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Financial medicine: A multi-dimensional concept moving towards contextually specific working definitions for use in
Colin Giovanni Mosca1, Jaco P Kruger2
1Department of Emergency Medical Care, University of Johannesburg, Johannesburg, South Africa.
Insights
Financial Medicine negatively impacts South African prehospital care. This study introduces formal definitions and taxonomy for Financial Medicine, crucial for future research and understanding this healthcare issue.
Area of Science:
- Healthcare Economics
- Medical Ethics
- Public Health Policy
Background:
- Financial Medicine, a decade-long phenomenon in South Africa, lacks formal definitions and organized knowledge.
- This practice detrimentally affects the prehospital healthcare system, necessitating focused research.
- Existing literature and theoretical frameworks do not adequately address Financial Medicine.
Purpose of the Study:
- To establish working definitions and a taxonomy for Financial Medicine.
- To lay the groundwork for conceptualizing and theorizing Financial Medicine.
- To facilitate future research and collaboration on Financial Medicine in South Africa.
Main Methods:
- Qualitative research methodology.
- Constructivist grounded theory design.
- One-on-one in-depth interviews with purposive and theoretical sampling.
- Constant comparative analysis and analytical diagramming.
Main Results:
- A working definition for Financial Medicine is provided.
- Six new terms are introduced with definitions: Financial Medicine Practices, Treatment-based profiteering, Cost-of-care-aversion, Personal-gain-at-patient-expense, Money-racketeering-in-healthcare, and Impoverishing-healthcare-earning.
- A foundational taxonomy for Financial Medicine is proposed.
Conclusions:
- The proposed definitions and taxonomy are the initial step in formally conceptualizing Financial Medicine.
- This work aims to support further research and collaboration on Financial Medicine.
- Addressing Financial Medicine is critical for the South African prehospital healthcare system.
Introduction:
The phenomenon that has been described as Financial Medicine has been occurring within the South African Healthcare sector for at least the last decade. Despite the ongoing effect of this phenomenon, there is no organised body of knowledge or formulated working definitions to guide knowledge sharing and theorisation within this research focus area. The practice of Financial Medicine exerts a deleterious effect on the South African prehospital healthcare system, and represents an area in dire need of focused research efforts. Establishing appropriate working definitions and associated taxonomy is an important first step in supporting further research efforts into this aspect of South African prehospital healthcare systems.
Methods:
A qualitative research methodology following a constructivist grounded theory design was used. Participants voluntarily consented to be enrolled into one-on-one in-depth interviews, and were selected using purposive and theoretical sampling techniques. Data was subjected to validated coding procedures and analysed using the constant comparative analysis approach, analytical diagramming, and supported by researcher theoretical sensitivity.
Results:
A working definition for Financial Medicine is provided. Six new terms are introduced, with associated working definitions, namely Financial Medicine Practices, Treatment-based profiteering, Cost-of-care-aversion, Personal-gain-at-patient-expense, Money-racketeering-in-healthcare, and Impoverishing-healthcare-earning.
Conclusion:
The working definitions and suggested taxonomy presented in this article are the first step in formally conceptualising and theorising the phenomenon of Financial Medicine, in order to support further research and collaboration in this space.
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