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A mixed picture for SA’s health status

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South Africans generally evaluate their health positively, with the majority (80%) of the population rating their current health positively (good, very good or excellent). However, healthcare professionals are less optimistic. Just one third (33%) of healthcare professionals agree that the overall health of the population in South Africa is positive.
Healthcare professionals’ perceptions of the health of the nation are likely driven by their perceptions of access to care, as they are less likely to agree that their patients have access to care across all phases of the continuum compared with the 19-country average.
These are among the South African results of the second annual Future Health Index released by Royal Philips, building on data from 33 000 participants in a9 countries.
Despite the discrepancy between the South African general population and healthcare professionals’ perception of health, the results suggest that both groups perceive they have more access to healthcare than what the system is set up for in reality, which signals that there is an opportunity to improve access to care further.
“Through the Future Health Index, we are examining current realities of how well the healthcare system is set up for the future in order to quantify the readiness of health systems across five continents to meet future healthcare challenges,” says Jasper Westerink, CEO of Philips Africa. “The FHI has uncovered a number of significant areas where our healthcare system must transform if we are going to succeed in delivering long-term value-based care.
“With these findings as a guiding light, we are engaging all relevant parties around the table to drive the debate and ultimately improve the quality and cost effectiveness of healthcare for future generations.”
Where there are distinct gaps between reality and perception, it is harder to design a clear plan for future development, as both the reality and perception need to be addressed in order to advance. There is a call for greater integration globally, as the study clearly reveals that the largest perception/reality gap globally is centred on health systems integration, which also aligns to local findings.
“The general population often have a perception that healthcare is integrated and people only find that the integration is not there once they are a patient in the system,” says Westerink.
Other key local findings include:
* Nearly half (46%) of the South African population think the health system in the country is unintegrated, while healthcare professionals feel even more strongly about this (74%), an increase from 2016 (58%).
* While both the general population and healthcare professionals in South Africa see the importance of connected care technology in prevention of medical issues and overall health of the population, the technology is still perceived to be underutilised.
* South Africa’s efficiency ratio, which compares the country’s health expenditure to key health outcomes among the population is the lowest out of the 19 countries in this study, indicating considerable inefficiencies in the budget that is spent.
The general South African population and healthcare professionals believe that connected care technology would make healthcare more expensive in the long-term. In order to increase the likelihood of connected care technology being used, training opportunities, informational resources such as databases of available technologies, and government subsidies to manage cost concerns, may be needed to improve health systems at a tertiary level.
“Conversely, digitisation could additionally offer a breakthrough opportunity to improve the African population’s healthcare by breaking down traditional cost structures,” says Westerink. “By connecting patients, and care providers with public health workers via mobile telecommunications on available cellular networks, we can fill critical gaps in primary care and have a lower cost base at the primary level of intervention.”
These findings indicate that there is significant room for growth if investments are made. “Despite these barriers, the potential for global health systems to benefit from better integration remains a positive possibility, while the large local gaps indicate ample room for growth,” says Westerink. “However, the data in itself is not enough; it is vital that the findings inform robust debate at a local level in order to benchmark measurements and ultimately contribute to progress.”
The 2017 FHI highlights that it is not only important to adapt healthcare delivery across different healthcare systems, but in the meantime address the differences between the perceptions of users of the health system and the reality of how well the system is set up for the future in South Africa.