Is the routine health information system ready to support the planned national health insurance scheme in South Africa?

ABSTRACT: Implementation of a National Health Insurance (NHI) in South Africa requires a reliable, standardized health information system that supports Diagnosis-Related Groupers for reimbursements and resource management. We assessed the quality of inpatient health records, the availability of standard discharge summaries and coded clinical data and the congruence between inpatient health records and discharge summaries in public-sector hospitals to support the NHI implementation in terms of reimbursement and resource management. We undertook a cross-sectional health-records review from 45 representative public hospitals consisting of seven tertiary, 10 regional and 28 district hospitals in 10 NHI pilot districts representing all nine provinces. Data were abstracted from a randomly selected sample

SUBMITTER: Nicol E 

PROVIDER: S-EPMC8173599 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature