The document discusses South Africa's proposed National Health Insurance (NHI) plan. It provides background on the current state of South Africa's healthcare system, how the NHI aims to strengthen public facilities and reduce costs of private care through centralized funding and benefits packages. Lessons are drawn from the implementations of national healthcare plans in the US (Obamacare) and UK (NHS), emphasizing the importance of user-centric design. Opportunities are noted for UX designers to get involved and ensure the NHI implementation focuses on patient and provider needs through an efficient and scalable system.

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SA’s new National Health
Insurance
@jacovdh #uxjhb17

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About me
And why am I speaking about
Healthcare?!?!

3. @jacovdh #uxjhb17South Africa’s NHI

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Investments to scale up basic health services can
bring a six-fold economic return. Healthy people
have improved life expectancy, go to school, are
more productive, take fewer days off of work,
have lower birth rates and thus invest more in
fewer children”
Ban Ki Moon, 2009, UN General Assembly
Why should we invest in
healthcare?

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Current health landscape
of GDP
spent on Health
Government spending
48%
Private spending
43%
Caters for 83% of population
Caters for 17% of population
High cost
Limited resources,
poor management
and service
delivery

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How will it work?
Aim: strengthening quality in public facilities, and
reducing the costs/fees of private health care
Revenue
generation (i.e.
TAX)
Central fund /
central
management
Benefits
packages
Community
Based Primary
Care
Unifying
Information
System
National Health Insurance Framework

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Lessons from elsewhere

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ObamaCare
theAffordableCareAct,2013

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Obamacare History
• Only 6 people successfully signed up on day
1
• Poor user experience was one of the main
failures
• Well funded, failed start-up
• Led to the creation of “the Tech Surge”
• Gave rise to the U.S. Digital Service

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NHS UK IT Failures
• “Biggest IT Failure Ever Seen”
• 10Bn UK Pounds spent, no results
• Technology centered implementation, driven
by politicians
• No focus on the users or design
• Lead to reformed the NHS Digital
Programme with new Leadership and Vision.

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What has happened in SA
so far?
NHI Pilot Projects

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Aita Health
Mobile App

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A “healthy” NHI design
process should
• Focus on both patient and provider needs
(user centric)
• Be efficient
• Be scalable
• Should not add to the stress of someone
needing a health intervention!

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What does this mean
for UX designers?

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Opportunities!
• Healthcare IT is booming
• Adjacent industries are looking to enter the
field
• UX Design is often overlooked, critically
needed!

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Interested?

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International conferences
Thought leaders
Local meetups & conferences
Pro-Bono consulting
#digitalhealth #healthux

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Thank you
Any questions?

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Connect with me
@jacovdh
+27 72 82 44 888
jacovdh@yahoo.co.uk