JOHANN SERFONTEIN: NHI will live or die on the competence of managers in public healthcare

Professional management in the public health sector is a key factor if the implementation of a National Health Insurance (NHI) is to stand any chance of success. Ailing state facilities can be turned around by proper management, as shown by the shining example of Frere Hospital in the Eastern Cape, where a new hospital manager turned a shambolic institution into something that resembles the Department of Health’s proposed ideal clinic model. But what if it is the provincial department that is incompetent? The negative effect of poor management is then spread over a much larger area…..more

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