| Summary |
This report is the result of two inextricably linked processes at the Centre for Health Policy. In 1992, the Centre produced a proposal for financing a National Health Insurance Fund. In the context of this work, it became clear that among other things, there was an insufficient understanding of the cost of primary health care (PHC). The Centre began to develop a research protocol that aimed at studying the cost of PHC in different delivery models such as public clinics, private general practitioners (GPs) and in health maintenance organisations (HMOs), and feasibility of an essential package of PHC services that could be available to all. When this project began, few costing studies of primary health care facilities had been undertaken in South Africa, the notable exceptions being a comprehensive costing of Diepkloof Community Health Clinic in Soweto (1991) and a costing analysis of Alexandra Health Centre (1992). The cost of providing primary care (PC) either through public or private sector facilities had not been well researched, and yet the kinds of decisions that were required about the delivery of health care depended to a great extent on what care was affordable. |
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Keywords: Primary Health Care. |
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