{"title":"国民健康保险-语言治疗师的知识、态度和看法。","authors":"Nomfundo Njilo, Andrew J Ross","doi":"10.4102/phcfm.v17i1.4835","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong> The South African government signed the National Health Insurance (NHI) Bill into effect on 15th of May 2024 to ensure that all citizens have access to high-quality healthcare, regardless of their financial situation. While this initiative will impact all healthcare professionals, there is limited information on how speech-language therapists (SLTs) perceive its implementation in South Africa.</p><p><strong>Aim: </strong> The study aimed to explore the knowledge, attitudes and perceptions of SLTs in the public and private healthcare sectors related to service provision regarding the implementation of the NHI.</p><p><strong>Setting: </strong> This study was conducted virtually via Zoom (Zoom Video Communication, San Jose, California, United States) and Teams (Microsoft Teams, 2017) with SLTs in their respective settings in South Africa.</p><p><strong>Methods: </strong> The descriptive, qualitative research design involved virtual semi-structured interviews with 10 SLTs. NVivo software (QSR International, Victoria, Australia) was used to analyse the data, as guided by Tesch's content analysis method.</p><p><strong>Results: </strong> Eleven sub-themes emerged related to the three themes of knowledge (4 sub-themes), attitudes (4 sub-themes) and perceived impact (3 sub-themes) of NHI implementation on SLT services.</p><p><strong>Conclusion: </strong> The study highlights SLTs' knowledge, gaps and concerns about the impact of NHI implementation on their profession, emphasising the personal and professional areas that need to be addressed for its successful rollout.Contribution: Understanding SLTs' opinions will help address their concerns during the planning stages of integrating them into the NHI. This will lead to an equitable distribution of sufficient practitioners and ensure that many people benefit from its implementation.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e8"},"PeriodicalIF":1.7000,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135732/pdf/","citationCount":"0","resultStr":"{\"title\":\"National Health Insurance - knowledge, attitude and perceptions of speech-language therapists.\",\"authors\":\"Nomfundo Njilo, Andrew J Ross\",\"doi\":\"10.4102/phcfm.v17i1.4835\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong> The South African government signed the National Health Insurance (NHI) Bill into effect on 15th of May 2024 to ensure that all citizens have access to high-quality healthcare, regardless of their financial situation. While this initiative will impact all healthcare professionals, there is limited information on how speech-language therapists (SLTs) perceive its implementation in South Africa.</p><p><strong>Aim: </strong> The study aimed to explore the knowledge, attitudes and perceptions of SLTs in the public and private healthcare sectors related to service provision regarding the implementation of the NHI.</p><p><strong>Setting: </strong> This study was conducted virtually via Zoom (Zoom Video Communication, San Jose, California, United States) and Teams (Microsoft Teams, 2017) with SLTs in their respective settings in South Africa.</p><p><strong>Methods: </strong> The descriptive, qualitative research design involved virtual semi-structured interviews with 10 SLTs. NVivo software (QSR International, Victoria, Australia) was used to analyse the data, as guided by Tesch's content analysis method.</p><p><strong>Results: </strong> Eleven sub-themes emerged related to the three themes of knowledge (4 sub-themes), attitudes (4 sub-themes) and perceived impact (3 sub-themes) of NHI implementation on SLT services.</p><p><strong>Conclusion: </strong> The study highlights SLTs' knowledge, gaps and concerns about the impact of NHI implementation on their profession, emphasising the personal and professional areas that need to be addressed for its successful rollout.Contribution: Understanding SLTs' opinions will help address their concerns during the planning stages of integrating them into the NHI. 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引用次数: 0
摘要
背景:南非政府于2024年5月15日签署了《国民健康保险法案》,该法案旨在确保所有公民无论其财务状况如何都能获得高质量的医疗保健服务。虽然这一举措将影响所有医疗保健专业人员,但关于语言治疗师(slt)如何看待南非实施这一举措的信息有限。目的:本研究旨在探讨公立和私营医疗保健部门的服务提供者在实施全民健康保险服务方面的知识、态度和看法。设置:本研究是通过Zoom (Zoom Video Communication, San Jose, California, usa)和Teams (Microsoft Teams, 2017)在南非各自的设置中使用slt进行虚拟的。方法:采用描述性、定性研究设计,对10名slt进行虚拟半结构化访谈。采用NVivo软件(QSR International, Victoria, Australia)对数据进行分析,以Tesch的内容分析法为指导。结果:出现了11个子主题,涉及到实施全民健康保险对SLT服务的知识(4个子主题)、态度(4个子主题)和感知影响(3个子主题)三个主题。结论:该研究突出了slt对实施全民健康保险对其职业的影响的了解、差距和担忧,强调了成功推出全民健康保险需要解决的个人和专业领域。贡献:了解slt的意见将有助于解决他们在将其纳入国家健康保险计划的规划阶段所关心的问题。这将导致公平分配足够的从业人员,并确保许多人从其实施中受益。
National Health Insurance - knowledge, attitude and perceptions of speech-language therapists.
Background: The South African government signed the National Health Insurance (NHI) Bill into effect on 15th of May 2024 to ensure that all citizens have access to high-quality healthcare, regardless of their financial situation. While this initiative will impact all healthcare professionals, there is limited information on how speech-language therapists (SLTs) perceive its implementation in South Africa.
Aim: The study aimed to explore the knowledge, attitudes and perceptions of SLTs in the public and private healthcare sectors related to service provision regarding the implementation of the NHI.
Setting: This study was conducted virtually via Zoom (Zoom Video Communication, San Jose, California, United States) and Teams (Microsoft Teams, 2017) with SLTs in their respective settings in South Africa.
Methods: The descriptive, qualitative research design involved virtual semi-structured interviews with 10 SLTs. NVivo software (QSR International, Victoria, Australia) was used to analyse the data, as guided by Tesch's content analysis method.
Results: Eleven sub-themes emerged related to the three themes of knowledge (4 sub-themes), attitudes (4 sub-themes) and perceived impact (3 sub-themes) of NHI implementation on SLT services.
Conclusion: The study highlights SLTs' knowledge, gaps and concerns about the impact of NHI implementation on their profession, emphasising the personal and professional areas that need to be addressed for its successful rollout.Contribution: Understanding SLTs' opinions will help address their concerns during the planning stages of integrating them into the NHI. This will lead to an equitable distribution of sufficient practitioners and ensure that many people benefit from its implementation.