ArticleCurationis2025
State of readiness: National health insurance implementation in hospitals, Gauteng province.
Article in Curationis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundMost nations are implementing the National Health Insurance (NHI) programme to achieve universal health coverage (UHC). In South Africa, the government is working to ensure everyone has access to healthcare and achieve the UHC goal. Challenges in healthcare facilities include inadequate infrastructure, a lack of personnel and a lack of equipment. Researchers have concentrated on the healthcare practitioner's awareness of the implementation of NHI compared to their state of readiness even though there have been few studies on the readiness for NHI implementation in South Africa.
objectivesThe study explored the opportunities and challenges for healthcare facilities in the readiness for the implementation of NHI.
methodA non-experimental, quantitative, descriptive, cross-sectional design was employed in this study. The researcher utilised a questionnaire with closed and open-ended questions to obtain information about the state of readiness. The Microsoft Excel spreadsheet was imported to STATA 17 SE software for data analysis.
resultsIn total, 352 healthcare practitioners (HCPs) were recruited with a response rate of 93%. The HCPs (36.2%) were skilled and well-trained to function under NHI in their facilities. The main challenges in health facilities were shortage of staff (20.3%), followed by infrastructure (16.3%).
conclusionThis study suggests that there is a need for training and information sharing on the NHI policy. Contribution: The study indicates that challenges related to the healthcare system and the success of NHI, among others, are poor infrastructure, shortage of personnel and inadequate resources such as supply.
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