The SA Technology in Healthcare is a comprehensive review of ICT in the South African healthcare sector.

Methodology

BMIT has analysed this vertical industry with primary and secondary research input from:

  • BMIT databases and other secondary sources, including SARS reporting of the number of VAT-paying companies
  • Enterprise ICT spending patterns, based on BMIT’s end user surveys and derived models, and
  • Top-down industry revenue figures tied back to BMIT in-depth reports on IT and telecoms market segments, which in turn are informed by primary research (vendor interviews) and analysis of operator reporting.
  • Qualitative assessment of the vertical market in South Africa, based on extensive secondary research.

Table of Contents

SA Healthcare Sector

  • Overview
  • Healthcare Industry Dashboard
  • The healthcare industry has a multi-faceted structure, comprised of 5 major sectors
  • South African healthcare industry structure: the major division in healthcare is between public and private health facilities, with regulation and medical schemes also playing a large part
  • Healthcare GDP: total contribution to GDP was estimated at R382bn in 2016 (8.8%)
  • Healthcare GDP: private (52%) versus public (48%): the proportion of public healthcare expenditure has increased marginally over the past 15 years.
  • Public healthcare expenditure

Challenges for the healthcare sector

  • Performance against policies
  • Service delivery at hospitals
  • Burden of disease
  • Personnel costs
  • Cybersecurity and regulations
  • High attainment policy goals
  • NHI costs

Vertical Trends

  • Global healthcare trends
  • Healthcare costs
  • Health technology assessment (HTA)
  • Alternative reimbursement models or value-based healthcare
  • Service delivery issues
  • Trends in the pharmaceutical market

SA Government Initiatives

  • Government healthcare initiatives
  • ICT healthcare policies
  • Focus on primary healthcare (PHC)
  • The Ideal Clinic programme for primary healthcare
  • Government initiative – Operation Phakisa
  • SA Connect underpins many of the healthcare policies and initiatives
  • Expenditure on primary health care – PHC
  • Challenge – Disconnect between levels of government managing public health spend
  • Initiative – coordination between levels of government
  • Government key priority for health – universal health coverage & the NHI
  • Funding of the NHI
  • NHI – ICT programmes
  • eHealth Strategy
  • Health Normative Standards Framework (HNSF) for Interoperability in eHealth
  • Initiative – Office of Health Standards Compliance (OHSC) and the Health Ombud
  • Initiative – Health Patient Registration System (HPRS)
  • Initiative – MomConnect and NurseConnect programmes
  • Initiative – She Conquers digital media campaign
  • Initiative – reducing the cost of medicine
  • Initiative Centralised Chronic Medicines Dispensing and  Distribution (CCMDC) and Stock visibility system ( SVS)
  • Public-private partnership launches Africa’s first ATM pharmacy
  • Initiative – South African Health Products Regulatory Authority (SAHPRA)
  • Initiative – National Public Health Institute of South Africa (NAPHISA)
  • Western Cape government eHealth initiatives

Technological Disruption

  • Technology-enabled healthcare (TEC) or connected health
  • The Digital Health Hype Cycle 2018: this shows the success/failure potential of health technology
  • mHealth usage ranges from simple patient health and wellness care to complex population health analyses
  • Innovation in the healthcare ecosystem – co-created innovation and enabling regulation
  • Participatory medicine
  • Patient power’ – technology enables a shift from ‘paternalistic’ practitioner
  • Online patient communities, patient forums and online information-sharing
  • Bio-sensing wearable devices
  • Facilitation between healthcare teams: telemedicine, electronic patient records
  • Precision medicine
  • Managing healthcare big data
  • Portable digital imaging
  • Digital sensoring
  • Wirelessly Observed Therapy (WOT)
  • Biosensor technology, enabling point-of-care testing, could limit HIV spread
  • Blockchain in healthcare
  • 3D-printed devices
  • Human augmentation technology
  • AI offers access and solutions for mental health difficulties
  • Home care
  • Convenient care: technology reducing time constraints and saving lives
  • Technology in healthcare – challenges

Local and International Case Studies

  • Affordable breast prostheses through 3D printing
  • Phelophepa – train of hope
  • Vodacom to use big data to help control future epidemics in Ghana
  • TB Diagnostics – mobile x-ray identification & diagnostic trucks
  • Facial recognition app helps visually impaired to see
  • Stretch electronics – Throat Sensor to Improve Stroke Rehabilitation
  • Digital Pill tracks compliance in taking medication
  • Mobile on-demand health care services

Top Healthcare Companies And Company Profiles

  • Private healthcare
  • Top private hospital groups
  • Private hospital groups, cont.
  • Medical scheme administrators
  • Medical schemes
  • Top pharmaceutical companies