n South African Medical Journal - Scale optimisation is important in hospital initiatives in South Africa : editorial

Volume 101, Issue 7
  • ISSN : 0256-9574
  • E-ISSN: 2078-5135



As national and international attention shifts towards improving health system performance, efficiencies must be maximised wherever possible. There will be increasing focus on escalating public and private sector health care costs in South Africa with the proposed introduction of national health insurance (NHI) and other health system strengthening initiatives. Furthermore, the intended benefits of NHI will not materialise unless there are significant improvements in health system performance.

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