The NHI Bill submitted to Parliament on Thursday makes provision for the drawing up of a list of medicines to be used and protocols related to when services may be offered. Doctors who do not comply may be kicked out of the NHI system and will not be able to renew their accreditation every five years to provide services.
Although several medical aid funds also have preferred drug lists and protocols for treatment, the doctors are not bound to them. These are funding policies, but the member of the health insurance fund and his or her doctor can still decide which medication they want to take and which treatment is appropriate.
He says that, if a doctor does not agree with the prescribed referral route as determined by the NHI and has to follow the procedure for a complaint, valuable time can be wasted.“A retinal tear must be repaired by an ophthalmologist within 48 hours. Will such a patient be treated in time?”
Source: Healthcare Press (healthcarepress.net)
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