ◽  
Private Hospital ◽  
Negative Binomial ◽  
Protective Role ◽  
Public Hospitals ◽  
Hospital Ownership ◽  
Hospital Market ◽  
Medical Quality ◽  
Medical Disputes ◽  
Gap Data

The prevalence and severity of medical disputes in China have attracted the attention of society and academia, and how to alleviate medical disputes has become a major concern. Following the implementation of a series of policies, the private sector in China’s hospital market has expanded rapidly over the past decade. It remains unknown whether the market mix of hospital ownership could alleviate medical disputes, this study aims to bridge the gap. Data are collected from all hospitals (2171) in Sichuan province, China, from 2012 to 2015. Using a negative binomial hurdle model, the results show that for hospitals with disputes, the private hospital market share has an inverted U-shaped relationship with the number of disputes. However, no significant relationship is found between the private hospital market share and the probability of dispute occurrence. For hospitals with disputes, competition plays a protective role in the effect of the private hospital market share on the number of disputes, hindering the increase in the number of disputes and facilitating a more rapid drop. However, medical quality is found to play an insignificant role in that effect. The findings also support encouraging new private hospitals in China rather than privatizing existing public hospitals.

scholarly journals Determinants of South Africa’s Orange Trade Flows in the Top European and Asian Importing Countries

2016 ◽  
Vol 8 (7) ◽  
pp. 38
Author(s):  
Luyolo Matolo ◽  
Li Zhemin ◽  
Yu Wen ◽  
Huang Min
Keyword(s):  
South Africa ◽  
South African ◽  
Gravity Model ◽  
Market Share ◽  
Trade Agreements ◽  
Trade Flows ◽  
The World ◽  
Long Time ◽  
The Subject ◽  
Significant Factors

<p class="NoSpacing1">South Africa orange exporters have for a long time enjoyed a sizeable market share in many parts of the world. A large portion of that sizeable market share can be located in the European countries then followed by fast developing countries in Asia. This market share can be associated with a declining South African currency compared to the values of these major currencies. On the other hand a number of trade agreements that have been reached by South Africa and these countries over the years have also contributed handsomely in the mentioned market share. Furthermore, diets of consumers in these countries have as well contributed in the conquered market share. Although a number of studies have been conducted on the subject of South Africa’s declining currency and the established trade agreements on products with mixed magnitudes in influencing trade flows, further research is needed for a better understanding on the trade determinants patterns in specific products. This paper focuses on the determinants of South Africa’s orange trade in the top European and Asian importing countries. In order to understand these trade determinants, gravity model has been applied to identify and analyze significant factors encouraging or discouraging the quantities/volumes of oranges exported to the above mentioned countries. Findings have shown that over the reviewed period, South Africa’s orange exports to the European market have been consistence, while exports to Asian market started slow and gradually increased over the years. Gravity model estimated coefficients also showed expected signs.</p>

scholarly journals From fragmentation to fragile unity: Organizational fault-lines in South African business

1998 ◽  
Vol 29 (1) ◽  
pp. 21-29 ◽  
Author(s):  
Nicoli Nattrass
Keyword(s):  
South Africa ◽  
South African ◽  
Business Community ◽  
Economic Sectors ◽  
Collective Action Problems ◽  
History Of ◽  
Fault Lines ◽  
The Relationship ◽  
Over Time

This article explores the nature and history of organized business in South Africa. It describes the major racial, sectoral and other fault-lines which fracture the business community, and indicates that many of these are the legacy of apartheid. It points out that the relationship between business and the state was ambiguous, varied between the economic sectors, and changed radically over time. The latter sections of the article discuss the role of business in South Africa's transition (and the collective action problems which were experienced), and charts the developments which lead up to the creation of the mega federation Business South Africa (BSA). It is argued that BSA represents an important, yet fragile, step towards unity.

scholarly journals Top incomes in South Africa in the twentieth century

Cliometrica ◽  
2021 ◽  
Author(s):  
Facundo Alvaredo ◽  
A. B. Atkinson
Keyword(s):  
South Africa ◽  
South African ◽  
Top Incomes ◽  
Long Run ◽  
Hard Evidence ◽  
Trends Over Time ◽  
Changes Over Time ◽  
The Impact ◽  
First Time ◽  
Over Time

AbstractThere have been important studies of recent income inequality and of poverty in South Africa, but very little is known about the long-run trends over time. There is speculation about the extent of inequality when the Union of South Africa was formed in 1910, but no hard evidence. In this paper, we provide evidence that is partial—being confined to top incomes—but which for the first time shows how the income distribution changed on a (near) annual basis from 1913 onwards. We present estimates of the shares in total income of groups such as the top 1% and the top 0.1%, covering the period from colonial times to the twenty-first century. For a number of years during the apartheid period, we have data classified by race. The estimates for recent years bear out the picture of South Africa as a highly unequal country, but allow this to be placed in historical and international context. The time series presented here will, we hope, provide the basis for detailed investigation of the impact of South African institutions and policies, past and present. But the similarity of the changes over time in top incomes across the four ex-dominions suggests that national developments have to be seen in the light of common global forces.

scholarly journals Predicting substance use behavior among South African adolescents: The role of leisure experiences across time

2011 ◽  
Vol 35 (4) ◽  
pp. 343-351 ◽  
Author(s):  
Erin Hiley Sharp ◽  
Donna L. Coffman ◽  
Linda L. Caldwell ◽  
Edward A. Smith ◽  
Lisa Wegner ◽  
...  
Keyword(s):  
South Africa ◽  
Substance Use ◽  
South African ◽  
Time Use ◽  
Target Time ◽  
Use Behavior ◽  
Leisure Interests ◽  
Leisure Boredom ◽  
Over Time

Using seven waves of data, collected twice a year from the 8th through the 11th grades in a low-resource community in Cape Town, South Africa, we aimed to describe the developmental trends in three specific leisure experiences (leisure boredom, new leisure interests, and healthy leisure) and substance use (cigarettes, alcohol, and marijuana) behaviors and to investigate the ways in which changes in leisure experiences predict changes in substance use behaviors over time. Results indicated that adolescents’ substance use increased significantly across adolescence, but that leisure experiences remained fairly stable over time. We also found that adolescent leisure experiences predicted baseline substance use and that changes in leisure experiences predicted changes in substance use behaviors over time, with leisure boredom emerging as the most consistent and strongest predictor of alcohol, cigarette, and marijuana use. Implications for interventions that target time use and leisure experiences are discussed.

scholarly journals A ROMAN PERSPECTIVE ON THE ADVANTAGE FOR CREDITORS REQUIREMENT IN SOUTH AFRICAN INSOLVENCY LAW

2008 ◽  
Author(s):  
Tanya Rheeder
Keyword(s):  
South Africa ◽  
South African ◽  
Present State ◽  
Roman Law ◽  
Ancient Rome ◽  
Insolvency Law ◽  
The Law ◽  
Collecting System ◽  
Over Time

The discussion to follow aspires to take a closer look at the birth of the Roman debt collecting system and trace the development for approximately a thousand years, with the aim of clarifying the present state of the law by showing its evolution over time. However, before venturing into the depths of ancient Rome, a thorough understanding of the application of Roman law in South Africa is crucial.

scholarly journals The relevance of industrial psychology as a Profession and discipline in South Africa

2001 ◽  
Vol 27 (4) ◽  
Author(s):  
Stepen D. Renecle
Keyword(s):  
South Africa ◽  
South African ◽  
Industrial Psychology ◽  
The South ◽  
Important Impact ◽  
Over Time

In exploring whether or not Industrial Psychology is relevant, it is proposed that while the discipline has an important impact on the South African economy, the profession in this country has little relevance. The view is offered that it is more important that the discipline of Industrial Psychology remains relevant over time than for the profession to become relevant. Proposals are put forward in terms of how to maintain the relevance of Industrial Psychology as a discipline in a changing organisational environment. Opsomming Daar word voorgestel dat terwyl Bedryfsielkunde as dissipline ‘n belangrike rol in die Suid-Afrikaanse ekonomie speel, die professie in ons land irrelevant is. Die standpunt word gestel dat dit belangriker is dat Bedryfsielkunde as dissipline tersaaklik bly, as wat dit is vir die professie om op datum te kom. Voorstelle word gemaak oor hoe om die tersaaklikheid van die dissipline te handhaaf in ‘n veranderende organisatoriese omgewing.

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