The effectiveness of revenue management in South African public hospitals: The case of the Tshwane District Hospital.
Maila, Jan Phasodi
Maila, Jan Phasodi
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Abstract
The Department of Health levies substantial amounts of user-fees (fees paid for hospital services) for various services. The accounting officer of the Provincial Department of Health is required by the Public Finance Management Act No 1 of 1999, to take effective and appropriate steps to collect all money due to the department. Most public hospitals are still depending on payment methods at a cashier office, with limited debt follow up. This study focused on the revenue management at the Tshwane District Hospital (TDH). Revenue management receives little attention and as a result methods of revenue collection are weak. The aim of this study was to evaluate the effectiveness of the revenue management system at the TDH. Case study research was conducted consisting of a literature study of revenue collection systems in public hospitals internationally compared with the current system being employed at the TDH. Research methods included observing operations in the revenue management process and conducting interviews with the officials in the revenue management section of TDH and Gauteng Provincial Department of Health (GPDoH). The study found that not all revenue management procedures in TDH are effective. Key findings included a lack of adequate measures to collect outstanding debt. The enhancement of debt management policy, classification income and implementation of electronic payment methods were included in the recommendations.
Description
Submitted in fulfilment of the requirements for the degree, Magister Technologiae: Cost and Management Accounting in the Department of Managerial Accounting and Finance, Faculty of Economics and Finance at the Tshwane University of Technology, South Africa.
Date
2018-05-01
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Tshwane University of Technology
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Keywords
Revenue, Management, Public hospitals, Tshwane, South Africa