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The effectiveness of the referral system in primary health care in the West Rand region : a normative-ethical study with special emphasis on traditional healers

Thesis (M.Phil.)--Stellenbosch University, 2000.

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Main Author: Molepo, Edward R.
Other Authors: Hattingh, J. P.
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2012
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access_status_str Open Access
author Molepo, Edward R.
author2 Hattingh, J. P.
author_browse Hattingh, J. P.
Molepo, Edward R.
author_facet Hattingh, J. P.
Molepo, Edward R.
author_sort Molepo, Edward R.
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (M.Phil.)--Stellenbosch University, 2000.
format Thesis
id oai:scholar.sun.ac.za:10019.1/51964
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:46:07.073Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2012
publishDateRange 2012
publishDateSort 2012
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/51964 The effectiveness of the referral system in primary health care in the West Rand region : a normative-ethical study with special emphasis on traditional healers Molepo, Edward R. Hattingh, J. P. Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Philosophy. Medical referral -- South Africa -- Gauteng West Rand Area Healers -- South Africa Traditional medicine -- South Africa Clinics -- South Africa Non-governmental organizations -- South Africa Hospitals -- South Africa Medical ethics -- South Africa Dissertations -- Philosophy Primary health care -- South Africa Thesis (M.Phil.)--Stellenbosch University, 2000. ENGLISH ABSTRACT: The aim of this research is to identify the various levels of health care units, their relationships and the problems hindering an effective referral system. To achieve this goal, use is made of a case study of the West Rand area in Gauteng. The standpoint is that, to achieve Primary Health for all South Africans referral systems within health care units and levels must be reciprocal. It is argued that for Primary Health Care to be successful, it must satisfy the goal of affordability appropriateness and accessibility. Results from the research revealed that four health care levels, namely traditional healers, health NGOs, Clinics, and Hospitals. Though there is some degree of referral in the study area, it was observed that referrals in the study area were not reciprocal. Amongst the major problems identified as hindering an effective referral system in the study area, include lack of cooperation between health institutions, poor health infrastructure and communication network as well as lack of other health paraphernalia. The research also found that government policy towards some of the health institutions (Traditional healers) contributes to the inefficiency of proper referrals in the study area. AFRIKAANSE OPSOMMING: Die oogmerk van hierdie ondersoek is om die verskillende vlakke van gesondheidsorgeenhede, hulonderlinge verbande en die probleme wat doeltreffende verwysings in die wiele ry, te identifiseer. Dit word gedoen aan die hand van 'n gevallestudie van die Wes-Randarea in Gauteng. Die uitgangspunt is dat doeltreffende Primêre Gesondheid vir alle Suid- Afrikaners afhang van resiprokale verwysingsisteme tussen gesondheidsorgeenhede en -vlakke. Suksesvolle Primêre Gesondheidsorg vereis bekostigbaarheid, toepaslikheid en toeganklikheid. Die ondersoek het vier gesondheidsorgvlakke aan die lig gebring: tradisionele genesers, gesondheids-nie-regerings-organisasies, klinieke en hospitale. Hoewel daar 'n mate van onderfinge verwysing in die studie-area bestaan, was dit nie wederkerig nie. Onder die vernaamste struikelblokke vir 'n doeltreffende verwysingsisteem tel swak samewerking tussen gesondheidsinstellings, gebrekkige gesondheidsinfrastruktuur en kommunikasienetwerk, en 'n skaarste aan ander gesondheidsmiddelle. Die ondersoek het ook bevind dat regeringsbeleid aangaande sommige van die gesondheidsinstellings (tradisionele genesers) bydra tot die ondoeltreffendheid van verwysings in die studie-area. Master 2012-08-27T11:34:47Z 2012-08-27T11:34:47Z 2000-12 Thesis http://hdl.handle.net/10019.1/51964 en_ZA Stellenbosch University 74 p. : ill. application/pdf Stellenbosch : Stellenbosch University
spellingShingle Medical referral -- South Africa -- Gauteng West Rand Area
Healers -- South Africa
Traditional medicine -- South Africa
Clinics -- South Africa
Non-governmental organizations -- South Africa
Hospitals -- South Africa
Medical ethics -- South Africa
Dissertations -- Philosophy
Primary health care -- South Africa
Molepo, Edward R.
The effectiveness of the referral system in primary health care in the West Rand region : a normative-ethical study with special emphasis on traditional healers
title The effectiveness of the referral system in primary health care in the West Rand region : a normative-ethical study with special emphasis on traditional healers
title_full The effectiveness of the referral system in primary health care in the West Rand region : a normative-ethical study with special emphasis on traditional healers
title_fullStr The effectiveness of the referral system in primary health care in the West Rand region : a normative-ethical study with special emphasis on traditional healers
title_full_unstemmed The effectiveness of the referral system in primary health care in the West Rand region : a normative-ethical study with special emphasis on traditional healers
title_short The effectiveness of the referral system in primary health care in the West Rand region : a normative-ethical study with special emphasis on traditional healers
title_sort effectiveness of the referral system in primary health care in the west rand region a normative ethical study with special emphasis on traditional healers
topic Medical referral -- South Africa -- Gauteng West Rand Area
Healers -- South Africa
Traditional medicine -- South Africa
Clinics -- South Africa
Non-governmental organizations -- South Africa
Hospitals -- South Africa
Medical ethics -- South Africa
Dissertations -- Philosophy
Primary health care -- South Africa
url http://hdl.handle.net/10019.1/51964
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