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SAMJ: South African Medical Journal
versão On-line ISSN 2078-5135
versão impressa ISSN 0256-9574
Resumo
LE ROUX, K W D P e COUPER, I. Rural district hospitals - essential cogs in the district health system - and primary healthcare re-engineering. SAMJ, S. Afr. med. j. [online]. 2015, vol.105, n.6, pp.440-441. ISSN 2078-5135. http://dx.doi.org/10.7196/SAMJ.9284.
The re-engineering of primary healthcare (PHC) is regarded as an essential precursor to the implementation of National Health Insurance in South Africa, but improvements in the provision of PHC services have been patchy. The authors contend that the role of well-functioning rural district hospitals as a hub from which PHC services can be most efficiently managed has been underestimated, and that the management of district hospitals and PHC clinics need to be co-located at the level of the rural district hospital, to allow for proper integration of care and effective healthcare provision.