Date of Conferral

2023

Degree

Doctor of Business Administration (D.B.A.)

School

Management

Advisor

Deborah Nattress

Abstract

AbstractSome South African healthcare managers and physicians find sustaining quality, cost-effective healthcare services challenging. Healthcare leaders are concerned about the high cost of healthcare as it can negatively impact sustainability and patient outcomes. Grounded in the cost-effectiveness theory and complex adaptive system theory, the purpose of this qualitative multiple-case study was to explore strategies some South African healthcare leaders use to sustain healthcare delivery in lower- and middle-income countries. The participants were five healthcare practitioners in rural areas of South Africa. Data were collected through semistructured interviews and secondary data sources. Thematic analysis of the data yielded four themes: patients’ low health education, legal and ethical burdens on medical practitioners, low quality of primary healthcare, and individual differences among healthcare workers. A key recommendation is for healthcare leaders to implement telemedicine practices to help lower the cost of medical care. The implications for positive social change include the potential to provide quality, profitable, cost-effective, and sustainable healthcare to the inhabitants of rural communities.

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