ABSTRACT

The passing of the 2019 National Health Insurance Bill (NHI) has revived debate whether such a policy can be effectively implemented in South Africa. The purpose of this article is to discuss the development process of this bill against the backdrop of the country’s political and social context. Furthermore, it will examine the constitutional right of public participation in health policy decision-making and its vital role in understanding the user perspectives to ensure successful implementation of the NHI. Approachable and communicative leaders are required to facilitate public participation and to engage with the public and health workers. Such leaders will need to be innovative and creative in order to overcome current public health shortfalls.

摘要

2019 年国家健康保险法案 (NHI) 的通过重新引发了关于是否可以在南非有效实施此类政策的辩论。本文的目的是在国家的政治和社会背景下讨论该法案的发展过程。此外，它将审查公众参与卫生政策决策的宪法权利及其在理解用户观点以确保 NHI 成功实施方面的重要作用。需要平易近人和善于沟通的领导者促进公众参与并与公众和卫生工作者接触。这些领导者需要具有创新性和创造力，以克服当前的公共卫生短缺。