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An analysis of ethics compliance challenges within strained healthcare systems: the case of South Africa

Thesis (MPhil)--Stellenbosch University, 2023.

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Main Author: Sehlabaka, Lietsiso Gertrude
Other Authors: Hall, Susan
Format: Thesis
Language:en_ZA
en_ZA
Published: Stellenbosch : Stellenbosch University 2023
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access_status_str Open Access
author Sehlabaka, Lietsiso Gertrude
author2 Hall, Susan
author_browse Hall, Susan
Sehlabaka, Lietsiso Gertrude
author_facet Hall, Susan
Sehlabaka, Lietsiso Gertrude
author_sort Sehlabaka, Lietsiso Gertrude
collection Thesis
description Thesis (MPhil)--Stellenbosch University, 2023.
format Thesis
id oai:scholar.sun.ac.za:10019.1/127398
institution Stellenbosch University (South Africa)
language en_ZA
en_ZA
last_indexed 2026-06-10T12:43:27.297Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2023
publishDateRange 2023
publishDateSort 2023
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/127398 An analysis of ethics compliance challenges within strained healthcare systems: the case of South Africa Sehlabaka, Lietsiso Gertrude Hall, Susan Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Philosophy. Utilitarianism -- South Africa Medical ethics -- South Africa Bioethics -- South Africa Compliance -- South Africa Thesis (MPhil)--Stellenbosch University, 2023. ENGLISH ABSTRACT: This thesis explores ethics compliance challenges within strained healthcare systems in South Africa. Its chief aim is to examine the link between ethics compliance issues and strained healthcare systems in South Africa, and how these challenges can be dealt with. In order to achieve this aim, the study firstly traces the evolution and current status of healthcare systems in South Africa, from the apartheid years to the current time. Today the healthcare system in South Africa comprises of a two-levelled system consisting of the private and public sectors. The study documents how healthcare resources are allocated between the private and public health sector. The private healthcare sector is well funded and has a lot of resources as compared to the public health sector. As a result, strain is experienced within the public healthcare system as 81.2% of the population makes use of this system. The study goes on to investigate how ethical and compliance challenges facing the strained healthcare sector can be tackled. These ethical challenges include instances of malpractice, and a leadership or governance crisis, which is manifested through corruption in the form of the looting of public funds and health resources, and irregular awarding of managerial positions within the public healthcare sector. These ethical compliance issues continue to create significant delays in achieving the improvement of healthcare delivery, and it is therefore important to seek solutions to these problems. This thesis argues that there is an urgent need for an ethics of responsibility and ethics training within the health sector. The main conclusion of the study is that the integration of an ethics of responsibility into the South African healthcare system may be a useful supplement to existing ethical theories such as utilitarian or deontological moral frameworks, and hence argues for the need for an integrative ethics discourse. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2023-03-06T12:12:45Z 2023-05-18T07:20:09Z 2023-03-06T12:12:45Z 2023-05-18T07:20:09Z 2023-03 Thesis http://hdl.handle.net/10019.1/127398 en_ZA en_ZA viii, 52 pages. application/pdf Stellenbosch : Stellenbosch University
spellingShingle Utilitarianism -- South Africa
Medical ethics -- South Africa
Bioethics -- South Africa
Compliance -- South Africa
Sehlabaka, Lietsiso Gertrude
An analysis of ethics compliance challenges within strained healthcare systems: the case of South Africa
title An analysis of ethics compliance challenges within strained healthcare systems: the case of South Africa
title_full An analysis of ethics compliance challenges within strained healthcare systems: the case of South Africa
title_fullStr An analysis of ethics compliance challenges within strained healthcare systems: the case of South Africa
title_full_unstemmed An analysis of ethics compliance challenges within strained healthcare systems: the case of South Africa
title_short An analysis of ethics compliance challenges within strained healthcare systems: the case of South Africa
title_sort analysis of ethics compliance challenges within strained healthcare systems the case of south africa
topic Utilitarianism -- South Africa
Medical ethics -- South Africa
Bioethics -- South Africa
Compliance -- South Africa
url http://hdl.handle.net/10019.1/127398
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