Mudzweda Aluwani D, Simbeni Thembi V, Mogale Ntlogeleng M
Department of Advance Nursing Sciences, Faculty of Health Sciences, University of Venda, Thohoyandou, South Africa; and, Department of Public Health, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria.
Curationis. 2025 Jul 31;48(1):e1-e6. doi: 10.4102/curationis.v48i1.2689.
Most nations are implementing the National Health Insurance (NHI) programme to achieve universal health coverage (UHC). In South Africa, the government is working to ensure everyone has access to healthcare and achieve the UHC goal. Challenges in healthcare facilities include inadequate infrastructure, a lack of personnel and a lack of equipment. Researchers have concentrated on the healthcare practitioner's awareness of the implementation of NHI compared to their state of readiness even though there have been few studies on the readiness for NHI implementation in South Africa.
The study explored the opportunities and challenges for healthcare facilities in the readiness for the implementation of NHI.
A non-experimental, quantitative, descriptive, cross-sectional design was employed in this study. The researcher utilised a questionnaire with closed and open-ended questions to obtain information about the state of readiness. The Microsoft Excel spreadsheet was imported to STATA 17 SE software for data analysis.
In total, 352 healthcare practitioners (HCPs) were recruited with a response rate of 93%. The HCPs (36.2%) were skilled and well-trained to function under NHI in their facilities. The main challenges in health facilities were shortage of staff (20.3%), followed by infrastructure (16.3%).
This study suggests that there is a need for training and information sharing on the NHI policy. Contribution: The study indicates that challenges related to the healthcare system and the success of NHI, among others, are poor infrastructure, shortage of personnel and inadequate resources such as supply.
大多数国家正在实施国家医疗保险（NHI）计划以实现全民健康覆盖（UHC）。在南非，政府正在努力确保每个人都能获得医疗保健并实现全民健康覆盖目标。医疗设施面临的挑战包括基础设施不足、人员短缺和设备匮乏。尽管南非关于NHI实施准备情况的研究很少，但研究人员已将重点集中在医疗从业者对NHI实施的认知与其准备状态的比较上。
本研究探讨了医疗设施在NHI实施准备方面的机遇和挑战。
本研究采用非实验性、定量、描述性横断面设计。研究人员使用了一份包含封闭式和开放式问题的问卷来获取有关准备状态的信息。将Microsoft Excel电子表格导入STATA 17 SE软件进行数据分析。
总共招募了352名医疗从业者（HCP），回复率为93%。36.2%的医疗从业者在其所在设施中具备在NHI模式下工作的技能且训练有素。医疗机构面临的主要挑战是人员短缺（20.3%），其次是基础设施（16.3%）。
本研究表明需要就NHI政策进行培训和信息共享。贡献：该研究表明，与医疗系统及NHI成功相关的挑战包括基础设施差、人员短缺以及供应等资源不足。
