Assessing the South African National Health Insurance Readiness

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Author(s): Nomawethu Tungela (Cape Peninsula University of Technology, South Africa)and Tiko Iyamu (Cape Peninsula University of Technology, South Africa)
Copyright: 2025
Pages: 26
Source title: Digitalization and the Transformation of the Healthcare Sector
Source Author(s)/Editor(s): Nilmini Wickramasinghe (La Trobe University, Australia)
DOI: 10.4018/979-8-3693-9641-4.ch014

Keywords: Medical Information Science Reference / Medical Technologies / Medicine & Healthcare

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Abstract

The South African government embarked on the implementation of the National Health Insurance (NHI) system without readiness assessment. Consequently, potential challenges and the influencing factors from information technology (IT) were not empirically known. This study aimed to examine the factors that influence the implementation of the South African NHI, from an IT perspective. Qualitative data were gathered from several sources and the duality of structure from structuration theory was used as a lens for the analysis. The analysis reveals the factors that can influence the implementation of the NHI, from assessment of readiness assessment. The study reveals crucial gaps in the deployment of IT solutions in enabling and supporting the implementation of the NHI. The gaps are essential in assessing the success or failure of the NHI. The factors provide a fresh perspective for developing policies, principles, and standards, to guide the implementation of the NHI in the country which are both technical and non-technical.

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Assessing the South African National Health Insurance Readiness

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