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Review of private sector mental health services in the Western Cape

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Publication Information

1st Author : Ensink, K
Other Authors: Leger, P & Robertson, B.A
Publisher: UCT
Publication Date: 10/1995
ISBN:
ISSN:
Publication Type: Research Report
Series:
Issue:

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Summary Health services in South Africa are undergoing a period of evaluation and restructuring with the aim of improving equity and access. It is recognized that the existing public sector health services are inadequate especially at the primary care level, and that private sector services are not affordable for the vast majority of South Africans. In addition to restructuring and developing public sector services, the potential role and contribution of the private sector in responding to the health care needs of South Africans has received attention (Committee of Inquiry into a National Health Insurance System (CINHIS), 1995 McIntyre et al, 1995). Proposals for the redistribution of private sector health resources, which will improve accessibility to a broader section of the population, have been under consideration (CINHIS, 1995). The CINHIS has recommended that a package of services be purchased from accredited private provider groups to augment public sector services where necessary and appropriate. However these recommendations are largely at a general level especially with regards to mental health professionals, and many points will require further clarification.
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Access to mental health care remains far from equitable, with geographical factors and financial imperatives rather than need, determining access. Sharp discrepancies exist between the sectors with respect to populations served, services rendered, personnel and funding structures. There is little information available on private sector mental health services, utilization rates, demographic and service need profiles of service users, and the availability and distribution of professional personnel. This study attempts to respond to these data deficiencies and provides some preliminary expenditure dataonp rivate sector providers of mental health services in the Western Cape. Relevant aspects of the structure and financing of mental health service South Africa and elsewhere, will be briefly reviewed before reporting on the study findings.

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