Rural district hospitals - essential cogs in the district health system - and primary healthcare re-engineering

被引：11
|
作者：
le Roux, K. W. D. P. [1 ,2 ]
Couper, I. [3 ,4 ]
机构：
[1] Zithulele Hosp, Eastern Cape, South Africa
[2] Univ Cape Town, Primary Hlth Care Directorate, Fac Hlth Sci, ZA-7700 Rondebosch, South Africa
[3] Univ Witwatersrand, Rural Hlth, Johannesburg, South Africa
[4] Wits Ctr Rural Hlth, Johannesburg, South Africa
来源：
SAMJ SOUTH AFRICAN MEDICAL JOURNAL | 2015年 / 105卷 / 06期
关键词：
District health system; District hospitals; Integration of care; National health insurance (NHI); Primary health care (PHC); Re-engineering of PHC; Rural health; South Africa;
D O I：
10.7196/SAMJ.9284
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The re-engineering of primary healthcare (PHC) is regarded as an essential precursor to the implementation of National Health Insurance in South Africa, but improvements in the provision of PHC services have been patchy. The authors contend that the role of well-functioning rural district hospitals as a hub from which PHC services can be most efficiently. managed has been underestimated, and that the management of district hospitals and PHC clinics need to be co-located at the level of the rural district hospital, to allow for proper integration of care and effective healthcare provision.
引用
收藏
页码：440 / 441
页数：2
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