London L
Ray Alexander Workers Clinic, Cape, South Africa.
Soc Sci Med. 1993 Dec;37(12):1521-7. doi: 10.1016/0277-9536(93)90186-8.
During the period of current political transition, concern for the future of South Africa's health services have led to increased interest in different models for the provision and financing of health care. These debates have included an examination of the concept of Managed Care and the ideas of Health Maintainance Organization. Progressive trade unions, particularly, have been faced with the prospect of promoting private sector health care if they are directly to meet their members health needs, while at the same time seeking an equitable health care system for a future democratic South Africa. The Ray Alexander Workers Clinic is presented as a model of a worker-based health service which attempts to address this contradiction. Important lessons for a future National Health Service may be learnt. The role of worker control and cost containment are emphasized and implications for integration into State Services and relationships to social services for the broader community are explored. An argument is made that worker-based health services offer excellent possibilities for integration in a future National Health Service in South Africa that is centred on a Primary Health Care approach.
在当前政治过渡时期，对南非医疗服务未来的担忧引发了人们对医疗保健提供和融资的不同模式的更多关注。这些讨论包括对管理式医疗概念和健康维护组织理念的审视。特别是进步工会，如果要直接满足其成员的健康需求，就面临着推广私营部门医疗保健的前景，同时还要为未来民主的南非寻求一个公平的医疗保健系统。雷·亚历山大工人诊所被视为一种基于工人的医疗服务模式，试图解决这一矛盾。从中可以吸取对未来国家医疗服务有益的经验教训。强调了工人控制和成本控制的作用，并探讨了融入国家服务以及与更广泛社区社会服务关系的影响。有人认为，基于工人的医疗服务为融入未来以初级卫生保健方法为核心的南非国家医疗服务提供了绝佳机会。
