The South Afircan Medial Association (SAMA) charged the Health Department of drafting the pricing list without proper consultation.

In its original submission on medical practitioners' fees, Sama asked for a consultative process to discuss the technical section of the submission, it said in a statement.

"To date, Sama has received no response to its request. We are also still waiting for proper feedback from the Department of Health on how they took doctors' comprehensive practice cost study submissions into account when determining the proposed increase."

Sama said private sector doctors were extremely disappointed and surprised at a proposed increase of 4,6 percent in consultation fees for general practitioners and 4,9 percent for specialists in the draft National Health Reference Price List (NHRPL) for 2007 published two weeks ago. In releasing the draft, the Health Department said comments would be considered but emphasised that the draft schedules could change before the official release of the NHRPL in mid-September.

"No new issues or submissions will be accepted for this version of the NHRPL and comments must be restricted to the content of the draft schedules," it stipulated.

Dr Aquina Thulare, Sama secretary-general, said the association had encouraged doctors in private practice to participate in the NHRPL process "with the expectation that their professional fees would be adjusted in a fair and transparent manner".

He added that studies to this end had shown that the existing NHRPL rates were inadequate.

Sama actuaries and consultants have done an in-depth assessment and analysis of the draft proposal and would be submitting comments to the Health Department, Thulare said.

The Health Department could not be immediately reached for comment. - Sapa

Abe South African Medical Association bathi abahambisani namanani amasha asetsheniswa kulomkhakha

Abe South African Medial Association (SAMA) basola abomnyango wezempilo ngohlelo lokubekwa kwamanani athile ekumele asetshenziswe ekuthengiseni imithi yodolotela.  Kwizethulo zabo abe Sama banxusa ukuti kubanjwe izingxoxo zokudingida kabanzi ngalezethulo zabo mayelana nokusetshenziswa kalamanani amasha.

Kuze kube namhlanje abe Sama bathi abakaze bathole mpendulo kulesinxuso sabo. Bezwakalisa ukuthi basalindele umnyango wezempilo ekutheni ubachazele ukuthi usebenzise luphi uhlelo ekutholeni lamanani abati kumele asetshenziswe.  Abe Sama bathi iningi lodokotela abazimele bathuka badumala ngokwenyuswa kwamanani ngo 4,6 percent emalini yokuhlola iziguli.  Lokhu kwavela embikweni wabe National Health Reference Price List (NHRPL) yango 2007 ebishicilelwe kulamasonto amabili edlule.  Khathi kushicilelwa lombiko abomnyango wezempilo bezwakalisa ukuthi bazozibhekisisa naleziphakamiso abazamukele.  Kuloku babebala nokuthi kusengenzeka kwenziwe nezinye izinguquko ngaphambi kokuthi kwenziwe ukushicilela okusemthathweni ngo September.

Udokotela u- Aquina Thulare, ongunobhala jikelele kwabe Sama ukhuthaza odokotela abazimele ekutheni babambe iqhaza ezinhlelweni zabe NHRPL uthi kumele baqinisekisa ukuthi bayavumelana namanani ahlongozwayo ngokuthi bezwakalise imibono yabo.  Unanela nangokuthi ekugcineni kutholakale ukuthi lamanani abehlongozwa ngabe NHRPL abengekho ezingeni elifanelekile.

UThulare wabe Sama uthi kuzohlolisiswa amabhuku nezindlela zokusebenza abazisebenzisayo bese kwethulwa umbiko kwabomnyango wezempilo.  Abomnyango wezempilo abatholakalanga ekutheni baphawule kabanzi ngalokhu.

Sibonga iSAPA ngaloludaba.

Iqumrhu lezonyango eMzantsi Afrika alonwabanga ngemeko yamaxabiso amayeza

Iqumrhu lezonyango eMzantsi Afrika lityhola isebe lezempilo ngokuqulunqa uluhlu lwamaxabiso lingadibananga nababandakanyekayo. Kwizikhalazo zayo ngamaxabiso oogqirha, iSAMA kwintetha yayo icele ukuba, kubekho inkqubo apho kuzakushukuxwa khona icandelo lezobuxhaka - xhaka. "Ukuza kuthi ga ngoku iSAMA ayikafumani mpendulo kwisicelo sayo. Sikwalindele nempundulo eyiyo kwisebe lezempilo ukuba, lizijonge njani na iindleko zokuqhuba unyango xa belithabatha izigqibo zokwenyusa amaxabiso."

ISAMA ithi, oogqirha abazimeleyo bothukile yaya badane kakhulu ngokonyuswa ngeepesenti ezi 4,6 kwamaxabiso okuxilonga okujongekileyo, kwane 4,9 yeepesenti zobuwepheshe kuluhlu lwamaxabiso lonyaka ka2007 olukhutshwe kwiveki ezimbini ezidlulileyo. Xa belikhupha olu luhlu isebe lezempilo lithe, iimbono ziyakulindelwa kodwa lagxininisa ukuba ezi nkqubo zingatshintsha phambi kokukhutshwa ngokusemthethweni koluhlu lwamaxabiso embindini kaSeptemba.

Akukho kungeniswa kwazimvo zintsha kuyakwamkeleka kuluhlu olutsha lwamaxabiso, yaye izimvo kufuneka zijoliswe kumongo weziphakamiso, itshilo. UGqr. Aquina Thulare, usosiba jikelele weSAMA uthe, eli qumrhu likhuthaze oogqirha abazimeleyo ukuba bazibandakanye kule nkqubo, bejonge ukuba amaxabiso omsebenzi wabo ayakunyenyiswa ngendlela efanelekileyo.

Wengeze ngelithi, izifundo ngalo mba zibonise ukuba izinga lwamaxabiso elikhoyo alitshongo khona. Abasebenzela iSAMA benze uvavanyo olunzulu ngokulu luhlu lwamaxabiso, y\aye bazakudlulisa izimvo kwisebe lezempilo, utshilo uThulare. Isebe lezempilo alifumanekanga ngethuba ukuze liphawula ngalo mbandela- Sapa

Mokga wa africa borwa wa tsa bopheleo (sa medical association) ha e ya thabela ho nyollwa ha kgafo ho tsa bophelo

South African Medial Association (SAMA) e makalletse lefapha la tsa bophelo ka ho rala lenaneo le letjha la kgafo ya tsa bophelo ntle le ho latela metjha e nepahentseng.

Qoso ya bona ya mantlha e itshetlehile kgafong e ntshwang ke bongaka. Sama e re ho lokela ho tshwarwe kopano ho tla buisana ka karolo e hlokang tsebo e tebileng moralong ona. 

"Le kajeno, Sama ha e so fumane karabo ho tswa lefapheng mabapi le taba ena.  Hape re ntse re emetse ho utlwa hore lefapha le qhobile ditlhahlobo jwang ka ditjeho tsa mosebetsi wa bongaka ha le tla fihlela qeto ya ho kenya moralo o motjha wa nyolla tjhelete."

Sama e re bongaka ba ikemetseng ka swabile haholo hape ba makaditse ke ho eketswa ha kgafo ka pesente tse 4,6 tjheleteng ya ho bona batho dingakeng tse tlwaelehileng, le dipsente tse 4,9 ho bongaka ba mafu a ikgethileng (specialists). Sena se ngotswe moralong wa naha wa o behetsweng ho fana ka tataiso ya hore ho lefuwe bokae tshebeletsong tsa bophelo selemong sa 2007 [draft National Health Reference Price List (NHRPL)]. Moralo ona o phatlalditswe dibekeng tse pedi tse fetileng.  Ha le fapha le ne le phatlalatsa NHRPL ena le itse le tla amohela dikeletso/maikutlo a fe le afe, empa la hatella hore dipehelo tse moralong ona di ka fetoha pele NHRPL ena e ntshwa semolao ha kgwedi ya Lwetse ha e itshwere thekeng.

"Ha ho ditaba kapo dinyehelo tse tla amohelwa ho NHRPL ena,  mme maikutlo/dikeletso di lokela ho itshetleha ho se ngotsweng mona fela," ho bolela moralo ona.

Dr Aquina Thulare, secretary-general ya Sama, o itse mokgatlo ona o kgothaditse bongaka ba ikemetseng ho ba karolo ya mosebetsi wa NHRPL "ka letshepa la hore ditebello tsa bona tsa hore tjhelete eo ho thweng ba e kgafe e tla fokotswa ka tslea a nang le sa ipatang."

O tlatsitse ka hore ho fihlela kajeno dipatlisiso di supa hore NHRPL ena e teng ha e ya lekana.

Baetapele ba Sama ba entse tlhahlobo e tebileng ya moralo ona mme ba tla o fitiseta ka pela lefapha la tsa bophelo ho utlwa hore le reng, ho rialo Thulare.

Lefapha la tsa bophelo ha le ya fumaneha ka nako ho hlahisa maikutlo a lona tabeng ena. - Sapa