{"id":"https://openalex.org/W2117451963","doi":"https://doi.org/10.7196/samj.3662","title":"Prerequisites for national health insurance in South Africa: results of a national household survey.","display_name":"Prerequisites for national health insurance in South Africa: results of a national household survey.","publication_year":2009,"publication_date":"2009-10-01","ids":{"openalex":"https://openalex.org/W2117451963","doi":"https://doi.org/10.7196/samj.3662","mag":"2117451963","pmid":"https://pubmed.ncbi.nlm.nih.gov/20128271"},"language":"en","primary_location":{"id":"pmid:20128271","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/20128271","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://hdl.handle.net/11427/24618","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5038651071","display_name":"Di McIntyre","orcid":"https://orcid.org/0000-0001-6319-4111","observed_orcids":["https://orcid.org/0000-0001-6319-4111"]},"institutions":[{"id":"https://openalex.org/I157614274","display_name":"University of Cape Town","ror":"https://ror.org/03p74gp79","country_code":"ZA","type":"education","lineage":["https://openalex.org/I157614274"]}],"countries":["ZA"],"is_corresponding":false,"raw_author_name":"Diane McIntyre","raw_affiliation_strings":["Health Economics Unit, School of Public Health and Family Medicine, University of Cape Town. Diane.Mclntyre@uct.ac.za"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Economics Unit, School of Public Health and Family Medicine, University of Cape Town. Diane.Mclntyre@uct.ac.za","institution_ids":["https://openalex.org/I157614274"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060739350","display_name":"Jane Goudge","orcid":"https://orcid.org/0000-0001-6555-7510","observed_orcids":["https://orcid.org/0000-0001-6555-7510"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jane Goudge","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103002714","display_name":"Bronwyn Harris","orcid":"https://orcid.org/0000-0003-4695-008X","observed_orcids":["https://orcid.org/0000-0003-4695-008X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bronwyn Harris","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001603009","display_name":"Nonhlanhla Nxumalo","orcid":"https://orcid.org/0000-0002-1935-2204","observed_orcids":["https://orcid.org/0000-0002-1935-2204"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nonhlanhla Nxumalo","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5111980434","display_name":"Moremi Nkosi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Moremi Nkosi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":5.6283,"has_fulltext":true,"cited_by_count":49,"citation_normalized_percentile":{"value":0.9581806,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"99","issue":"10","first_page":"725","last_page":"9"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/national-health-insurance","display_name":"national health insurance","score":0.9819999933242798},{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.703000009059906},{"id":"https://openalex.org/keywords/public-sector-health-services","display_name":"public sector health services","score":0.5680000185966492},{"id":"https://openalex.org/keywords/affordability","display_name":"affordability","score":0.4350000023841858},{"id":"https://openalex.org/keywords/patient-provider-communication","display_name":"patient-provider communication","score":0.6970000267028809},{"id":"https://openalex.org/keywords/health-service-quality","display_name":"health service quality","score":0.7210000157356262},{"id":"https://openalex.org/keywords/citizen-participation","display_name":"citizen participation","score":0.5730000138282776},{"id":"https://openalex.org/keywords/south-africa","display_name":"South Africa","score":0.9210000038146973}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5855613350868225},{"id":"https://openalex.org/C84265765","wikidata":"https://www.wikidata.org/wiki/Q193219","display_name":"Subsidy","level":2,"score":0.5759457945823669},{"id":"https://openalex.org/C71745522","wikidata":"https://www.wikidata.org/wiki/Q2476929","display_name":"Confidentiality","level":2,"score":0.5661733746528625},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.5629410743713379},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.5190404057502747},{"id":"https://openalex.org/C66204764","wikidata":"https://www.wikidata.org/wiki/Q219416","display_name":"Sustainability","level":2,"score":0.5127514600753784},{"id":"https://openalex.org/C147859227","wikidata":"https://www.wikidata.org/wiki/Q294217","display_name":"Public sector","level":2,"score":0.4422638416290283},{"id":"https://openalex.org/C121426985","wikidata":"https://www.wikidata.org/wiki/Q591763","display_name":"Private sector","level":2,"score":0.44133907556533813},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.38422417640686035},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.37513959407806396},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3358086347579956},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.19294431805610657},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.1702842116355896},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.09713295102119446},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C34447519","wikidata":"https://www.wikidata.org/wiki/Q179522","display_name":"Market economy","level":1,"score":0.0},{"id":"https://openalex.org/C18903297","wikidata":"https://www.wikidata.org/wiki/Q7150","display_name":"Ecology","level":1,"score":0.0},{"id":"https://openalex.org/C136264566","wikidata":"https://www.wikidata.org/wiki/Q159810","display_name":"Economy","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001294","descriptor_name":"Attitude to Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005249","descriptor_name":"Fees and Charges","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006306","descriptor_name":"Health Surveys","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006779","descriptor_name":"Hospitals, Public","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007182","descriptor_name":"Income","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009313","descriptor_name":"National Health Programs","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D013019","descriptor_name":"South Africa","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"pmid:20128271","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/20128271","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde","raw_type":"Journal Article"},{"id":"pmh:oai:localhost:11427/24618","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/11427/24618","pdf_url":"http://hdl.handle.net/11427/24618","source":{"id":"https://openalex.org/S4306402129","display_name":"Open University of Cape Town (University of Cape Town)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I157614274","host_organization_name":"University of Cape Town","host_organization_lineage":["https://openalex.org/I157614274"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"South African Medical Journal","raw_type":"Journal Article"},{"id":"pmh:oai:open.uct.ac.za:11427/24618","doi":"https://doi.org/10.7196/samj.3662","is_oa":false,"landing_page_url":"http://doi.org/10.7196/SAMJ.3662","pdf_url":null,"source":{"id":"https://openalex.org/S4306402129","display_name":"Open University of Cape Town (University of Cape Town)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I157614274","host_organization_name":"University of Cape Town","host_organization_lineage":["https://openalex.org/I157614274"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"South African Medical Journal","raw_type":"Journal Article"},{"id":"mag:2117451963","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/20128271","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:localhost:11427/24618","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/11427/24618","pdf_url":"http://hdl.handle.net/11427/24618","source":{"id":"https://openalex.org/S4306402129","display_name":"Open University of Cape Town (University of Cape Town)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I157614274","host_organization_name":"University of Cape Town","host_organization_lineage":["https://openalex.org/I157614274"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"South African Medical Journal","raw_type":"Journal Article"},"sustainable_development_goals":[{"score":0.9391000270843506,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2117451963.pdf","grobid_xml":"https://content.openalex.org/works/W2117451963.grobid-xml"},"referenced_works_count":6,"referenced_works":["https://openalex.org/W1513238143","https://openalex.org/W2012634482","https://openalex.org/W2021886289","https://openalex.org/W2151176815","https://openalex.org/W2466546095","https://openalex.org/W2892123422"],"related_works":["https://openalex.org/W2885412020","https://openalex.org/W2314390366","https://openalex.org/W6945352746","https://openalex.org/W7166819619","https://openalex.org/W2807763379","https://openalex.org/W7056487780","https://openalex.org/W2278253930","https://openalex.org/W7082323388","https://openalex.org/W2788433716","https://openalex.org/W4414752162"],"abstract_inverted_index":{"BACKGROUND:":[0],"National":[1],"Health":[2],"Insurance":[3],"(NHI)":[4],"is":[5,19,119,200,208,234,241],"currently":[6],"high":[7],"on":[8,62],"the":[9,24,36,66,90,138,166,173,193,214,222,225,244],"health":[10,33,68,91,133,248],"policy":[11],"agenda.":[12],"The":[13],"intention":[14],"of":[15,27,77,99,140,157,168,192,195,213,217,227,246],"this":[16],"financing":[17],"system":[18,69,134],"to":[20,46,72,146,185,210,236],"promote":[21],"efficiency":[22],"and":[23,29,75,80,124,153,159,171,221],"equitable":[25],"distribution":[26],"financial":[28],"human":[30],"resources,":[31],"improving":[32],"outcomes":[34],"for":[35,86,132,203,224,232],"majority.":[37],"However,":[38,198],"there":[39,199,240],"are":[40,70,84,130,163],"some":[41],"key":[42],"prerequisites":[43],"that":[44],"need":[45],"be":[47,186,237],"in":[48,65,89,112,243],"place":[49],"before":[50],"an":[51,78],"NHI":[52],"can":[53],"achieve":[54],"these":[55],"goals.":[56],"OBJECTIVES:":[57],"To":[58],"explore":[59],"public":[60,67,123,141,230],"perceptions":[61],"what":[63],"changes":[64],"necessary":[71],"ensure":[73],"acceptability":[74],"sustainability":[76],"NHI,":[79],"whether":[81],"South":[82,128,180],"Africans":[83,129,181],"ready":[85,131],"a":[87,106],"change":[88],"system.":[92],"METHODS:":[93],"A":[94],"cross-sectional":[95],"nationally":[96],"representative":[97],"survey":[98],"4":[100],"800":[101],"households":[102],"was":[103],"undertaken,":[104],"using":[105],"structured":[107],"questionnaire.":[108],"Data":[109],"were":[110],"analysed":[111],"STATA":[113],"IC10.":[114],"RESULTS":[115],"AND":[116],"CONCLUSIONS:":[117],"There":[118,162],"dissatisfaction":[120],"with":[121],"both":[122],"private":[125,177],"sectors,":[126],"suggesting":[127],"change.":[135],"Concerns":[136],"about":[137,165],"quality":[139,247],"sector":[142],"services":[143],"relate":[144],"primarily":[145],"patient-provider":[147],"engagements":[148],"(empathic":[149],"staff":[150],"attitudes,":[151],"communication":[152],"confidentiality":[154],"issues),":[155],"cleanliness":[156],"facilities":[158],"drug":[160],"availability.":[161],"concerns":[164],"affordability":[167],"medical":[169],"schemes":[170],"how":[172],"profit":[174],"motive":[175],"affects":[176],"providers'":[178],"behaviour.":[179],"do":[182],"not":[183],"appear":[184],"well":[187],"acquainted":[188],"or":[189],"generally":[190],"supportive":[191],"notion":[194],"risk":[196],"cross-subsidies.":[197,205],"strong":[201],"support":[202,231],"income":[204],"Public":[206],"engagement":[207],"essential":[209],"improve":[211],"understanding":[212],"core":[215],"priniciples":[216],"universal":[218],"pre-payment":[219,233],"mechanisms":[220],"rationale":[223],"development":[226],"NHI.":[228],"Importantly,":[229],"unlikely":[235],"forthcoming":[238],"unless":[239],"coinfidence":[242],"availability":[245],"services.":[249]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":4},{"year":2014,"cited_by_count":10},{"year":2013,"cited_by_count":7},{"year":2012,"cited_by_count":4}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}