Healthcare systems: typologies, framework models, and South Africa’s health sector

Shadrack Katuu
  • International Journal of Health Governance, April 2018, Emerald
  • DOI: 10.1108/ijhg-10-2017-0054

Typologies, framework models, and South Africa’s health sector

What is it about?

This article examines the characteristics, components, and variables of South Africa’s healthcare system in the context of global patterns. It leverages a dynamic period in South Africa since 1994, and applies a comparative health systems analysis to explain where the country’s healthcare system is, and where it is potentially going.

Why is it important?

This article charts the trajectory of change in the South African healthcare system, and demonstrates that the change process must keep internal conditions in mind if the outcome is to be successful. Imitating policies of countries with well-functioning systems, without regard to local realities, may not work, as the government attempts to usher in changes within a short span of time.


Dr Shadrack Katuu

The article finds that the framework models are useful tools for comparative analysis of healthcare systems. However, any use of such typologies should be done with the awareness that national healthcare systems are not isolated entities, because they function within a larger context. They are not static, since they are constantly evolving with many nuances, even with very similar healthcare system categorisations.

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