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Why Primary Care as core benefit in the Basic Package?

Why Primary Care as core benefit in the Basic Package?. Rajesh Patel BHF. Why Primary Care?. Hon. Henry Gluckman M.P., M.R.C.S., L.R.C.P. 1940s Community Orientated Primary Care (COPC) commission mooted National Healthcare System based on COPC Recognition that HC required rationalization.

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Why Primary Care as core benefit in the Basic Package?

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  1. Why Primary Care as core benefit in the Basic Package? Rajesh Patel BHF TheBHFSouthern African Conference22-25 July’07 Sun City

  2. TheBHFSouthern African Conference22-25 July’07 Sun City

  3. Why Primary Care? TheBHFSouthern African Conference22-25 July’07 Sun City

  4. Hon. Henry Gluckman M.P., M.R.C.S., L.R.C.P. • 1940s • Community Orientated Primary Care (COPC) • commission mooted National Healthcare System based on COPC • Recognition that HC required rationalization TheBHFSouthern African Conference22-25 July’07 Sun City

  5. Herman A et al. 2002. Tender Doc TheBHFSouthern African Conference22-25 July’07 Sun City

  6. Alma Ata (1978) • “Health for All” • PHC TheBHFSouthern African Conference22-25 July’07 Sun City

  7. WHO • Primary Care … most cost effective… improve health status (Not every primary care service is cost effective) TheBHFSouthern African Conference22-25 July’07 Sun City

  8. Norms and Standards for District Health (2000) • Starting point towards Equity • PHC based • de facto BBP TheBHFSouthern African Conference22-25 July’07 Sun City

  9. Risk Equalisation:International Review Panel • Include primary care TheBHFSouthern African Conference22-25 July’07 Sun City

  10. The Minister must… …ensure the provision of such essential health services, which must at least include primary health care services, to the population of the Republic as may be prescribed …; Circular 8 of 2006, CMS Promote hospital benefit as core benefit Inconsistent with NHA NHA Section 3 (1) (d) TheBHFSouthern African Conference22-25 July’07 Sun City

  11. Health Charter • In development …Basic Package of health services TheBHFSouthern African Conference22-25 July’07 Sun City

  12. African Union: Conference of Health Ministers2007 • African Health Strategy: 2007-2015 • 34. This Strategy seeks to advocate and promote a coherent organisational framework that enhances efficiencies and effectiveness through: • “Adopt a primary health care approach” • … • “Determining the package of primary health care that all citizens can access” • … TheBHFSouthern African Conference22-25 July’07 Sun City

  13. Time for Action! • Commence Basic Package development in parallel with Health Charter • Commence the long delayed PMB review as mandated in the MSA TheBHFSouthern African Conference22-25 July’07 Sun City

  14. Speakers • Prof. Shan Naidoo • Critical Review of Basic Packages incl. Norms and Standards, and recommendation for BBP : Public Health perspective • Dr. S Pillay • Benefit design for the future • Dr Neil Gower – National Secretary: Homeopathic Association of South Africa • Complementary medicine and the PMB TheBHFSouthern African Conference22-25 July’07 Sun City

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