The mould has finally been cast aside.
Government sees cooperation with a more regulated private health sector as a source of progress and expansion of NHI delivery. This was the overall feeling of the audience at a meeting addressed by Dr Precious Matsoso in KZN last weekend at a gala function arranged by the KZNDHC.
I was privileged to sit with the DG for the evening and after discussing a number of matters with her, was struck by her openness, honesty and pragmatism.
Public Private Partnerships:
In her address to the audience, she highlighted previous successful PPPs (Public Private Partnerships in the health sector since 1994 which proved that the 2 entities could indeed cooperate utilising their core strengths.
Following the example set by the World Health Organisation, where Dr Matsoso was part of a committee which drafted a framework for agreement between “state and non-state “actors for global health, they constructed a blueprint for cooperation to deal with global emergencies and outbreaks.
We now need to identify leverage and bridge the current gap between private and public healthcare and work to bridging that divide. We must identify strategic / technical partnership opportunities.
Quoting the example of rolling out of ARVs to nearly 5 million clients, she explained that this was another excellent example of public and private working successfully together for the greater good.
The state health sector is over-utilised, and constrained, and is looking for opportunities to work more closely with a more regulated private sector within defined policies and programs to address the needs of patients. Matsoso pointed out that over regulation kills innovation whilst under regulation exposes people to possible harm. Appropriate regulation is required both for state and for the private sector.
State healthcare is keen, both to employ or work with private medical entities to deliver cost effective appropriate healthcare with the aim and goal of a Win-Win-Win for :
- State (Government dept getting the maximum return for limited investment)
- Patient public (Access to highest quality healthcare at low cost)
- Private sector medical professional (Sustainable return on their investment and ensuring that the best expertise is available to all).
The 3 D’s:
The DG listed 3 elements of technology in medicine:
Disruption using Artificial Intelligence and the momentum of the 4AR (4th Industrial Revolution) disruptive technologies will be used to facilitate smarter solutions using Apps, and Algorithms.
Diffusion, by using technology to deliver healthcare to the people in an effective and efficient and economical way.
Democratisation by getting the public to have access to technology to understand their disease, their symptoms and treatment in an appropriate manner and avoid the risk of inappropriate patient misdiagnosis as well as patient ignorance of preventative and corrective measures.
Examples of the 3Ds in action and PPPs working successfully are the ATM type dispensers for Chronic Medication in various installations, and the current CCDP (Centralised Chronic Dispensing Program).
“I extend an invitation to the Private Sector to engage Government through Private Networks, in a codified manner. There is nothing we cannot do if we work together!!”
The CPC/Qualicare network is such a network in the Western Cape and stands ready to work with Government , both local , regional and National to enhance the delivery of healthcare to all our citizens in a manner which is mutually beneficial, and advantageous to Patients, Doctors and State.
Tony Behrman and the CPC/Qualicare team