Title page for ETD etd-05152011-102916


Document Type Master's Dissertation
Author Marivate, Dennis
URN etd-05152011-102916
Document Title Cost containment strategies and their relationship to quality of care within the South African private healthcare industry
Degree MBA
Department Gordon Institute of Business Science
Supervisor
Advisor Name Title
Dr M Adonisi Supervisor
Keywords
  • quality of care
  • cost drivers
  • managed care
  • cost containment
Date 2010-11-10
Availability unrestricted
Abstract

The purpose of this research was to understand cost containment strategies used by private hospitals under managed care plans and their relationship to quality of care within the South African environment. The data was collected using a questionnaire consisting of closed questions requesting respondents to rate statements about costs and quality of care, as well as open questions for additional information about costs and quality of care. The study found that managed care has the ability to control costs and that hospitals monitor LOS and prescribe generic medication in order to control costs. The study also found that cost control strategies have a negative impact on quality of care and that hospitals place more emphasis on cost control than quality of care. In addition, large hospitals that enjoy high occupancy rates experienced an increase in patient complaints since the introduction of managed care, compared to small and medium hospitals. The study found that managed care has had a better than average impact on controlling costs and a better than average impact in quality reduction, however the correlation between cost control and quality reduction was negative. Finally, the study found that technology has an impact on rising healthcare costs and that any constraints placed on rising costs associated with technology will have a negative impact on quality of care.

Copyright 2010, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria

Please cite as follows:

Marivate, D 2010, Cost containment strategies and their relationship to quality of care within the South African private healthcare industry, MBA dissertation, University of Pretoria, Pretoria, viewed yymmdd < http://upetd.up.ac.za/thesis/available/etd-05152011-102916/>

F11/230/ag

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