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An assessment of financial and supply chain management outcomes in Western Cape public hospitals

Thesis (MPA (School of Public Management and Planning))--University of Stellenbosch, 2005.

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Main Author: Lewis, Hendrik Archie
Other Authors: Burger, A. P. J.
Format: Thesis
Language:English
Published: Stellenbosch : University of Stellenbosch 2008
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access_status_str Open Access
author Lewis, Hendrik Archie
author2 Burger, A. P. J.
author_browse Burger, A. P. J.
Lewis, Hendrik Archie
author_facet Burger, A. P. J.
Lewis, Hendrik Archie
author_sort Lewis, Hendrik Archie
collection Thesis
dc_rights_str_mv University of Stellenbosch
description Thesis (MPA (School of Public Management and Planning))--University of Stellenbosch, 2005.
format Thesis
id oai:scholar.sun.ac.za:10019.1/3052
institution Stellenbosch University (South Africa)
language English
last_indexed 2026-06-10T12:43:59.464Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2008
publishDateRange 2008
publishDateSort 2008
publisher Stellenbosch : University of Stellenbosch
publisherStr Stellenbosch : University of Stellenbosch
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source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/3052 An assessment of financial and supply chain management outcomes in Western Cape public hospitals Lewis, Hendrik Archie Burger, A. P. J. University of Stellenbosch. Faculty of Economic and Management Sciences. School of Public Management and Planning. Public hospitals -- South Africa -- Finance Business logistics -- South Africa Dissertations -- Public management and planning Theses -- Public management and planning School of Public Management and Planning Thesis (MPA (School of Public Management and Planning))--University of Stellenbosch, 2005. South Africa, as a young and emerging democracy, faces many challenges regarding the transformation of the socio-economic landscape of the South African society. The provision of better health care services and the overall development and empowerment of society are some of the many challenges government has to resolve. This research focuses specifically on service delivery in public hospitals with special emphasis on: 􀂙 An assessment of financial management outcomes within the context of the implementation of the Public Finance Management Act (Act 1 of 1999, as amended) [PFMA] in public hospitals; and 􀂙 An assessment of supply chain management (SCM) outcomes in relation to the achievement of empowerment and equity of disadvantaged communities within the context of Black Economic Empowerment (BEE). The PFMA is the result of financial reform in South Africa. The PFMA emphasises effective, efficient, economic and transparent use of public funds. This research assessed the financial management at the Head Office of the Western Cape Health Department, as well as at Karl Bremer, Lentegeur and Swellendam Hospitals for the financial years 1998/99 to 2002/03. The Western Cape Tender Board ceased to exist in December 2003. The procurement and provisioning processes have now been decentralised to the various departments with effect 1 January 2004 and have become the responsibility of supply chain units within departments. BEE and the preferential procurement policy are government initiatives that had to be executed on SCM as platform. The three hospitals were also used to assess progress on the implementation of SCM, as well as the realisation of BEE objectives. Annual Reports, Audit Reports and Strategic Planning documentation were used to extract the relevant information necessary for the research. Interviews with nineteen (19) officials were conducted. Good progress has been made with the implementation of the PFMA. All those officials that were interviewed displayed sensitivity for the responsible management of public funds. A lack of internal control measures was identified in almost all audit reports. The absence of a risk management plan and a functional internal audit unit is hampering the realisation of the objectives of the PFMA. With health care service delivery and black economic empowerment being topical issues in SA, this research endeavours to make recommendations that could assist the Western Cape government with the realisation of the intended objectives of better health care services delivery by public hospitals, transformation of the economy, equity and empowerment of the disadvantaged through SCM processes and eventually to secure “a better life for all”. Masters 2008-07-17T08:06:27Z 2010-06-01T09:05:01Z 2008-07-17T08:06:27Z 2010-06-01T09:05:01Z 2005-03 Thesis http://hdl.handle.net/10019.1/3052 en University of Stellenbosch application/pdf Stellenbosch : University of Stellenbosch
spellingShingle Public hospitals -- South Africa -- Finance
Business logistics -- South Africa
Dissertations -- Public management and planning
Theses -- Public management and planning
School of Public Management and Planning
Lewis, Hendrik Archie
An assessment of financial and supply chain management outcomes in Western Cape public hospitals
title An assessment of financial and supply chain management outcomes in Western Cape public hospitals
title_full An assessment of financial and supply chain management outcomes in Western Cape public hospitals
title_fullStr An assessment of financial and supply chain management outcomes in Western Cape public hospitals
title_full_unstemmed An assessment of financial and supply chain management outcomes in Western Cape public hospitals
title_short An assessment of financial and supply chain management outcomes in Western Cape public hospitals
title_sort assessment of financial and supply chain management outcomes in western cape public hospitals
topic Public hospitals -- South Africa -- Finance
Business logistics -- South Africa
Dissertations -- Public management and planning
Theses -- Public management and planning
School of Public Management and Planning
url http://hdl.handle.net/10019.1/3052
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